For many physicians the decision to enter medicine is akin to answering “a calling.” This calling involves a conviction and commitment similar to that seen in the clergy or public service. Under the ancient tenets of the Hippocratic oath, physicians vow to uphold the injunction, “primum nom nocre,” first do no harm. Once this oath to serve is taken a physician’s life is never entirely his/her own. The profession of medicine demands a commitment to service, patient advocacy, and social responsibility. This commitment has traditionally taken precedence over economic interests.