Physician training provides a critical lens for examining the structural strengths, limitations, and ethical orientations of healthcare systems. This commentary reflects on internal medicine training within tertiary settings in Doha [Qatar] and Ottawa [Canada] analyzing how organizational design and sociocultural context influence continuity of care, supervisory accessibility, documentation practices, evidence integration, and equity. Drawing on first-hand clinical engagement, the discussion moves beyond descriptive comparison to interrogate institutional responsibilities toward trainees, particularly the proportionality of educational benefit relative to the financial, emotional, and logistical burdens of international training pathways. By centering trainee narratives, this work underscores experiential insight as foundational to meaningful health system reform. How physicians are trained ultimately shapes clinical competence, ethical integrity, and the humanism of care delivery.