Thank you for that insight Jack. I would emphasize that success is dependent not only on one's inner desire and hard work but also having the right support systems around, especially mentors who can lead you along the right paths and open the doors to help you succeed. Also, the American College of Rheumatology has many committees which can facilitate the development of expertise in certain areas through knowledge acquisition and academic interactions. By volunteering you will get back much more than you put in. As you well know, it takes a Village to help the Village Chief. Best Art