Building on the insightful Editorial by Olinda Timms and Sanjay Pai in the Indian Journal of Medical Ethics (October -December, 2025) [1], we wish to highlight a critical gap in India’s medical education and workforce planning. Their article rightly underscores the ethical and systemic challenges facing medical training in India. As medical education faculty, with experience in India and overseas including the United Kingdom, and as medical skills trainers in rural settings, their concern — that expanding the number of medical graduates alone is insufficient — particularly reJJJ666es with us. The real challenge lies in ensuring the competence of our medical graduates, especially in rural and underserved regions where lack of access to healthcare is most acute.