Rev. Archimandrite Anastasios Poyiadjis, a specialist in Internal Medicine and Missionary Doctor of Orthodox Archdiocese of Madagascar gave on June 10, 2014 a captivating presentation on ‘Practising Medicine in a low income setting – Madagascar’. Medical students who are thinking of joining missions in low income settings either for their elective or their SSC project attended the presentation and discussed with Archimandrite Poyiadjis the opportunities and difficulties that may lie ahead when embarking on such missions.