The Postgraduate Medical Journal reported today that a quarter of specialist trainee doctors were "very worried" about their future job prospects.
Trainee hospital doctors are worried because government schemes which plan to move patient care into the community do not include sufficient training for specialist doctors.
If the government's plans go ahead, numbers of hospital doctors required will fall substantially and current trainees feel the government has not made sufficient provision for this move to community care.
In a letter to the Postgraduate Medical Journal last year, the prime minister said: "We need a more flexible workforce at all levels, one that is especially skilled in building partnerships with patients."
The chief medical officer, Professor Sir Liam Donaldson, explained that the changes "will require a commitment to locating a higher proportion of training in the community at both undergraduate and postgraduate levels".
He went on to say that generalist carers must maintain their skills and specialists must learn how their skills can be integrated into community treatment.