Professionalism, high levels of skill, approachability, continuity of service over a period of years and, above all, an intrinsic knowledge by a local person makes an excellent G.P. and Specialist. The local doctor, I feel, will always be preferred to a foreigner. They understand the subtle nuances of the community in which they were trained and now work. However, a cases by case assessment does apply. Problems arise with foreign doctors when cultural attitudes / traditions are incompatible with the local populus. It is these elements, that influence initial assessment and subsequent treatment.