Abstract
I undertook my medical school training in Auckland, graduating in 1992. I was certainly not one of the top students. My only A+ was in physiology, a subject which I really enjoyed. I found the hospital culture of my clinical years challenging because of the hierarchical nature of the environment and all the egos. In my sixth year, I went to a combined government and mission hospital surgical service in Pokhara, Nepal, for my medical elective. It was an amazing experience, especially because my host suggested I could go into the valleys to the west and see what they were doing on their public health projects. I think he could see that I wasn’t happy assisting in the operating room and all that went with it.
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