 The International Medical Commencement Programme is a foundation programme for students who are predominantly from the Gulf States for whom English is not their first language and wish to study medical sciences in Ireland. Underperformance for many international medical students, particularly in the clinical phases of the courses, was found to be due to language and communication difficulties rather than a lack of ability. Following consultation with the World Federation of Medical Education, it was recommended that a programme be custom-made to the educational needs of these students. The two-semester programme is tailored to best-prepared students for the challenge of studying in English, living in a new culture and is heavily weighted towards science and self-directed learning. The programme was established as a collaborative programme whereby teaching responsibilities are shared between three different organisations. A range of teaching environments are used, from small group teaching, computer labs, language labs to the more traditional large lecture theatre scenario. The programme is an immersive cultural experience for the students, as they are integrated with Irish and other international students. Students speak of the wonderful welcome they receive in the rural setting of the programme. They are encouraged by the support they receive from staff, students and locals, and complete the programme with a strong foundation for the next steps towards their career as medical professionals.