focus on their own perceived areas of difficulty and makes the course work pertinent to their needs. 7 We have used these types of "trigger" tapes successfully in our previous research with nurses and doctors working in oncology.6 7 The intervention reported here was valued highly by all participants.The positive findings from the course included an increase in participants' reported self confidence about recruiting patients into trials, and objective analyses revealed behavioural changes in the style and content of the participants' discussions. There is strong evidence that if both competence and self confidence are improved then behavioural changes often do transfer successfully into the clinical setting and endure, even without support or consolidation courses. 8Our training course is now being rolled out by the national cancer research networks in England and Wales, and research to see if real patient outcomes are affected is planned.