“…For example, the RRC (Residency Review Committee) for general surgery recently began accepting cases performed by residents overseas 31,34 . An international health elective is a valuable experience that has the potential to address all six ACGME core competencies 5,6,8,9,13,16,32 , especially those involving patient care, systems-based practice, professionalism, and interpersonal skills and communication. At the 2012 AOA Annual Meeting, it was suggested that "volunteerism" be included under "professionalism" as a core competency 32 .…”