WTP4.10 Barriers to Accessing Trauma Surgery Training in the United Kingdom

Aims There are significant barriers to access formative trauma surgery training and experience for UK general surgeons, including high costs, lack of standardised pathways, and limited mentorship. This survey aimed to identify key challenges surgical trainees face in accessing trauma training and propose targeted solutions. Methods An online survey was constructed using CHERRIES guidelines and disseminated through established communication channels. Responses were collected from surgical trainees, Specialty and Specialist doctors, and newly qualified consultants. Net Promoter Scores were used to gauge satisfaction and free text responses explored respondents’ experiences, perceptions, and barriers to accessing trauma surgery training. Results 46 responses were received, across geographic, demographic, and training levels. 42% reported exposure to polytrauma wards, despite 76% having working at a Major Trauma Centre. Key areas of dissatisfaction included current training opportunities, accessibility of workshops, simulation-based training, and financial support. Around one quarter of respondents were unaware of inter-deanery rotation options and 80% had not pursued intra-deanery rotations for trauma experience. Non-clinical barriers included perceptions of inequality and inclusivity. The greatest dissatisfaction was reported in women and ethnic minorities. Suggested solutions included structured mentorship programmes, simulation-based training, equality, diversity and inclusiveness initiatives, and increasing awareness of rotation opportunities. Conclusions This survey highlights several barriers to trauma training among UK general surgeons, which must be addressed to improve and standardise training opportunities. By identifying the challenges and collating potential solutions, this work provides a foundation for making UK trauma surgery training more equitable, inclusive, and accessible, ultimately enhancing trainee satisfaction and competency.