Perceptions and Barriers to Surgical Training of Undergraduates: A Cross-Sectional Survey

Background Globally, interest in pursuing a surgical career among medical students has declined, largely due to concerns related to lifestyle, competitiveness, and inclusivity. Understanding these early perceptions is essential for maintaining a diverse and adequately staffed surgical workforce. The aim of this study was to identify perceived barriers to pursuing surgical training among third-year undergraduate medical students who had no prior surgical experience. Methods A cross-sectional survey was conducted at the University of Glasgow Medical School between February and March 2022. Students were invited via email to complete an anonymous online questionnaire containing a single open-ended question exploring perceived barriers to surgical training. The responses were analysed thematically. Results Seventy-eight students responded (77% response rate), providing 85 coded comments. The most frequent barriers were lack of exposure or experience (20%), poor work-life balance (16%), competitiveness of training (15%), and concerns regarding manual dexterity (11%). Conclusions Students identified modifiable barriers centred on early exposure, perceptions of lifestyle, and inclusivity. Targeted educational strategies and early mentorship could improve perceptions and support recruitment into surgery.