In December 2005 and November 2007 I visited the Islamic Azad University in Khorasgan near Esfahan in Central Iran. I watched some surgical procedures and participated in oral exams of the students. Students were very eager to answer questions in English so that I could easily understand their proficiencies. They did better than my students in Kuwait. No wonder, students in Iran take it very serious with reading the 1400 pages Carranza book in Perio.