RT Journal Article SR Electronic T1 Changes to postgraduate medical education in the 21st century JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 311 OP 314 DO 10.7861/clinmedicine.16-4-311 VO 16 IS 4 A1 Mehool Patel YR 2016 UL http://www.rcpjournals.org/content/16/4/311.abstract AB Medicine is a constantly evolving profession, especially with the advent of rapid advances in the scientific base that underpins this vocation. In order to ensure that training in medicine is contemporary with the continuous evolution of the profession, there has been a multitude of changes to postgraduate medical education, particularly in the UK. This article aims to provide an overview of relevant key changes to postgraduate medical education in the UK during the 21st century, including changes to the structure, governance and commissioning of medical education, effects of European Working Time Directive on training, recent recommendations in the Future Hospital Commission report and Shape of training report, and recent requirements for accreditation of medical education trainers. Many of these recommendations will require complex discussions often at organisational levels, hopefully with some realistic and pragmatic solutions for implementation.