To the Editor We read the Viewpoint by Schecter1 with interest. The training of surgical educators is paramount in addressing the wide global disparities in surgical care provision, and we commend the efforts of the Alliance for Global Clinical Training in developing academic surgical services at the Muhimbili University of Health and Allied Sciences in Dar es Salaam, Tanzania. However, as with many international initiatives, the breadth of influence and accessibility can be limited by financial dependence. Benefits are currently restricted to a single center.