In order for Michelle to be Board Certified in Botswana, she had to undertake a rigorous wellness check. Here is the receipt of that checkup by a local physician here in town. The pics are (1) of the actual document and (2) a closeup of the document highlighting possible "disabilities" that would bill her as unsuitable to work/practice here in the country.
My personal favorite is (b). If you can't see it very well, click on the image to enlarge it. How they determine this, I don't know.