In this issue, Briggs et al examine why doctors choose a career in geriatric medicine. Their large survey of current consultants and trainees provides a useful insight into the factors which motivate (and demotivate) doctors from deciding to work in this specialty.The disappearance of senior registrars with the Caiman reforms meant that many new specialist registrar (SpR) posts were created on the basis of 'history or equity' rather than on their capacity as good training slots. As a result, some registrar posts, previously not considered suitable for training, were incorporated into SpR rotations, exposing several deficiencies:1. the lack of research opportunities or a need to rotate to a research oriented department;2. the inadequacy of services to offer exposure to the specialty elements now required for accreditation, and the new service elements emphasised in the National Service Framework for Older People (NSFOP) such as falls, stroke care, acute assessment and geriatric specialisation within acute services.
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