The Centre for Biomedical Ethics and Culture, Sindh University of Urology and Transplantation, Karachi, Pakistan, periodically uploads on its website videos that depict ethically challenging situations in a doctor’s life. Their latest upload is one titled “Publish or Perish”. The title is a catchphrase for practising doctors and needs no explanation. The story is about two busy young doctors who fell behind a colleague in the promotion queue simply because he had the advantage of some publications.