• Richard Galloway, Charmilie Chandrakumar, Kanatheepan Shanmuganathan, Neil Chotai, and Lucky Jeyaseelan.
• Department of Orthopaedics, Royal National Orthopaedic NHS Trust, Stanmore, UK.
• Brit J Hosp Med. 2022 Dec 2; 83 (12): 1151-15.

Aims/BackgroundThis study aims to identify and analyse the factors that influence or discourage junior doctors in the UK and across the world from wanting to pursue a career in orthopaedics.MethodsA prospective, cohort study was carried out via an online questionnaire targeted at aspiring orthopaedic surgeons.ResultsA total of 654 respondents met inclusion criteria; 370 (56.6%) were UK-based and 284 (43.4%) were based abroad. The practical and technical nature of orthopaedics was the biggest influencing factor globally. UK respondents were notably more concerned by the financial impact of training (49%) followed by poor work-life balance (36%). Themes from the comments section revealed concern regarding gender bias and a lack of diverse role models within orthopaedics.ConclusionsReducing the cost and length of training, diversification of role models, removal of bias and increasing positive early experiences may help to encourage people of all backgrounds to pursue a career in orthopaedic surgery.

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