Search for a command to run...
Abstract Aim To identify barriers perceived by medical students in entering cardiothoracic surgery (CTS) and propose interventions that combat identified barriers and equalise opportunities for medical students within CTS. Method An Equality, Diversity, and Inclusion (EDI)-focused survey was distributed to medical students across the UK and Ireland. The survey collected data on demographics, career ambitions, experiences in surgical fields, and specific perceptions of CTS. Quantitative and qualitative data were analysed. Chi-squared tests assessed associations between demographic factors and perceived barriers, with an alpha level of 0.05. Results Eighty-one responses identified three main barriers: financial constraints (37.8%), negative theatre experiences (37.8%), and perceived gender-based obstacles (56.1%). Financial challenges were associated with travel and portfolio-building, with a further association between self-funding students and perceived barriers (p=0.03). Negative theatre experiences included hostility, being ignored, and a lack of orientation to theatre and procedure. Gender-related barriers were reported by 56.1%, 91% of which were female. Additionally, first-generation medical students showed a significant correlation with perceived barriers in CTS (p=0.05). Conclusions Findings reveal perceived barriers to accessing opportunities in CTS. The data rejects the null hypothesis, though limitations in sample size suggest a potential type-II error. To optimise the future of CTS, we need to maximise student-engagement now. Implementation of financial initiatives and distribution of orientation material are required. With female cardiothoracic surgeons constituting less than 10% of our workforce, measures to enhance the representation of women in CTS are essential. Ongoing collaboration between EDI and CTS committees is crucial to overcome these barriers and equalise opportunities in CTS.