When recruiting physicians from developing countries for U.S. residency training slots there are ethical concerns that program directors and potential residents should be aware of and discuss.

Should a family’s ability to afford follow-up care for a child who needs “miracle surgery” play a role in the physician’s decision to operate? Would the answer change depending on the patient’s immigration status?

Patient transfers from critical care hospitals to trauma centers should be regarded as an integral part of care rather than as a detraction from it.

There are “push” factors such as poor working conditions, substandard facilities, unsafe conditions, and low income that discourage health professionals trained in Indian medical schools from staying in country.

Low-resource areas are heterogeneous and changing, so establishing an evidence base for decision making about technology use is an important priority.

Sets the ethical limits of student participation in patient care when the students are part of foreign medical teams.

Sets the ethical limits of student participation in patient care when the students are part of foreign medical teams.

A rural physician who is faced with treating patients outside of his area of specialization should confer with the necessary specialists and make every effort to help patients get the specific care that they need.

A rural physician who is faced with treating patients outside of his area of specialization should confer with the necessary specialists and make every effort to help patients get the specific care that they need.

Physicians new to a case might object to an established care plan. Practice variation, clinical momentum, and how value is assigned by different parties to acute care and comfort measures can each contribute to conflict in these cases.