Nothing like an African sunset. I’m going to miss this. What a wonderful day and even more of a rewarding week. I was advised by so many people not to come back to Tanzania this year since I JUST opened my own practice. With every start-up, there is so much to do especially as a solo practice. All responsibilities end up on my shoulders so I felt I was being irresponsible and careless leaving my baby so young. On the other hand, I felt a commitment to come back that I couldn’t shake either. As a physician, I wholeheartedly believe that we are in the service of our patients, our community, and our profession as a whole. For me, it’s part of my job to stay curious and romantically idealistic. I used to think that idealism died during residency/young attending life because that part of our life sucks - training is grueling and never ending, medicine’s political structure is so ingrained that change seems impossible, personal/financial pressures really start to dig in, and you’re f*ckin tired. I truly believe that to stay idealistic, you have to be inspired and to be inspired, you need challenging experiences. Yeah, it’s not easy to travel 28+ hrs around the world for a 1 wk trip, to teach 8 community dermatologists to care for 240+ persons with albinism over 3 clinics and then 24 skin cancer surgeries in a day, to brainstorm and mentor research ideas with colleagues. It’s not all fun and it’s hard. But it inspires me. I want to be a part of making change for dermatology in Africa. I want to inspire African doctors through learning and empowering them to see how impactful they are, how much skin diseases profoundly affects our patients lives, so that we can narrow the gap in skin health in east Africa. It’s so much work but it only can be done with a team of amazingly compassionate and brilliant people. To med students, residents, and attendings who feel like medicine sucks, find your inspiration but in a thoughtful way. Do it without thinking you’re a hero (because you’re not) or that you know better than local healthcare providers (because you don’t. You just know a different knowledge base). Do it because we are a profession of service and learning.