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Where we are, how we do it, where we are going, and what others do. This issue sets out to create a benchmark in education. With many important recent developments in sports medicine education in the UK, we invited experts to address some of the current issues, look at methods of delivery, and give a vision of the future. To put these developments in context we present snapshots from Finland, Canada, Germany, and Australia (pages 235, 236, 237, 238, 239, 240, 241, 242, 243, and 244). The final stage of our educational odyssey is a survey of teaching in undergraduate medical schools (page 244) and a short paper describing the qualities required in a sports medicine specialist (page 243).

Elsewhere in this issue, we look at common sporting topics from unusual angles. Running and relaxation seem to fit well together but research into runners who practise relaxation techniques is unexpected (page 268). Osteoporosis and oestrogen are often linked but examining bone mineral density and testosterone in male runners is a new approach (page 273). Our final running paper takes a new look at pelvic tilt using measures of hip extension (page 279). We include an unusual paper addressing the needs of the blind in a reliability study of ratings of perceived exertion using Braille (page 297), and publish unexpected findings about creatine supplementation (page 284). Our case reports also record the exceptional and may not be for cyclists, fainthearted or fair (page 310).

Death is ultimately predictable, but sudden death in sport is uncommon. Most of our information on sudden death in sport is from the USA. Comprehensive epidemiological records are unusual and a study which gives some indication of the nature of the problem closer to home is especially welcome (page 258). Most people prefer to stay alive and realise that staying active can help reduce cardiovascular risk factors (page 289), but getting people active remains a difficult challenge (page 262).

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