This study examines the relationship between income variables and phys
ician specialty choice. On average, physicians in family practice earn
less than physicians in other specialties. However, earlier studies f
ail to agree on the effect that income variables have on the physician
's status as one of these ''generalists.'' This study finds that the t
wo have a strong relationship. Nevertheless, the important factor is h
ousehold income rather than the physician's own-earnings differential.
This result is due to an extensive data set that includes the parents
' income level and the current earnings of the spouse. Additionally, t
he data allow a preliminary examination of family practitioners that s
ay that they would repeat their career. Finally, the data provide a co
ntrol for the physician's attachment to the current practice arrangeme
nt.