This qualitative study investigated the achievement goal orientations of a group of all male pre-med students attending a small, urban undergraduate college. Semi-structured interviews examined under what circumstances students adopted extrinsic goals, mastery goals, or a mixture of the two. Findings indicated that while nearly all students possessed an underlying or baseline extrinsic goal orientation, a sizable number of students (32%) were primarily mastery oriented and only a small percent (13%) were primarily extrinsically oriented. A large number of students did not fit either category, with many best described as being mastery oriented within certain subject areas and extrinsically oriented within others. Furthermore, this study found that social comparison (performance) goals were rarely mentioned spontaneously by students. The study concluded that the goal orientations of many students could best be described as complicated and conflicted with students experiencing a strong tension between a desire to learn and a desire to get good grades. (Contains 2 tables and 3 notes.)