My first plea therefore is this – let us look for a better description of hospital doctors in training. I encourage readers to write in with their thoughts. Second, how awful is training in the UK? The phrase ‘Juniors MUST take lead’ indicates that all those in Medical Education were unable to come up with a better system than the old HO/SHO/Registrar progression which had, with all its inherent faults, served to provide the present cohort of ‘Senior Doctors’. That is a damning indictment on the many talented and ‘in touch’ individuals whose views on MTAS were overlooked or ignored. I disagree that ‘seniors’ don’t have something to contribute to training. I think it is more a case of which ‘seniors’ should be contributing. A self-serving clique managed to produce a fiasco that blighted many doctors’ training. That system, thankfully, would appear to be rapidly fragmenting. If the Tooke report were to be implemented common sense may once again prevail. I would therefore suggest that abandoning ‘senior’ leadership when shaping medical training is akin to throwing out the baby with the bathwater. Doctors with experience of consultant life understand which aspects of their training were of use and which were not. They have a useful role to play in helping those still on the training ladder.
Having written most of this editorial on the basis of one headline from a different publication it is probably wise to comment on what is actually in ‘The Otorhinolaryngologist’ this month. There are excellent reviews on Paediatric airway problems as well as primary ciliary dyskinesia. Digital photography is a subject of interest to many involved in teaching and research and this is clearly explained by Judd et al. I hope this edition proves to be of interest to both my ‘junior’ and ‘senior’ colleagues.
Editor in Chief