This document compares factors related to librarian involvement in undergraduate medical education in Canada, the United States, and Japan. It outlines the required librarian education, information literacy curriculum integrated into medical school programs, and healthcare spending in each country. Librarian education requirements include a master's degree in Canada and the US, while Japan requires a "Shisho" certificate. All three countries integrate information literacy instruction throughout the medical school curriculum. Healthcare spending as a percentage of GDP is highest in the US and lowest in Japan.