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¹University of Wisconsin-Madison, School of Medicine and Public Health, Department of Neurological Surgery, Madison, WI, USA DOI : 10.5137/1019-5149.JTN.28738-19.0 Since the inception of the International Fellowship (IF) Program in the Department of Neurological Surgery at the University of Wisconsin-Madison in 2006, training has been provided to 219 residents, neurosurgeons, and medical students from 18 countries and five continents. These IFs took a long academic and geographic journey to improve their skills in patient care. The advanced training, they received lead to 14 of these IF neurosurgeons to return to their hometowns with higher academic appointments, including two chairmen, seven professors, two associate professors, two assistant professors, and one consultant neurosurgeon. An additional measure of success for the IF Program is that fellows continue to communicate with their mentors and with their prior fellow international colleagues long after their fellowship ends. Keywords : Education, International Fellowship Program, Observership, Neurosurgery, Training, University of Wisconsin-Medical School