Current barriers in accessing trauma surgery training in the UK

INTRODUCTION There is a recognised shortfall in equitable access to high-quality trauma surgery training among general surgeons in the UK. This study aimed to identify key challenges faced by surgical trainees in obtaining trauma exposure and propose practical solutions for improving training opportunities. METHODS A questionnaire was disseminated to general surgery trainees, specialty and specialist doctors and newly qualified consultants. The questionnaire was designed with support from the Association of Surgeons Great Britain and Ireland Survey Support Scheme. Participants’ views on the perceived barriers to trauma training opportunities and potential solutions were recorded using Likert scale ratings and free-text responses. RESULTS Fifty responses were received from surgeons across multiple regions, demographic groups and training grades in the UK. A total of 76% had previously worked in a major trauma centre, but only 42% indicated exposure to a dedicated major trauma (polytrauma) ward. A significant proportion of respondents expressed dissatisfaction with current trauma training opportunities. Key themes included inadequate protected training time, insufficient funding for courses and inconsistent mentorship. Dissatisfaction was more pronounced among female and minority ethnic respondents. Proposed solutions included structured mentorship, improved simulation-based training and increased awareness of rotation opportunities. CONCLUSIONS This work highlights current barriers to trauma training for general surgeons in the UK. Addressing issues of cost, mentorship and rotation opportunities may enhance both the quality and accessibility of trauma exposure. These issues and potential solutions must be addressed by surgical training bodies to improve trainee competence and patient care.