The Medical Education Partnership Initiative (MEPI) Physician Tracking Technical Working Group convened a workshop in Lusaka, Zambia, to develop the functional requirements and business processes necessary to construct a framework for tracking graduates. Held on October 21–23, 2013, the workshop was a collaborative effort among the chair of the Technical Working Group, the MEPI Coordinating Center, CapacityPlus, and the Public Health Informatics Institute. Each participating school formulated a graduate tracking vision and identified needed tools and guidance. The group selected software, capacity-building, and infrastructure as the top three priorities on which the MEPI Technical Working Group should focus its time and energy. Going forward, participants agreed to share what each institution is doing to develop graduate tracking, hold institutions accountable for their progress, network to sustain momentum, jointly develop graduate tracking tools, collaborate to develop articles, and assist institutions in tracking graduates across borders.