Publication bias (the tendency for studies with positive results to be more easily published than studies with null or negative results) and outcome switching (the adjustment of study aims to match results) have long been problematic in medical research. Recent legislation, protocol-registration sites, and agreements by medical journals have led to a reduction of these problems in medical research. In medical education specifically, however, there is no such legislation, registration, or agreement. This paper argues for the creation of such a registration site and agreement by medical education journals as a matter of ethical necessity.Publication bias is the tendency of research studies with positive results to be more easily published than research studies with null or negative results. (Sterling, 1959;Hopewell et al., 2009;Joober et al., 2012;Hedin et al., 2016) Generally, academic journals favour studies with positive results, and researchers are also loath to publish research that has failed, especially embarrassingly so. Because of the lack of comparative unsuccessful studies on any intervention, readers and practitioners will infer an exaggerated and false level of viability of that intervention. In medical research, publication bias is wide-spread and increasing. (Hopewell et al., 2009;Hedin et al., 2016;Mlinarić, Horvat and Smolčić, 2017) Masters K MedEdPublish