My project to develop family medicine in rural Cambodia is at an exciting stage. After a number of delays and false starts, I am eager to progress the project as quickly as possible. Unfortunately, we lost some key people early in the project who have been difficult to replace. I am now working on recruitment of a local team of health professionals to staff the fledgling project. Happily this is now starting to come together. The people in the project area are well below the absolute poverty level and their need is desperate. I do not want to lose any more time getting the work underway.