title: Higher specialist training in accident and emergency medicine--past, present and future.
abstract: OBJECTIVE
  To assess the quality of accident and emergency (A&E) medicine higher specialist training as perceived by current trainees and those who have recently completed training.
  
  
  METHODS
  Postal questionnaires to three groups of A&E specialists either currently in training or having recently completed training.
  
  
  RESULTS
  Levels of satisfaction were generally high. Previously identified deficiencies in management training remained and the implementation of guidelines regarding formative assessment and time for study and research was inconsistent.
  
  
  CONCLUSIONS
  While clinical training is largely satisfactory, areas where higher specialist training could be improved have been identified. Continued development is necessary to meet the challenges of the new specialist registrar grade and opportunities and threats to training in the future are proposed and discussed.
authors.affiliation: Accident and Emergency Department, Derriford Hospital, Plymouth, UK.
authors.forename: G
authors.initials: G
authors.lastname: Johnson
authors.forename: R
authors.initials: R
authors.lastname: Brown
authors.forename: M
authors.initials: M
authors.lastname: Howell
mesh_terms: D003479:Curriculum; D004503:Education, Medical, Graduate; D004635:Emergency Medicine / Q000193:education*; D004739:England; D005069:Evaluation Studies as Topic; D006801:Humans; D008505:Medical Staff, Hospital / Q000193:education; D011795:Surveys and Questionnaires