The Malaysian health care system requires doctors to perform a compulsory three years service with public hospitals to ensure that the manpower in these hospitals is maintained. Doctors are required to perform 4 years including 2 years of housemanship and 2 years government service with public hospitals throughout the nation, ensuring adequate coverage of medical needs for the general population. Foreign doctors are encouraged to apply for employment in Malaysia, especially if they are qualified to a higher level. There is still, however, a significant shortage in the medical workforce, especially of highly trained specialists; thus, certain medical care and treatment are available only in large cities. Recent efforts to bring many facilities to other towns have been hampered by lack of expertise to run the available equipment. As a result, certain medical care and treatment is available only in large cities.