In 2022, women comprised 58% of medical school entrants in the UK. However, Trauma and Orthopaedics has the lowest female representation. The number of applicants per training place is declining. To attract top talent, Trauma and Orthopaedics must be accessible and appealing to all trainees. This study investigates attitudes toward Trauma and Orthopaedics and the influence of gender on career decision-making. A survey was distributed to first-year medical students, collecting data on age, gender and career interests. Participants identified the primary barrier to entering orthopaedics and any additional perceived obstacles. Free-text responses captured perceptions of the specialty. The survey received 54 responses (45% response rate), with 67% (n=36) female and 33% (n=18) male participants. When asked about the biggest barrier to an orthopaedic career, 43% (n=23) cited the competitive entry process, 28% (n=15) noted work-life balance concerns, 9% (n=5) reported gender bias, 6% (n=3) mentioned a lack of diversity, 7% (n=4) listed other factors and 7% (n=4) reported no barriers. Even at the start of medical school, gender bias and lack of diversity are recognised as barriers to Trauma and Orthopaedics. While 15% (n=8) identified these as the primary obstacle, 44% (n=24) acknowledged them as additional concerns. Although maintaining a competitive standard in orthopaedics is essential, the specialty must also be perceived as accessible and appealing to ensure it remains a viable career option for future doctors. Addressing diversity and inclusion early in medical training may help achieve this balance and improve representation in orthopaedics.
Wise et al. (2025) studied this question.