Speaking as a retired Ward Sister the trainee Drs start at the beginning as green as the driven snow the cirriculum is rolled out year to year updated sometimes , sometimes not ..but always using bog standard manual training in EVERYTHING! with bog standard manuals included . To be fair , it would cost a fortune to modernise and update every year, so these newbies rely on the nursing staff to teach them the finer points ...like newer insulins and their modus operande . Not perfect but learn they do...and the hard way we didnt take prisoners then and i guess not now either