Most doctors are fairly conservative by nature. New ideas are welcomed but seldom put into practice without careful assessment of benefit and risk. Trials of therapies are insisted on to ensure safety and efficacy. Radical, disruptive ideas are scrutinized even more carefully before they are put into practice. This applies to therapeutics and diagnostics, as well as research and education activities. When radical ideas are put forward for disrupting the three pillars of medicine – education, research, and clinical care and how they are to function – one would expect careful consideration of the consequences before widespread adoption.