You may have grown up in a safe and loving environment at home; but academic medicine is not that kind of home. Academic medicine can lure you into a sense of complacency where you assume that every request that is asked of you is in your best interest. It is time to evaluate each request independent of the requestor and make a decision that is aligned with your best interests. Spoiler alert - You are going to need to exercise your "no" muscles. It is likely that they are flabby.