“…3 A generalist perspective is an advantage for clinical decisions, which involve concepts of relative benefit, and needs to be valued. 4 There is little comfort for either Americans or Australians and New Zealanders in the related observations that the number of US graduates entering general practice training schemes decreased by 51% between 1998 and 2006 2 and more than half of all general practice trainees in the USA in 2006 were overseas graduates. 1 These data suggest a close alignment of career interest and remuneration.…”