I have just relocated to the Bronx in New York. Originating from the UK I moved from my home in Manchester to London and later to East Asia - Hong Kong and Singapore. At 29 I asked myself what are my true passions within medicine. Apart from my clinical interest in gastroenterology, my second is medical education and my third culture. I find culture fascinating and despite the broadness of the term, in my view it is the basis of why people are who they are and why things are done the way they are. Often we as clinicians may ignore the value of culture in how we deliver care and also in how we teach.