In medical education, I was given a fortuitous opportunity to use both my MD and MBA, as well as my love for teaching, in developing an innovative Leadership curriculum at the medical school. The curriculum aimed to develop both “little l” and “big L” leaders: those with no formal authority but transformational influence and those with formal authority and positions. I worked with a team to delineate competencies, design curricular elements and map learning objectives to competencies. I served on the Admissions Executive Committee (AEC), including its formal Admissions Leadership Team (ALT). I also co-led the Dean’s Scholars program. More recently, I was appointed Assistant Dean for Student Services (ADSS) in July 2020, and I have led an overhaul of our medical student mental health services, negotiating for wide expansion of services and funding. In my role as ADSS, I have oversight and responsibility for physical & mental health of medical students; learning and disability services; academic, personal & emotional counseling; registration and scheduling; professionalism development; career counseling services, Match and collaboration on transition to residency; and creation of a healthy, transformative and optimal learning environment.