The open exchange of information in the digital age has greatly improved the dissemination of medical knowledge around the world. However, the practice of medicine and its foundations still vary globally depending on the setting. Furthermore, the training process for becoming a doctor also varies quite significantly. While prospective U.S. doctors can expect to finish 4 years of undergraduate education, 4 years of medical school, and 3 to 8 years of residency/fellowship before practicing independently, their counterparts in the U.K. may go straight from secondary school to 5 to 6 years of medical school and up to 9 years of postgraduate training before independence. The differences between just these two countries' training structure, working hours, and medical culture can range from thought-provoking to striking. Please join us for a discussion of the various international training paths from medical school to the first job and compare and contrast the challenges along the way.