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of course it does, and there are front leaders for EM almost everywhere. Prof. Lee wallis in South Africa, who succeeded Dr. McFarlane... the people i know to be most passionate about EM infact hail from that country... man i would love to do a thoracotomy every week, in SA. Doc Riz, i am sorry that you had bad experiences, but most of us, have been lucky to have had good trainers... and even those who have not had people to guide them, i guess its upto us to stand up with them and suport them. i dont believe having a negative view does any good to anybody.