This paper extends the account of a joint project of education and training of doctors and nurses in St. Petersburg, Russia funded by the Know How Fund Health Sector Small Partnership Scheme (Russia) (). It reports the findings of two evaluations of the project. The first, an external evaluation was carried on behalf of the sponsors, the KHF. The second was an 'insider' evaluation utilising a framework developed for the English National Board by Cranfield and Stoneman. The paper concludes with a discussion of issues arising from the cross-cultural evaluations.