RT Journal Article SR Electronic T1 The transition to consultant: Identifying gaps in higher specialist training JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 406 OP 411 DO 10.7861/clinmed.2020-0085 VO 20 IS 4 A1 Sophie Flavell A1 Angela Robinson A1 Jane Dacre YR 2020 UL http://www.rcpjournals.org/content/20/4/406.abstract AB Background New consultants consistently feel better prepared for the clinical rather than non-clinical aspects of their role. However, deficiencies in generic competencies have been linked to burnout and patient complaints. This study explored how higher specialty training prepares doctors for the transition to consultant in genitourinary medicine.Results New consultants felt less prepared for non-clinical aspects of their role. Prior practical experience was the greatest influencing factor in levels of preparedness, with increased responsibility and leadership driving deeper learning. Observation of others helped individuals develop a professional identity but also learn about the wider processes within their service. The learning environment positively influenced preparedness but highlighted a need for dedicated time to learn non-clinical aspects.Conclusion To ensure future trainees feel prepared for the non-clinical aspects of the consultant role, practical experience of non-clinical areas with high levels of leadership and responsibility within a supportive learning environment is essential.