The ‘Shape of Training’ report marked the evolution of a number of previous reports (‘Modernising Medical Careers’, ‘Time for Training’, ‘Foundation for Excellence’) examining how we can best adapt training programmes to the changing needs of society. Published in 203 by Professor David Greenaway, it sets out a structure by which changes in patients (eg multiple comorbidities, complex conditions, ageing populations) and healthcare (rapidly shifting technologies and NHS restructuring) might be matched by medical training, without destabilizing current training and service delivery. In brief, the report advocates training clinicians who are more generalist, engaged, and adapt­able to change. The 9 wide- ranging recommendations include full GMC registration after medical school, broader and longer training programmes after the FP (eg women’s health, child health, mental health), transferrable competencies allowing easier transition between programmes, postgraduate opportunities to work in recognized related elds (similar specialties, man­agement, education), and subspecialty ‘credentialing’ (subspecialization only after ‘Completion of Specialty Training’ as driven by patient and work force needs). Although ocially independent, questions of political interference were raised after a Freedom of Information request uncovered minutes from a series of previously undisclosed meetings between representatives from the DH, the GMC, and Professor Greenaway. The recommendations were accepted by the government. Organizations including the Academy of Medical Royal Colleges and GMC have ongoing workstreams mapping out the practical implications of the report. Early changes have already begun, with longer- term changes likely to take between 0yr and 5yr.