We have now released the 2024 Activities Report—an annual publication that offers a compelling snapshot of the surgical profession across Australia and Aotearoa New Zealand. More than just a data set, the report is a strategic resource that informs College planning and contributes to government workforce policy, equity initiatives, and long-term healthcare reform.

This year’s report paints a picture of a profession in transition. Surgery remains one of the most competitive medical specialties, yet it is steadily evolving towards greater inclusivity and gender equity. Flexible training pathways are helping to open doors, making surgical careers more accessible and sustainable.

One of the most striking developments in 2024 is the growing representation of women in surgical training. Of those accepted into the Surgical Education and Training (SET) program, more than 43 per cent were women. For the first time, women outnumbered men among successful applicants in both General Surgery and Vascular Surgery. Today, women make up more than a third of all surgical Trainees and nearly 29 per cent of Fellows under the age of 44.

The report also highlights a rise in flexible, less-than-full-time training approvals—an important step in supporting diverse career pathways and work-life balance. These milestones reflect years of sustained advocacy and reform, but the journey toward a truly inclusive profession continues.

Central to the College’s success is its ’for surgeons, by surgeons‘ approach to education and training. The report celebrates the extraordinary contributions of more than 400 volunteers—including Fellows and other medical professionals—who generously give their time to deliver skills courses, assess candidates, and support the next generation of surgeons. Programs like the Early Management of Severe Trauma (EMST) course exemplify the spirit of service and shared expertise that underpins the College’s mission.

Another key focus of the report is the role of Specialist International Medical Graduates (SIMGs), whose skills and experience are vital to the health systems of both nations. In 2024, RACS assessed a diverse cohort of SIMG applicants, reinforcing its commitment to maintaining high standards of care while helping to address workforce shortages.

The 2024 Activities Report is more than a reflection of where we are—it’s a guide to where we’re headed. We commend it to all stakeholders working to shape the future of healthcare across Australia and Aotearoa New Zealand. 

For further information or to share your thoughts, please contact the team at: [email protected].