International child health experience has become an essential component of residency training. Over the past few decades, increased globalization has led to a “shrinking” of the world. Substantial numbers of families are immigrating to North America, and numerous children from “third-world” countries are being adopted by North American families.1 Changes in the health of people in one area of the world can quickly impact the well-being of people globally. Thus, it is increasingly important for our clinicians to be well trained in recognizing and managing health conditions not seen routinely in the past