Jay Shah, MD (Twitter: @BladderCancerMD) is a urologic oncologist and Vice-Chief of Staff at Stanford Health Care. His journey brought him through several outstanding medical institutions in this country and he discusses his evolution from trainee to academic and research all-star, and his now burgeoning leadership career. Philosophies on leadership are discussed in addition to practical advice for those interested in future leadership positions or currently working in leadership roles. (Music Credit: Sunshine, Simon Jomphe Lepine.)