Evidence map›Paper›PMID 41030724›Full record

ReviewCureus2025

Too Many Applicants, Too Few Training Posts: A Literature Review on the Imbalance Threatening Surgical Care in the United Kingdom.

Abdulrahman Kashkosh

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Abdulrahman KashkoshTrauma and Orthopaedics Department, Doncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the United Kingdom, surgery remains a highly popular speciality choice among medical graduates, yet prospective trainees face intense competition and limited training posts. The growing imbalance between the number of applicants and the available Core Surgical Training (CST) positions has created significant challenges for the surgical workforce pipeline. This literature review examines how increased competition and constrained training capacity create barriers for prospective trainees, impact the surgical workforce, and have downstream effects on patient care. Drawing on recent peer-reviewed studies, government reports, and workforce analyses, the current literature highlights that hyper-competition in surgical training amplifies burnout among trainees, while unfilled clinical demand exacerbates NHS waiting lists and spurs the outsourcing of surgical services. Policy experts emphasise that without expanding training posts and improving workforce planning, the United Kingdom risks a worsening shortage of surgeons, slower innovation, and compromised care quality. We conclude that strategic investments, increasing CST and Higher Speciality Training (HST) positions, supporting trainee well-being, and promoting flexible training pathways are needed to build a sustainable surgical workforce that meets population needs.

Indexed as

competition ratioshealthcare policymedical educationnhssurgical trainingworkforce planning

Identifiers

PMID41030724
PMCPMC12477657

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.