Through ninety-five in-depth interviews with primary care physicians (PCPs) working in different settings, as well as medical students and residents, provides rich insight into the everyday lives of generalist physicians in the early twenty-first century—their work, stresses, hopes, expectations, and values. Timothy Hoff supports this dialogue with secondary data, statistics, and in-depth comparisons that capture the changing face of primary care medicine—larger numbers of younger, female, and foreign-born physicians.