In reply: A teaching registrar position is a great idea. It could foster development of knowledge and skills in interested clinicians, and perhaps higher degrees in learning and teaching, as well as serving as the start of a career pathway.1 The United Kingdom allows specialist trainees to take a year out to develop skills in education or research. Here, however, it is doomed to fail, unless there is a receptive environment for these registrars to work in or a career path that is attractive.
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