We congratulate the authors of "Surgery in Israel"1 for their informative and important article reviewing the state of surgical education in Israel. We would like to emphasize the critical role of continuing medical education in a country at constant risk of warfare and terrorist action. In Israel, there are many physicians trained abroad, and immigration has doubled the physician population in the last 5 years. These physicians, as well as physicians in nonsurgical specialties, are often confronted with trauma victims in their civilian and military lives (most Israeli physicians serve in reserves until the age of 50 years).