“…In addition to providing educational courses and events, YDEF seeks to improve the quality of specialist education by identifying deficiencies in training, and reporting these to those responsible for organising that training, both locally and nationally, with constructive suggestions for improvements. 1 Key concerns in the past have been access to training opportunities in elements of the D&E curriculum such as insulin pump experience or specialist pituitary clinics, 2 marked variation in the quality and types of training between centres and the different regions, and the constant dilution of specialist training opportunities by the increasing service demands of general internal medicine -the management of the acute take, and of general medical inpatients.…”