The need for, feasibility of, and barriers to implementation of a trauma traveling fellowship: a survey of ESTES members

Purpose Many European surgeons lack access to high-volume trauma training. A Trauma Traveling Fellowship, supported by the European Society of Trauma and Emergency Surgery (ESTES), could broaden educational and clinical exposure to trauma care, but feasibility and implementation factors are unclear. The aims of this survey are to assess the aspirations, expectations, and perceived challenges of prospective fellows and host centres for an ESTES Trauma Traveling Fellowship. Methods A cross-sectional, web-based survey was distributed to all ESTES members, capturing demographics, fellowship aspirations, perceived barriers, and host centre capacities. The survey incorporated Likert scales, free-text responses, and was guided by the Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation, and Maintenance / Practical Robust Implementation and Sustainability Model (RE-AIM/PRISM). Results Of 903 invited, 210 responses (23.3%) were analysed. The median age was 38 years; 71% were consultants, and 29% were residents. Most (71%) would consider applying for a Fellowship, and 47% stated their centre could host Fellows. Only 23% currently access funded fellowships. Key aspirations included hands-on participation in trauma care, although hosts could more often only guarantee observational roles. Major barriers included funding and institutional permissions. Most respondents supported implementing the fellowship as it was perceived to align with ESTES priorities. Conclusions There is strong support among European trauma surgeons for an ESTES Trauma Traveling Fellowship, recognising both its potential value and practical impediments. Addressing funding and regulatory barriers will be crucial. A structured and adaptable implementation approach, combined with ongoing evaluation, may help ensure long-term success.