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Orthopaedic surgery is one of the largest surgical specialties in the UK, delivering high-volume, high-impact care across trauma and elective pathways. Despite this, the specialty continues to face challenges in recruitment, diversity, inclusivity and perceptions of workload and culture. International literature suggests that impressions formed during undergraduate and early postgraduate training strongly influence specialty choice; however, contemporary UK-specific data on how resident doctors view orthopaedics remain limited. The ORTHO BRO Study is a cross-sectional, anonymous online survey designed to capture UK trainees' perceptions of orthopaedics, compare views between those with and without prior orthopaedic rotations, and explore spontaneous associations. Findings will inform training improvement, inclusivity initiatives, and recruitment strategies.
The study targets UK foundation doctors (F1/F2), core trainees (CT1/CT2), and trust-grade/non-training senior house officers (SHOs) across multiple trusts/foundation schools.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Foundation Doctors | Foundation Year 1 and Year 2 doctors currently employed in the NHS | ||
| Core Trainees | Core Trainees Year 1 and Year 2 currently employed in the NHS | ||
| Non-training/Trust-grade SHOs | Non-training/Trust-grade Senior House Officers currently employed in the NHS |
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| Measure | Description | Time Frame |
|---|---|---|
| Perceived inclusivity of the specialty | Measured using responses to: "I would consider orthopaedics to be an inclusive specialty." Quantified on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree).Mean scores will be compared between participants with and without prior orthopaedic experience. | Baseline (At a single time point: at completion of the online survey) |
| Perceived work-life balance | Measured using responses to: "I believe orthopaedics offers a good work-life balance." Quantified on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Mean scores will be compared between participants with and without prior orthopaedic experience. | Baseline (At a single time point: at completion of the online survey) |
| Interest in pursuing a career in orthopaedics | Measured using responses to: "Would you personally consider pursuing a career in orthopaedics?" Quantified on a 5-point Likert scale (definitely no → definitely yes). Used to explore the relationship between perceptions (inclusivity, lifestyle) and career interest. | Baseline (At a single time point: at completion of the online survey) |
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Inclusion Criteria:
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Foundation Doctors (F1/F2), Core Trainees (CT 1/CT2) and Non-training/Trust-grade senior house officers (SHOs) currently employed in the NHS, regardless of whether they have previously worked or completed a placement in Orthopaedics.
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