We thank Hunt et al. for their interest in our article regarding the lack of dedicated resources for maintaining and sustaining ophthalmic simulation in the UK in 2021, and for sharing similar concerns [1, 2]. They experienced poor trainee engagement despite arranging a bespoke cataract educational opportunity in conjunction with industry partners (only 8.8% completed baseline questionnaires, none completed the post-initiative survey, with low response rates to in-module assessments) [2]. Following a discussion of various trainer and trainee factors potentially limiting motivation (including reluctance to engage during personal leisure time), they questioned if appointed simulation lead roles would be more effective than voluntary positions.

We acknowledge the frustrations associated with organising educational activities, and then experiencing poor engagement. The already difficult task of delivering clinical education without dedicated support, time and/or financial resources is compounded by such negative trainer experiences, which may reduce the likelihood of future involvement in other viable events, particularly if outside traditional working hours [3].

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