Nimmagadda et al (Psychiatric Bulletin, February 2008, 32, 41–43) argue for psychiatric trainees to have more exposure to training opportunities in the independent sector. We agree with their arguments but would specifically encourage trainees to consider training opportunities in the voluntary sector. In our experience voluntary training sessions at the Medical Foundation for the Care of Victims of Torture in London have been an experience rewarding both professionally and personally.

At a time when there are concerns about the quality of job plans and special interest sessions, time spent with the Medical Foundation provided valuable experience in psychotherapy not routinely available in the NHS – for example, working with former child soldiers.

The voluntary sector can also provide experience in working outside of the NHS management systems. Looking from the outside in at various parts of the service can positively inform future dealings with the independent sector (Nimmagadda et al, 2008).

Burnout among medical specialists has been found to be experienced as a combination of a high level of stress and a low level of job satisfaction, rather than as stress alone (Visser, 2003). By allowing the trainee to contribute to a worthwhile cause relevant to them, voluntary work can increase a trainee's overall sense of job satisfaction and prevent burnout.

Recent concerns have also been raised about the return of a career bottleneck for psychiatric trainees (Reference GoldbergGoldberg, 2007). Voluntary work allows the trainee to take responsibility for their own training and will increase their career prospects by enhancing their CV.

The possibilities for psychiatric training in the voluntary sector are many and varied. We would encourage trainees and the College to embrace these opportunities.