Most medical writers received their education on the job rather than through formal education. These writers may have gaps in knowledge when compared with lists of competencies published by professional organisations in the clinical research and medical writing fields. Formal education from an accredited programme gives a more uniform foundation of knowledge than experience alone or experience combined with short-term training. This article, based on the observations of a regulatory medical writer turned academic programme director, addresses some of the differences between education and training, educational approaches and delivery methods, and potential effects on employment prospects.