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Paice &amp; Ginsburg (2003) surveyed postgraduate medical trainees in London and found that most considered their training as satisfactory and the proportion that evaluated their training as poor had fallen compared with a previous survey. They also reported, however, that the training experience for some trainees remains unsatisfactory and that the single most important factor in determining trainee satisfaction is the quality of supervision provided by the consultant trainer. In the light of this it is alarming that in a recent survey of psychiatric trainees in the West Midlands, 47% had experienced bullying and in 27% of cases of alleged bullying the perpetrators were senior medical staff (Hoosen &amp; Callaghan, 2004). Paice  et al  (2004) reported consultants as the source of bullying in 27% of cases in a survey of bullying among doctors in training in north London.

Poorly performing supervisors and trainers of trainee doctors