Exploring Generational Differences in Perceptions of Medical Student Experiences of Surgical Rotations: A Qualitative Study

Introduction: Surgical clinical rotations sometimes receive lower student satisfaction than other specialties, influencing perceptions of surgery and career choice.This study examined medical student and surgeon perspectives, focusing on generational differences.Methods: An ethnographic study was conducted across three UK undergraduate surgical rotations.Data from 38 participants were collected through participant observation, interviews, and autoethnographic reflection.Reflexive thematic analysis was undertaken with participant feedback.Results: Five themes were identified relating to teaching, clinical experiences, orientation, staff interactions, and rotation structure.Students valued clear expectations, structured teaching, and inclusive engagement.Surgeons often expected autonomy and prioritised informal learning.Generational differences were evident, with senior surgeons emphasising independence, and Generation Z students seeking structured feedback and transparency.