This article was migrated. The article was marked as recommended. Scant information is available about the makeup of Career and Professional Advising systems, and who the advisors are in U.S. medical schools. We created a survey in 2019 and collated the responses to gain information about Advisors and advising systems. An 11 question survey was emailed to 72 U.S. medical schools, querying information about whether they had a Career and Professional Advising system and what is the construct of the system. Kruskal Wallis and Fisher's Exact tests were utilized for analysis. 30/72 responses were received (41.67%). Educational backgrounds of advisors included: 27/30 (90%) by physicians; 7/30 (23.3%) by PhDs; 9/30 (30%) by Masters; 4/30 (13.3%) by others. AAMC Careers in Medicine curriculum was delivered in 23/30 (75.7%). Most advising systems were in Student Affairs (27/30, 90%), although only 20/30 (66.7%) reported to the Dean of Student Affairs. There was no unanimity in any of the responses to the 11 questions about who Career and Professional Advisors are, or how the systems are constructed. The closest to unanimity is that most medical schools have advising systems, that they are in Student Affairs departments, and that most advisors are physicians.