Psychiatric practice poses unique ethical challenges in addition to the general professional principles expected of all doctors due to the intensity of the doctor–patient relationship, individual and societal risk assessment, and the need for decisions around the curtailment of patient autonomy where these are appropriate. All psychiatrists should be aware of basic ethical theories, including principlism, communitarian, utilitarian, and deontological approaches, and how these should be applied in practice. Professional guidelines from national and international organizations, grounded in deontological ethics, aim to provide wide-ranging statements of expectation for psychiatrists in order to maintain public support and high standards of professionalism. Having a different model of professionalism and the doctor–patient relationship in their home countries might influence how international medical graduate (IMG) physicians acquire the tools to deal with challenging clinical situations, which might expose them to liability risks and potential conflict with medical societies and state medical boards. The concept of maximizing patient autonomy may also be new for IMG physicians. Considerable emphasis is placed on teaching residents in all specialties about delivering ethical and consumer friendly medical care, and this chapter aims to touch on strategies to train IMG physicians in ethics and professional standards.