This is the first known study in the United Kingdom to investigate, among Specialist Registrars (i.e., doctors in training in pediatrics), the priority afforded to, the prevalence of, and the ability to recognize, diagnose, and manage three key areas of exploratory behavior: namely, sexual health, substance misuse, and self-harm. We demonstrate that, although trainees recognize the importance of diagnosis and intervention, they lack training and do not believe that they have the appropriate skills, knowledge, or confidence to carry out these important tasks.