As revealed in discussion at the 2009 Presidential Summit on the Future of Psychology Practice, professional psychology training today is involved in a series of choices for its future. This paper outlines some of those major dilemmas and while acknowledging the difficulties inherent in resolving some of these issues, proposes areas of common ground and a series of next steps, which emphasize the importance of research and assessment as identifying marks of the professional psychologist, the requirements for accountability and standards in training, the need to develop behavioral medicine and neuropsychology as the field increases its partnership with health care, the importance of collaboration with school psychologists and international psychologists, the need to emphasize public sector service, and the imperative to develop these goals in a thoughtful way with new technology. (PsycINFO Database Record (c) 2011 APA, all rights reserved)