This tool is brought to you by Child Family Health International and Medsin-UK. We have come together because we share the belief that international electives have potential for great harm or great good. International electives can make us better doctors, helping us learn to work better cross-culturally and resource-consciously. However, when done without careful consideration, international electives have the potential to undermine professionalism and patient safety. Why? Because international electives (particularly those taking place in poorer parts of the world) are often intertwined with power and privilege imbalances, as well as colonial/neocolonial legacies. These imbalances and legacies can set up a situation where boundaries and rules for foreign trainees are lacking. As students we might be tempted to do things we are not fully trained to do or encouraged to act outside our scope of expertise. This reality, coupled with attending physicians with limited time to supervise because of high volume of patients, can lead to dangerous situations for patients and ourselves.