We thank Dr. Giannini for making the point that education in bioethics as it relates to clinical practice is an issue of international importance. In his letter, Giannini points out the discrepancy between what the European Society of Intensive Care Medicine calls for in terms of bioethics training, and what, in fact, is happening in Italy with respect to a new curriculum for trainees specializing in intensive care. Interestingly, he also points out that while the great majority of Italian ICU physicians surveyed (88%) “expressed interest in the ethical aspects of intensive medicine,” only a small percentage (12%) had any education in bioethics. An even smaller percentage of ICU physicians (7%) indicated an interest in receiving education about bioethics in the future. With respect to efforts to make headway on education in this area, it will be important to understand the discrepancy between the physician respondents’ “expressed interest” in bioethics, which is high, and their interest in receiving more training in this area, which is low. In addition, understanding exactly why interest in additional education is low will be crucial to any attempts to involve and motivate learners.