Launer's article states that many physicians feel they have to choose between medical education and service delivery. Many activities considered service delivery, especially in the earlier years of training, can be highly educational. Referral of patients to another specialty involves structured clinical assessment and handover, allowing students to practice history taking, examination and clinical reasoning. Better integration of medical students into the medical team would lead to the expectation of a meaningful contribution from the students. Doctors would thus be more motivated to teach students to meet standards in clinical tasks. This integration would free up time for resident physicians to teach students more. Students could inform patients about acute procedures, formulate plans before a professional examination or prepare patients for next steps.