Purpose: To explore unaccredited surgical registrars’ (USR) perceptions and experiences of RACS training selection. The analysis builds on previously reported quantitative analysis of survey responses (1) for a deep understanding of concerns about selection and to identify actions to improve experiences of USRs in RACS training selection. Method: An online anonymous 21 item questionnaire, developed with USR input, was distributed via social media USR networks, open for 6 months in 2023. Framework analysis of free text responses was used as a structured approach to identify themes on which to base policy and process change recommendations. Analysis was undertaken by BO and JM. Initial steps (data familiarization, coding, indexing, charting) to develop a draft framework were conducted independently. An iterative process developed consensus on the final framework. Subsequent joint mapping and interpretation explored the data for patterns related to respondent characteristics such as speciality, gender or PGY. Results: 79 respondents completed the survey. 44 provided comments, with 47% female. The final framework identifies three principal themes: system issues, personal stressors, culture. Sub-themes identify specific issues to be addressed to improve USR experience e.g support, supervision, cost. Cultural concerns were more common for females. Conclusion: USRs regard the RACS training selection process as a ‘broken system’. Changes to RACS policy and process may improve their experiences however whole-of-system factors are also contributing. 1.Dowling, Caroline; Martin, Jenepher; Schembi, Emily; Sengupta, Shomik. Unaccredited speciality surgical training: the impact of the 'pre-SET' years. ANZJS Suppl SE002 May 2024.