For 3 weeks in October 2006, I had the privilege of going to Osaka, Japan, and working in the Department of Psychiatry at Osaka City University (OSU) Hospital. I was able to participate in the care of over 200 patients, saw psychopathology I had never encountered before, and saw medications prescribed that have either been banned or never been approved for use by the FDA in the United States. Without a doubt, it was the most educational and most amazing 3 weeks of my training. It changed my perspective on psychiatry, and my decision to become a child psychiatrist was due, in part, to this rotation. The entire experience was funded by the Noguchi Medical Research Institute, who paid for my flight and housing, and did what I can only imagine was a mountain of paperwork to permit a doctor from Philadelphia, Pennsylvania, to work in Osaka, Japan. Most of my meals were paid for by the generosity of the doctors I worked with, and my department at Jefferson was kind enough to help me arrange it so that I did not have to extend my training, and they continued my residency salary and benefits during this elective. Since returning from Osaka, I co-authored a paper that was published in a peer-reviewed journal (1) on attention-deficit hyperactivity disorder (ADHD) in school-aged children in Japan; presented a lecture on hikikomori, a form of acute social isolation among Japanese youths, at grand rounds; and presented a similar talk at a national conference. Although I did make my own personal sacrifices in order to do this rotation, it cost me very little, and I gained so much.