Recent events have shown how easily trust can be lost, writes Charlotte Summers Trust is central to the practice of medicine, but recent events have shown it to be fragile, even within our professional communities. In 2022, the Ipsos Global Trustworthiness Monitor asked people from 29 countries what attributes were most important when deciding whether to trust an organisation or institution.1 The top three responses were: “If it is reliable/keeps its promises,” “If it is open and transparent about what it does,” and “If it behaves responsibly.” Recent events have shown that our medical community has lessons to learn. The announcement by the UK Foundation Programme Office (UK FPO) that the appointment process for the Specialised Foundation Programme will change in 2025 to preference-informed allocation, a …