competencies across specialties for working in niche super-specialised areas. Any such provision needs to be structured to protect the value of the CCT and should have the quality assurance processes of pre-CCT training posts. Post-CCT training should not dilute the increasing importance of continuing professional development within the consultant grade. ConclusionIt is clear that there are specialty combinations that remain crucial to service provision and appropriate training must therefore exist to ensure that there are specialists in these areas. However, traditional dual training appears to be under threat and adaptations need to be made to the new structure of postgraduate training to allow trainees to develop the necessary competencies across specialties. The rhetoric surrounding MMC promised greater flexibility of training and it is of paramount importance that this is developed in order for trainees to achieve the broad and diverse range of competencies that are required by these developing services. This will allow us to meet the needs of our patients and deliver the best possible care.

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and exacerbate the original difficulty many-fold. The mindful practitioner can respond more skilfully to situations as they arise, rather than reacting automatically in accordance with conditioned behavioural patterns. One could argue that this is a prerequisite not merely for stress-free clinical practice but for good living. Perhaps the development of resilience in a profession increasingly fraught with stressors begins 'with the self as the first. .. object of knowledge' (Aronowitz, 1998).

pharmacovigilance of many important Ayurvedic drugs are still not fully explored. Moreover, the comprehensive knowledge of the basic ideologies of Ayurveda is poorly acceptable scientifically due to lack of evidence. In the modern time, when the Western medicinal system is reached almost at the top because of validated research and advanced techniques. Methods. There is a lack of cooperation and willingness of Biomedical Scientists who are often unduly skeptical and carry prejudice. More than a thousand Ayurvedic postgraduates pass out each year and enter into the streamline of academics and practice. Among them, only a few choose their profession as researcher in Ayurveda. Neither has the Ayurvedic teaching changed in the last 50 years nor have the textbooks enriched with new research methodologies. Results Basic differences between Ayurveda and modern science should be taken into account when designing the research protocols• The main concern must be given to the classical approach of AyurvedaPrakriti, Agni, Dhatu, Srotas, Rasayana, Shatkriyakala, Agnibala, Ojabala, Manobala, etc. Conclusions The drug should be the last rather than first mean of treatment, beginning with the natural healing method like Ayurveda. One of the Ayurvedic treatment modalities such as Panchkarma can remove disease before its manifestation. Having all the above beauties, Ayurveda is still lagging behind because of the lack of scientific evidence in many cases and poor research methodology.