M any activities compete for the time of the busy academic clinician. Patient care naturally comes ® rst, but the priority given to other activities depends upon incentives and at present teaching is losing ground to research. A major advantage that research has over teaching is the ability to put an inter nationally identi® able mark of ability into the CV, in the form of a publication list. Teaching activity lacks an inter nationally recognized method of assessment, other than recommendations by referees, which are not reliable. A simple scheme is suggested, which seeks to redress the balance by creating an internationally recognized measurement of teaching ability, for which the term International M edical Education Credits (IM ECs) is proposed. The scheme has the following three main components: ® rst, a measure of the tr ue amount of time devoted to teaching; second, a measure of the quality of teaching as perceived by the recipients; third, a system for ensuring inter national comparability by enhancing the role of the exter nal examiner and the formation of an Inter national Association of External Examiners to oversee the scheme is proposed.