One trainee's clinical experience.

I report my clinical experience as a trainee. I am doubtful about the usefulness of hospital medical and accident and emergency posts, but obstetric and paediatric posts are highly relevant. There was little experience and teaching in the general practice year about psychiatry and gynaecology. It seems possible that trainees are not seeing enough chronic illness or associated problems, such as obtaining social services, therapy in chronic cases, and correct delegation to practice nurses. These points all suggest that the work of doctors undergoing vocational training should be monitored, at least at present.