idea of a paradigm shift in the way we assess the medical. that is through broaden the assessment portfolio to include qualities other than research and publications for assessing the worth of individuals .it would both reduce the pressure on individuals to publish as well as enabling people who are interested in research to utilise the space left free by those who are not. and This would lead to staff maximising their potential in the areas which interest them. also this would reduce the extent of plagiarism and possibly improve the quality of publications as they would be submitted by people who are genuinely interested in research.