Dr Ima Kwak hesitated. The oblique angle of the antique mirror captured him seated in his wood-panelled office; the leather olive-green captain’s chair highlighted his status. He caught himself glancing and sighed. That advert had sounded promising.

“Immersive Scenarios ensure every trainee surgeon is practice-ready for ONLY a fraction of your traditional cost.”

Still he held back from clicking the know-more link. The responsibilities of Regional Post-Graduate Dean in Medical Education had over the 26 years seeped, morphed and varicosed as if from an untreatable haemophiliac. It now included fiscal responsibility and he was at heart a clinician not an accountant.