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Hussain T - The number of clinical pharmacologists is in decline and there are concerns about the viability of clinical pharmacology as a specialty. Many training vacancies within clinical pharmacology remain unfilled despite junior doctors’ fears about unemployment. Clinical pharmacologists have a well defined role in teaching centres, with the most academic candidates going on to be heads of department and to take leading roles in national organisations. The current crisis is a result of failure to develop a unique role in the district general setting and to attract candidates who would otherwise be competent clinicians.