Education of SHOs during A&E attachments remains problematic. Teaching programmes suffer from the lack of a clear educational vision and the resources required to enhance training while maintaining service. Divisions within and without the specialty also hamper these efforts. This article outlines a theoretic framework to guide A&E education for SHOs, and explores its ramifications for course content, teaching methods, implementation, and evaluation. This framework can act as a template upon which to build programmes tailored to the needs of both the A&E department and the SHO.