SRS11 - Why not orthopaedics? Barriers faced by junior doctors in Ireland

Abstract Background Orthopaedic surgery is a competitive and rewarding speciality, but continues to struggle to attract a diverse group of trainees. Junior doctors are deterred by perceptions of demanding work, poor work-life balance, and a lack of relatable role models. Understanding the barriers perceived by interns at this pivotal career stage is essential for shaping a more inclusive and sustainable orthopaedic workforce. This study aimed to identify perceived barriers to pursuing a career in orthopaedic surgery among intern doctors in Ireland. Methods A national, anonymous online survey was distributed to interns across Ireland during the 2024–2025 training year. It captured demographic data, surgical career intentions, orthopaedic interest, deterrents on a Likert scale, and free-text responses. Quantitative and thematic analyses were performed. Results A total of 114 interns responded (58% female, 41% male, 1% preferred not to say). 17% expressed a preference for orthopaedics, 72% were unlikely to pursue, and 11% were undecided. Work-life balance was the most frequent strong deterrent (48% of males, 42% of females). Female respondents more often cited male-dominated culture (37%) and lack of female role models (28%) compared with males (both 2%). Thematic analysis (n = 34) identified preference for other specialities (32.4%), work-life balance (23.5%), and lack of female role models (17.6%) as common barriers. Conclusions Intern doctors perceive significant barriers to pursuing orthopaedics, particularly around work-life balance and gender representation. Improving workplace culture, visibility of diverse role models, and flexibility in training may help foster a more equitable and appealing future for the speciality.