A postal survey of recently appointed consultant paediatricians was un
dertaken to determine whether they perceived their training had adequa
tely equipped them for their current job. The response rate was 69% (2
07/299). After excluding replies from consultants trained outside the
UK the analysis was carried out on 167 replies. Trainees held a mean 5
.2 posts during general and higher professional training, necessitatin
g a mean 1.8 house moves. Altogether 82% felt moves were beneficial to
training but 46% found moves 'very disruptive' to family Life. Only 1
2% of district general hospital and 22% of teaching hospital senior re
gistrars took two research sessions a week. Supervision and training i
n research was absent or poor for more than 60%; 24% felt major change
s and 55% moderate changes were needed to current training. Training i
n non-clinical skills was particularly in demand and a curriculum for
both trainers and trainees with regular appraisals is required. Resear
ch at senior registrar level needs review and educational methods impr
oved to achieve better training in a shorter period.