Rosen and Teesson's review [1], although intended primarily for an Australasian audience, will, we hope, also provide food for thought in the UK. They raise a variety of issues that have implications for international policy development, research and everyday clinical practice. However, we believe that Rosen and Teesson have not addressed one significant area: that of training.In the UK and Australasia, millions of dollars are spent every year on training the workforce. However, there is