Mother Teresa had a second calling that she called "a call within a call" in 1946.She felt that she was called to leave the covent life and help the poor directly. In 1948, she was permitted to leave the convent and start a new work under Calcutta's Archbishop. With the American missionary Sisters in Patna, India, Mother took hard medical training. In 1948, Mother Teresa's group, now called the Missionaries of Charity, received a high-ranking position as a religious community within the Archdiocese of Calcutta. The members her group, the Missionaries of Charity, took traditional vows that were had up of poverty, purity, and obedience. This time, they add a fourth vow, and it was to give free service to the poorest. Her group received a lot of attention, and Mother Teresa used it to benefit her work and in 1957, they began to work with lepers. They also opened an orphanage and a home for abandoned children. Mother Teresa visited other countries such as Australia, Tranzania, Ceylon, now known as Sri Lanka, Italy, and Venezuela to start new bases. Around the 1970s, the Missionaries of Charity opened new missions in places like Amman, Jordan, London, England, and New York, New