Adapting to Change: The Evolution of the Specialty Training Level 3 (ST3) Trauma and Orthopaedics Selection Process Before, During, and After the COVID-19 Pandemic.

The selection process for Specialty Training Level 3 (ST3) in trauma and orthopaedics is a pivotal yet challenging step for aspiring orthopaedic surgeons. Drawing on personal experience and research, this paper aims to provide a comprehensive analysis of the ST3 selection process, outlining the key stages, including application submission, portfolio evaluation, and interview performance. With recent changes, such as evolving self-assessment scoring criteria and the introduction of a communication station in 2024, candidates face an increasingly dynamic and competitive landscape. This review study explores the challenges faced by both candidates and authorities, including adapting to sudden changes, maintaining fairness, and ensuring robust assessments. By offering insights into the evolution of the selection process and practical advice for preparation, this paper seeks to guide future candidates in navigating the complexities of this rigorous process and contribute to a greater understanding of what is required to succeed in this highly sought-after specialty.