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b'Many creative access countries are among the poorest and most needy in the world, yet Christian witness is limited. Effective primary care is an essential component of all health systems. Locally trained Family Medicine specialists can provide excellent primary care in limited resource settings. With some constraints doctors from \\u201cthe West\\u201d are welcome in creative access countries to develop residency training in Family Medicine. The lessons learned from eight years of Family Medicine training in Afghanistan will be discussed with particular attention\\u2028to those lessons that are applicable to other creative access countries.'