Various programs and colleges in Oman, medical and otherwise, are seeking accreditation from one of the three countries: the USA, Canada, and the UK.1 However, even with accreditation of the training and the education given, the degrees provided by the accredited colleges and programs are still not at par with the accreditors' own, and in many cases trainees are not recognized as being fully trained or qualified enough to sit specialty examinations. The UK has been the most generous about recognizing internationally accredited foreign training and allow foreign trainees to sit their specialty examinations. The USA and Canada have now started responding to the need for recognizing foreign medical specialty training and have started accrediting them. The Accreditation Council for Graduate Medical Education (ACGME) formed an international arm, ACGME-International (ACGME-I), for this purpose and the Royal College of Physicians and Surgeons of Canada (RCPSC) has established similar body.