Alendronate impairs the ability of parathyroid hormone to increase the bone mineral density at the lumbar spine and the femoral neck in men. This effect may be attributable to an attenuation of parathyroid hormone-induced stimulation of bone formation by alendronate.

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likely to discuss fertility, but later had discussions in the Late Effects service. Conclusions Oncofertility options are important to convey to AYAs. Communication about fertility should occur repeatedly both before, during and after treatment. Referral to specialist oncofertility services and adequate information for both genders is important pre-treatment, and can be facilitated posttreatment by a Late Effects service.

ResultsThe total number of respondents was 57, with 65% of questionnaires (n=38) completed. Responses came from 17 different hospitals and 18 different graduation countries, 52% (n=30) non EU. 28% (n=13) worked at SHO level and the remainder as registrars. 57% (n=33) were eligible for training schemes. 55% (n=32) did not have a supervisor or named trainer. 86% had the opportunity to avail of internal CPD points and 83% for external, with 83% able to complete an audit every year. Only 34% (n-28) were given an opportunity to undertake research each year, 68% are planning to stay in Ireland long-term. Open ended answers indicated that doctors don't like being excluded from training and it causes them to either switch to GP or leave Ireland altogether to complete their paediatric training. Conclusion The majority of doctors who are not on a BST/ HST scheme have the opportunity to perform an audit yearly and to get the required internal/external CPD points. Access to a named trainer/mentor was patchy and those eligible for training schemes have a more positive response and tend to have a much higher preference to stay in Ireland long-term than non-eligible doctors.With EWTD pressures we may need to consider more sustainable ways of recruiting and retaining this vital workforce.

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