A majority of doctors in Scotland believe their role needs to change to meet future challenges, a major review of the workforce has found. Three quarters (74%) of the 2,000 doctors surveyed by the Scottish Government's Future Medical Workforce project agree that the way they work will need to change over the next 20 years. It should focus on handling complex cases and prevention. Only 15% of survey and focus group respondents disagreed. The report found support for greater generality to help deliver community-based care. It suggests greater flexibility in career paths outside of a consultant or GP role. This includes increasing the number and value of Specialist, Associate Specialist and Specialist (SAS) roles for various career paths. It also supports more opportunities for locally employed physicians for flexibility in practice and general training.