For every junior doctor post advertised in the UK there are 493 applicants, and one third of advertised jobs are non-training posts. In August, it'll become even more competitive as the number of UK graduates is estimated to rise by 20%. The royal colleges, the postgraduate deans, the General Medical Council, and the Department of Health have a message for international medical graduates thinking about coming to the UK, to avoid disappointment and unemployment, “don't come.”

Defining the musculoskeletal problems that pianists are prone to is surprisingly difficult. The prevalence of disorders related to playing is not just of interest to professional musicians, but to everyone who takes piano lessons or plays for fun. A systematic review painstakingly searched 38 databases and unearthed 482 citations, but there's still no consensus on definition or prevalence of musculoskeletal problems for pianists (Occupational Medicine 2006;56: 28-38).

An internet blog committed to investigating threats to the values of health care, especially those stemming from the concentration and abuse of power, makes interesting and entertaining reading (http://hcrenewal.blogspot.com/). A host of issues is covered, from ghost writing to the luxury lifestyle now enjoyed by Donna Shalala, the former secretary of health and human services in the …