In Reply: Although we agree with Dr Tulenko and colleagues that a holistic in-country-centric strategy is key to improving global health systems, our Commentary does not attempt definition of the entire problem. Instead, as an integral part of the whole, we hoped to frame the importance of creating an active and focused mechanism to establish educational and clinical partnerships between the United States and low- and middle-income countries. Our emphasis does not discount or ignore the importance of political, ethical, and economic alignment in this endeavor.
Jense RJ, Kamath A. Increasing the Global Health Workforce—Reply. JAMA. 2011;305(10):998-999. doi:10.1001/jama.2011.243