In the fall of 1993, I had the privilege of spending 3 months as a Rad
iological Society of North America (RSNA) International Visiting Profe
ssor at the Kaunas Medical Academy in Lithuania. This visiting profess
or program was started in 1986 and is funded by the RSNA Research and
Education Fund [1]. It is designed for a visiting professor who can sp
end 3 months or longer at a radiology residency training program in an
evolving country. Lithuania, with a population of about 4 million, is
located on the eastern shore of the Baltic Sea, just north of Poland.
The land area is approximately equal to that of Switzerland. An indep
endent country until World War II, when it was forcibly occupied and i
ntegrated into the Soviet Union, it regained independence in 1990. As
a result of 50 years of communist rule, two generations grew up having
little knowledge about Western medicine in general and radiology in p
articular. A communist legacy is still evident not only in education b
ut also in the thought process of the people, although there is a clea
r desire to integrate Into western Europe. Currently Western and Asian
consumer goods are readily available, but the country has undergone s
teep inflation and it is the perception of many that the standard of l
iving continues to decline.