To the Editor: The article by Elkin and colleagues1 has certainly reheated the long-simmering debate about bringing highly trained international medical practitioners from other countries to provide health care in Australia. Yet, it does not discuss the clinical and cultural acclimatisation they need. There are many moral and social issues associated with condemning an IMG without helping them to adapt to their locality. The study indicates that an effective orientation process of integration for individual doctors from overseas is needed.
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