We write to support the suggestions made by Brown & Bhugra (Psychiatric Bulletin, June 2005, 29, 204-206) concerning the importance of psychiatric involvement in the Foundation Programme.

Foundation doctors in their second year, in addition to trainees in psychiatry, have worked in this service for almost 18 months. Involvement includes clinical supervision, educational supervision and teaching across the 2-year programme.

For the foundation doctor, 4 months’ experience in old age psychiatry encourages better awareness and understanding of the physical and mental health needs of older people. It increases knowledge of the use of psychotropic medication, provides insight into the use of the Mental Health Act 1983 and emphasises the assessment of risk. Moreover, it encourages a holistic approach, with attention to psychosocial issues. It prompts greater recognition of carer needs and provides insights into community care. Issues of capacity and the ethical dimensions of practice are commonplace in this specialty. The experience strengthens and develops generic skills, including better communication and an appreciation of the importance of multidisciplinary working.

From the perspective of the consultant in old age psychiatry, foundation doctors bring fresh knowledge and experience of physical medicine, with an eagerness to acquire broader psychosocial skills. The Foundation Programme allows psychiatrists to influence doctors in training in a range of important competencies and attitudes.