IMO exception reporting is never going to make our training high quality. Mostly because that assumes that all of our very minimal timetabled training committments would feel like high quality training if only we could go to them all - exception reporting just allows you to whinge a bit when you miss scheduled things. I find most of my own 'training' requirements are untimetabled - clinic time, for instance, or opportunities to do procedures - and it's not possible to exception report missing something that isn't scheduled. Or you might do jobs where the senior review is never the consultant and so as a CMT you can't get any CBDs/ACATs signed for any of the patients you see because only consultant led assessments count for something. Can't exception report that either. I strongly resent the idea of paying more of my own money to go on courses because my supposed training post will not offer me this kind of training. Often these courses are at the weekend and not re-coupable time. Escalating issues such as not being able to make clinic requirements is met with 'why not come in on your zero days'!
And to top it all off, if I stay late the idea of staying even later to fill in some bureaucratic forms fills me with an acute and painful sense of irony. My time is more important to me than a small amount of compensatory money.
/negativegrumbling
To be honest I think the best thing you can do is try and find something in medicine/surgery/whatever you actually really enjoy doing (if there is such a thing) to try and compensate for the way things are otherwise. And also to try not to think too much about the above. I think dwelling on training and rotas and so on is non-productive, it's the only way through 'training' unless you want to be stuck at the same grade forever and arguably the lower down you are in the pecking order the more like service provision you feel. If nothing else inspires you to grit your teeth and keep moving on, let it be that.