Future workforce: Generation Z surgeons and changing expectations

Background: Generation Z are quickly establishing themselves within higher speciality training roles in the UK. They are a generation who are often stereotyped and marked out from their predecessors with their attitudes to work-life balance and their natural fluency with technology. This review article seeks to provide an evidence-based review of these stereotypes alongside the changing expectations and priorities of this new generation of surgical trainees, whilst also considering how adapting and updating our training styles and work-based practices can allow for a sustainable and motivated generation of future surgeons. Methods: A widespread search was made of articles and primary research literature into the workplace identity and practices of Generation Z in both medical and non-medical professional environments. Articles and primary research into the attitudes to training and learning were also accessed. Key themes in these pieces were identified and brought together within this review piece to provide a comprehensive overview of expectations and challenges of the Generation Z surgical trainee. Results and Conclusion: The Generation Z surgical trainee is seeking autonomy and recognition as they advance through their professional life. They are keen to learn and bring their digital fluency to benefit their practice and their patients. They face ever growing challenges within the NHS and as such are driven for a more balanced work-life but as a means to protect their own sustainability within the profession. They still aspire for excellence and with the appropriate mentorship can build on known surgical wisdom and bring it into the future.