Great med school or residency graduation gift! As soon as I saw this frame I knew I had to get it for my husband! It's adorable in person, the perfect size, and will make a great addition to my husband's office one day! My only issue is that 20 characters is not enough for personalization at the bottom,unless your kids have short names or you are giving this only from one child. My children's names are 7 and 6 characters, so I had to use their shorter nicknames in order to fit, which I hadn't planned on doing. Other than that, though, it's a great gift!