A 50% random sample (n = 186) of teaching staff at a 'traditional' med
ical school and all staff (n = 205) at an 'innovative' school were sur
veyed on their attitudes to teaching and teacher training. Response ra
tes were 80% and 93% respectively. Staff at both institutions were pre
dominantly men, highly experienced and active as teachers. Though only
a minority had undergone recent teacher training, some 95% rated thei
r teaching as 'average' or 'above average'. High levels of enthusiasm
for teaching were detected in both schools. Staff at the 'innovative'
school were more positive about the rewards for teaching. There was a
common perception that formal training would improve the quality of te
aching, though a third would not wish to participate. When developing
strategies to enhance the quality of medical teaching, it is important
to appreciate the existing attitudes of teachers. This survey indicat
es that inflated views of their own teaching ability, a perceived lack
of reward for teaching, and ambivalence towards formal teacher traini
ng are three problem areas which need to be considered.