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The 2024 British Thoracic Society (BTS) Specialty Trainee Survey offers an important contribution to ongoing discourse around training, workforce sustainability and career trajectories in respiratory medicine.1 2 As the third national survey of higher specialty trainees, following iterations in 2016 and 2020,3 the report provides valuable longitudinal insights into evolving trainee priorities, challenges and expectations within the context of significant curricular reform, heightened service pressures and shifting workforce dynamics.