Nevertheless, the disparate fortunes of psychiatry and emergency medicine in New Orleans are striking. Nationally, the increasing popularity of emergency medicine has been attributed to the “controllable lifestyle” that it and other fields—radiology, dermatology, ophthalmology, pathology—provide (6). Students assume these specialties will allow them to better choose the circumstances under which they practice. If so, in those first, difficult years after Katrina, Louisiana students may have determined that psychiatry could not be left entirely “at the office,” and, instead, trained out of state in other fields. Regardless of their motivation, our study did not show that an increase in medical student experience with trauma-related illness predicts an increase the number of students choosing psychiatry.