The VTS take place in Sherman Centre, 4th floor, Guys Hospital every week from 2-5pm and is hosted by the three Program Directors. We meet 40 weeks per year. Trainees often say that the most valuable learning they do on the scheme was learnt through their peers and the space created by our meetings on Tuesday afternoons. The VTS invites outside speakers in, based on a trainee-led learning agenda. We also utilise in-house expertise from the PDs and VTS trainees. Integral to our approach is the use of reflective groups and peer support. The tea break is an essential time to make connections, hear about next posts and catch up with peers. We also recognise the value of being out of our usual working environment and how this can promote fresh ways of approaching familiar problems. To this end we hold several off site events each year (‘Away days’) which focus on a topic in more detail.