The results of the 2007 National Resident Matching Program (NRMP) reflect a currently stable level of student interest in family medicine residency training in the United States. Compared with the 2006 Match, five fewer positions (with 25 fewer US seniors) were filled in family medicine residency programs through the NRMP in 2007, at the same time as 20 fewer (two more US seniors) in primary care internal medicine, the same number of pediatrics-primary care (four fewer US seniors), and one more (19 fewer US seniors) in internal medicine-pediatrics programs. Multiple forces, including student perspectives of the demands, rewards, and prestige of the specialty; the turbulence and uncertainty of the health care environment; lifestyle issues; and the impact of faculty role models continue to influence medical student career choices. Eighty-four more positions (12 more US seniors) were filled in categorical internal medicine. Fifty-four more positions (22 more US seniors) were filled in categorical pediatrics programs. The 2007 NRMP results suggest that interest in family medicine and primary care careers continues to decline. With the needs of the nation calling for the roles and services of family physicians, family medicine matched too few graduates through the 2007 NRMP to meet the nation's needs for primary care physicians.