Launer expresses concern about repeated reorganizations of medical education in the NHS, where decisions are often made by people without practical experience of healthcare, leading to structures out of step with the reality of training.[1] Two biostatistics studies illustrate what happens when students' health care experiences are ignored.[1] The first study included 527 Polish medical students and compared traditional rote learning of biostatistics with a practical model using real research articles.[1] Students overwhelmingly preferred the hands-on format, reporting less stress, greater learning, and higher satisfaction.[1] The results showed significantly better understanding of the material, higher reliability in the application of statistical methods and lower tension in the practical model.[1] More than 95% of participants wanted additional courses tailored to their field of study.[1] The quality of education thus depends on relevant, practice-oriented teaching.[1]