Created in 2014, the Master of Advanced Studies in Medical Physics, a programme run by University of Trieste and ICTP, enrolled about 200 physicists from worldwide: half from Africa, one third women. In this conference graduates from Asia, Africa and Latin America presented their clinical medical physics activity leading their hospitals to the highest level of patient care in radiation oncology and medical imaging. Moreover, the worldwide network of Alumni is supporting their professional life and the cooperation with the italian medical physics community.