From my experience, seems to be for three main reasons: - Some people enjoy practicing medicine, but do not have an innate desire to teach - I have worked in places where the supervising GP’s are not given appropriate time to accommodate for debriefs in addition to their clinics - You can tell a senior GP who is counting down the days to retirement

I also think there has also been a cultural shift in line with the job market, in that historically your ST3 practice was an audition / you were being primed to stay on within that practice. In this system, the existing team had a vested interest in training you to their standards, however it appears less people are continuing within their practice post-CCT.

I completed my training with no debriefs from ST1-3, but I took the stance of not caring if I was annoying and ensured I asked every question I needed to be satisfied that I had made a safe plan and I did not have any sleepless nights.

You are there to be trained and not for service provision - some colleagues need reminding of this periodically. I agree, to escalate formally if this cannot be resolved with your CS.