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The suggestion by Khan and colleagues that senior trainees should be formally required to train juniors as part of their own training requirements is an interesting one. This would certainly help to balance the training opportunities between junior and senior trainees, but more detail would be required as to how this would work in practice. With the increasing pressures placed on junior trainees by hospital-at-night, we believe that ring-fenced training opportunities should be identified. Moreover, there should be a formal recognition of contractual time for consultants to train junior surgeons. These aims could be addressed by having dedicated training lists for juniors on a weekly basis.