Letter to Editor - Is the AIM curriculum, for higher specialty training, fit for purpose? - response.

I read the article, 'Is the AIM curriculum, for higher specialty training, fit for purpose' with interest. However, I disagree with the author on a number of points. First, a curriculum is 'everything that happens in relation to an educational programme', not a document setting out intentions and expectations. Issues with the quality of training in medical specialties are often addressed by re-writing documents. But the root causes of problems are often to do with the quality of posts 'on the ground' (e.g. timetable, experience and learning opportunities) and the quality of supervision and feedback (nonexistent in some cases).