Can the decision to become a physician ever be a truly rational choice? According to philosopher L A Paul, the answer is more complicated than it may seem. In her book Transformative Experience, Paul argues that when we make consequential decisions, we are limited by our inability to know what that experience will be like in advance. For Paul, a transformative experience is one that has this characteristic and is also likely to radically reshape our future point of view. The decision to undergo a transformative experience amounts to a philosopher's dilemma, because the person choosing the experience and the person who will emerge on the other side of it are not one and the same.