EXPOSED IN SCOTLAND: A BREAKDOWN OF SCOTTISH DATA FROM THE EVALUATION OF X-RAY PPE FOR ORTHOPAEDIC SURGEONS IN THEATRE STUDY

Ionising radiation (IR) exposure poses risks, yet suitability of personal protective equipment (PPE) for Trauma and Orthopaedic (T&O) surgeons remains inconsistent. This study reports a sub-group analysis of Scottish data from a wider national survey, evaluating radiation PPE provision and practices. A 28-question electronic survey was distributed over six weeks via BOA and BOTA mailing lists, Training Programme Directors, subspecialty societies and social media. Responses were analysed descriptively. Ninety-three responses were received from 22 Scottish hospitals. Respondents were 44% female (n=32) and 56% male (n=61); 50% were consultants, 44% resident doctors, and 6% post-CCT/SAS grades. IR PPE use averaged 6 hours per week. Significant sex difference in required sizes was observed - females need smaller sizes: χ²(10,N=93)=55.3, p<0.001. Only 27% (n=25) reported access to appropriately sized PPE gowns. When raising concerns, 61% were handled poorly, and 65% were unsure who to approach. Mammoshields were unavailable to 94% of female respondents. Overall, 59% had not received mandatory radiation training. Thematic analysis highlighted recurring concerns: limited adequate PPE, lack of education, and inconsistent guidance. Scottish T&O surgeons report significant deficiencies in occupational radiation protection, raising concerns about compliance with UK Ionising Radiations Regulations 2017 (IRR17). Issues included poor appropriate PPE access, lack of mammoshields, inadequate training, and unclear reporting pathways. These findings require action to address radiation PPE provision throughout Scotland. Suggested improvements include the need for national guidelines, mandatory education, and improved monitoring to ensure surgeon safety.