As leaders in neurology, it is vital for our health care system to recruit and to retain and diverse workforce. Institutional advocacy for international medical graduates (IMGs) can improve retention efforts for a department both for patient care as well as for growth into global and diversified research networks. In this episode, we will discuss the pathway for an IMG to train and work in the US and some of the issues that it is important to know about to help promote the career success and satisfaction of international physicians.