I'm often spoilt for choice when I sit down to write about the current edition of Education and Practice. There are so many interesting articles, I'm not sure which area I'd most like to discuss further in this introduction. I could write about developmental examination (see page 162), antipsychotics (see page 192) or Takayasu arteritis (see page 176). There's an article on invasive pneumococcal disease (see page 183), and a few thought-provoking Pickets (see pages 198–200) – the section where we write a structured abstract of a seminal article and then commission a commentary to put this article into context. And finally, there's an article that includes choices itself – a great Dermatophile article (see page 191), complete with multiple choice questions, which should make you feel itchy.

Choice itself is fascinating, and just before writing this I …