We thank Drs Goertzen and Zelek for providing additional perspective on our work and the value of The CoPPRR Study.1 While we are disheartened to hear that problems with preceptor recruitment, retention, and engagement occur even with a more robust and better compensated family medicine workforce, we appreciate the acknowledgment of the universality of these struggles. As the America Needs More Family Doctors: 25x2030 Initiative2 begins, it is worth recognizing that not all problems will be solved by payment reform, universal access, and expansion of the family medicine workforce. We also appreciate the discussion of yet another theory on human behavior that can help inform medical educators as we work on this dilemma. Continued attention to strengthening our preceptor networks and optimizing the educational experience for students, preceptors, and communities is warranted. We look forward to opportunities to evaluate interventions designed to achieve these goals and we welcome cross-border collaboration.