The most important thing is that they know their craft and execute it well. Furthermore, fluency in American English is non-negotiable. I have visited a physician from Ukraine twice, and her inability to express herself clearly was incredibly distracting. One leaves feeling disoriented because the communication is so imprecise, or one simply loses confidence in the doctor when she constantly stammers, searching for the right word. It is difficult to trust someone's professional competence when they cannot finish a single sentence clearly.
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