As the bus from Lilongwe to Blantyre careered bumpily south, darkness fell rapidly and I began to wonder whether this was really such a good idea. It was eight years since I had been in Malawi, where I worked as an orthopaedic surgeon from 2002 to 2005. Having subsequently returned to the UK and spent the past five years working for the nHS, I had reinvented myself as an anatomist. this involved anatomy demonstrating at University College London and Imperial College, teaching on the London deanery MRCS programme and also on Professor Vishy Mahadevan's MRCS course.
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