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In early February 2009, a radiologist with Community Medical Imaging (CMI), in London, Ontario, was approached by the Timmins District Hospital chief about providing on-call service to Timmins and the surrounding area. The hospital's current provider had decided to relocate to the United States and could no longer provide service. The chief was hoping CMI could take on the extra workload. The radiologist knew this job would provide interesting work for CMI's radiologists and would improve CMI's presence across the province, but simultaneously would place an increased demand, both professionally and personally, on the entire team. Other radiology groups would be interested in this job, so the radiologist must accept or reject the job as soon as possible.