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Mr Goodfellow and Dr Claydon suggested that the competence of medical students in practical procedures could be improved by introduction of skills laboratories and logbooks. I fully agree about skills laboratories and there is sufficient evidence to support them1,2. However, I disagree with the use of logbooks. As acknowledged in the paper, most logbooks simply testify that a procedure was performed and do not certify competence, although this deficiency could be overcome by asking the doctor to grade competence as good, average or below average. I would also suggest that logbooks cause additional stress to many students and become a major preoccupation. Even if doctors' evaluations were conscientiously done, the logbooks might offer a temptation to student fraud3,4. After training in a skills laboratory, students should be assessed on models with an objective structured clinical examination (OSCE) before practising on real patients.