Medical education in Maricopa County is entirely different now than it was when I was applying over 20 years ago. At that time there were no medical schools in Phoenix and the only school in the state was the University of Arizona in Tucson. All of the applicants in the state were vying for one of the c.150 available seats. Fast forward to today and we now have the Arizona College of Osteopathic Medicine of Midwestern University, the University of Arizona College of Medicine-Phoenix, and A.T. Still University School of Osteopathic Medicine, with Mayo Clinic opening their Arizona campus soon. In addition, Creighton University School of Medicine has a clinical campus at St. Joseph Hospital and Medical Center. This certainly has created exponentially greater opportunities for students from Arizona, and particularly from Maricopa County, to pursue their dream of going to medical school close to home. The greater hope for our state, however, is that this will result in an increased number of physicians in Arizona. Unfortunately, the rate limiting factor seems to be the availability of postgraduate training spots. Over 50% of this year’s graduating class from the U of A Phoenix campus, for example, have matched out of state. The challenges of keeping these students here still lie ahead of us.