The development of junior doctors' competence is complex because the h
ospital environment in which doctors work places many demands on them.
The need for quality education and training and personal development
may be in direct conflict with the service commitments required from h
ospitals. This paper describes the methods by which the Postgraduate M
edical Council of New South Wales, Australia, addresses the needs of j
unior doctors in the state in order to improve the quality of their ed
ucation. Key elements of the Council's function include the provision
of hospital clinical supervisors who oversee junior doctor education a
nd training, and central involvement in supplying the junior doctor wo
rkforce to all state hospitals who must meet defined accreditation sta
ndards. This paper also provides data on evaluation of those methods a
nd some educational outcomes.