INTRODUCTION'Inscrutably involved, we live in the currents of universal reciprocity'. Martin Buber, I and Thou Relationships influence every aspect of practice within medical education-as the philosopher Buber remarked, 'we live in the currents of universal reciprocity'. 1 Medicine occurs within a social context, where patients, families, professionals, and students must interact to achieve high-quality care. Relationships have been shown to influence adoption of person-centred approaches, 2 career aspirations 3 and well-being. 4 Given the ubiquitous and influential nature of relationships within medical education, relational approaches should be fundamental to the field.Yet, Konkin and Myhre's call for a more relational approach to clerkship design 5 offered nearly 5 years ago does not seem to have received the attention it deserves. There are various barriers that may have prevented engagement with the idea of a relationship-based approach that we would summarise as follows: a preference for objectivity, lack of engagement with social sciences and narrow definitions. Here we offer a brief overview of these issues as a means for exploring and juxtaposing four articles in this year's State of the Science issue that outline how the concept of 'social' is being used in health professional education.