These are turbulent times. As well as the problems everybody has to deal with - the “War on Terror”, massive pollution incidents, an economy in shambles - doctors have also to navigate the rapids of multiple regulatory challenges in the form of Revalidation, the GMC, the CQC and so on. To make matters worse the rocks in these rapids keep moving, especially when a new government gets in. Of course we are not alone - osteopaths have recently had clarification from their professional body that any claim of treatment they make must be backed by evidence - whatever that is.