Letter. In recent years, postgraduate training has changed significantly, with further changes to the training pathway on the horizon.1 Tensions have been heightened due to significant rota gaps, recent contract negotiations, ongoing challenges with trainee retention and poor morale.2 Coupled with intense service pressures, there is a need to understand the impact of these on paediatricians in training and develop mechanisms to improve the training experience. To read the full article, log in using your NHS OpenAthens details.