I enjoyed reading your musings on European travel in the February TR [“Medical Renaissance”], particularly when reflecting on my own experiences as a rheumatologist in Europe, wearing two very distinctive hats. It was a rare treat to be invited to lecture at the ACR during fellowship (twice when in Mannik’s lab as a research fellow, not at all during my clinical year at The University of California, San Francisco), yet the occasions were more numerous (limited by clinic duties, attending requirements, and administrative obligation) in my years as a clinician, primarily in small group sessions with colleagues sharing clinical observations.