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The rise of consumerism means that the public now demands health services, rather than accepts what is on offer. The health service will need to become almost unrecognisable in its role and function to survive. A book entitled Developing New Clinical Roles examines the need for a fresh approach, in a health system with constantly increasing demands. Flexible training-the subject of a paper in this week's BMJ (p 1578 )-is an integral part of this. A sample chapter is available...