Exploring Specialty Selection and Influencing Factors among Medical Students and Postgraduates: An Observational Study

Specialty Selection and Influencing Factors among Medical Students

Authors

  • Muhammad Maaz Arif Deptartment of Medical Education, University of Health Sciences, Lahore, Pakistan
  • Wardah Nisar Deptartment of Public Health, University of Health Sciences, Lahore, Pakistan
  • Khadija Agha FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Muzammil Ghaffar Qureshi FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Amen Mansoor FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Asad Ullah Malik FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Muhammad Sohaib Khokhar FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Fatima Awan FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Sarah Irfan Khwaja FMH College of Medicine & Dentistry, Lahore, Pakistan
  • Aqsa Parveen FMH College of Medicine & Dentistry, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i06.803

Keywords:

Postgraduate trainees, Pediatrics Medicine, General Surgery, General Medicine, Anesthesia

Abstract

Medical students are driven by interest and influenced by factors like early exposure, training, environment, teaching, role models, rewards, appreciation, patient feedback, and mentorship. Gender also impacts specialty choices. Students' career choices shape the future workforce. Objective: To explore interests and factors influencing specialty choice among post graduate trainees and final year students, aiming to guide informed career decisions and address inadequate recruitment in specialties. Methods: This study was an observational cross-sectional study conducted at Fatima Memorial Hospital and college. Data were collected from 163 participants via online questionnaire using non-convenience sampling. Analysis was conducted using SPSS software, including frequencies, percentages, averages and t-test to assess statistical significances. Results: Study finds strong preference for clinical subjects among final year and postgraduate students. Divergence among specialty selection was seen as final year students favor general surgery, while postgraduate trainees lean towards pediatrics medicine. Prestige and social responsibility were common influential key factors, with salary benefits impacting more the final year students and specialty prestige, social responsibility and research opportunities weighing on postgraduate trainees were seen. The research also explores that family influence for final year students and teachers and senior doctors for postgraduate trainees in specialty selection. Conclusions: In conclusion, final year and postgraduate trainees prefer clinical specialties like general surgery and pediatrics, driven by considerations of future salary, working hours, and social responsibility. Family, teachers, and senior colleagues play crucial roles in specialty selection decisions.

References

Hao KA, Fu S, Islam S, Larson SD, Mustafa MM, Petroze RT, et al. Medical student career choice: who is the influencer? Journal of Surgical Research. 2022 Apr; 272: 9-16. doi: 10.1016/j.jss.2021.11.007. DOI: https://doi.org/10.1016/j.jss.2021.11.007

Pahwa B, Kalyani M, Jain I, Bhattacharjee S. Will you choose neurosurgery as your career? An Indian female medical student perspective. Journal of Clinical Neuroscience. 2022 Nov; 105: 1-8. doi: 10.1016/j.jocn.2022.08.015. DOI: https://doi.org/10.1016/j.jocn.2022.08.015

Mohamed EY. Specialty preferences and factors affecting the choices of postgraduate specialty among undergraduate medical students. Pakistan Journal of Medical Sciences. 2022 Jul; 8(6): 1431. doi: 10.12669/pjms.38.6.5571. DOI: https://doi.org/10.12669/pjms.38.6.5571

Norris R, Wildstein A, Galanter CA. Medical student interest in straight-from-medical-school child and adolescent psychiatry specialization. Academic Psychiatry. 2022 Feb; 46(1): 55-9. doi: 10.1007/s40596-021-01583-z. DOI: https://doi.org/10.1007/s40596-021-01583-z

Öztürk N and Gençtürk M. A Research on the Factors Affecting the Preference of Medical Specialization Branches. Journal of Medical Science. 2022 Aug; 91(3): e691. doi: 10.20883/medical.e691. DOI: https://doi.org/10.20883/medical.e691

Fang Y, Soljak M, Tan SL, Smith HE. Medical students’ attitudes towards and views of general practice careers in Singapore: a cross-sectional survey and qualitative analysis. BMC Medical Education. 2022 Dec; 22(1): 1-10. doi: 10.1186/s12909-022-03298-7. DOI: https://doi.org/10.1186/s12909-022-03298-7

Eguia E, Kolachina S, Miller E, Eguia MA. Medical students from socioeconomically disadvantaged backgrounds are less likely to match into surgery. World Journal of Surgery. 2022 Jun; 46(6): 1261-7. doi: 10.1007/s00268-022-06510-3. DOI: https://doi.org/10.1007/s00268-022-06510-3

Wainwright D, Harris M, Wainwright E. Trainee doctors’ perceptions of the surgeon stereotype and its impact on professional identification: a qualitative study. BMC Medical Education. 2022 Dec; 22(1): 1-10. doi: 10.1186/s12909-022-03765-1. DOI: https://doi.org/10.1186/s12909-022-03765-1

Smith GS, Houmanfar RA, Jacobs NN, Froehlich M, Szarko AJ, Smith BM, et al. Assessment of medical student burnout: Toward an implicit measure to address current issues. Advances in Health Sciences Education. 2022 May; 27(2): 375-86. doi: 10.1007/s10459-021-10089-0. DOI: https://doi.org/10.1007/s10459-021-10089-0

Earley H and Mealy K. An analysis of the cost of postgraduate training in surgery in Ireland compared to other specialties. Irish Journal of Medical Science. 2021 May; 191(2): 945. doi: 10.1007/s11845-021-02641-z. DOI: https://doi.org/10.1007/s11845-021-02641-z

Kaur A, Garg R, Gupta P. Challenges facing AI and Big data for Resource-poor Healthcare System. 2021 Second International Conference on Electronics and Sustainable Communication Systems (ICESC). 2021 Aug: 1426-33. doi: 10.1109/ICESC51422.2021.9532955. DOI: https://doi.org/10.1109/ICESC51422.2021.9532955

Martin G, Bushfield S, Siebert S, Howieson B. Changing logics in healthcare and their effects on the identity motives and identity work of doctors. Organization Studies. 2021 Sep; 42(9): 1477-99. doi: 10.1177/0170840619895871. DOI: https://doi.org/10.1177/0170840619895871

Almalki M, FitzGerald G, Clark M. Health care system in Saudi Arabia: an overview. EMHJ-Eastern Mediterranean Health Journal. 2011 Oct; 17(10): 784-93. doi: 10.26719/2011.17.10.784. DOI: https://doi.org/10.26719/2011.17.10.784

Boucher NA, Dries E, Franzione A, Burton-Chase AM, Morris D, Sautter J. Developing the future end-of-life health care workforce: Lessons learned from a survey of advanced health professions students. American Journal of Hospice and Palliative Medicine®. 2022 Jun; 39(6): 613-8. doi: 10.1177/10499091211035711. DOI: https://doi.org/10.1177/10499091211035711

Sheu L, Charondo LB, O’Sullivan PS. Faculty motivations for leading clinical clerkship electives: A qualitative study. Medical Teacher. 2022 Oct; 44(10): 1109-15. doi: 10.1080/0142159X.2022.2058388. DOI: https://doi.org/10.1080/0142159X.2022.2058388

Anand R, Sankaran PS. Factors influencing the career preferences of medical students and interns: a cross-sectional, questionnaire-based survey from India. Journal of Educational Evaluation for Health Professions. 2019 May; 16: 12. doi: 10.3352/jeehp.2019.16.12. DOI: https://doi.org/10.3352/jeehp.2019.16.12

Dossajee H, Obonyo N, Ahmed SM. Career preferences of final year medical students at a medical school in Kenya–A cross sectional study. BMC Medical Education. 2016 Dec; 16: 1-10. doi: 10.1186/s12909-016-0528-1. DOI: https://doi.org/10.1186/s12909-016-0528-1

Kow CS, Teo YH, Teo YN, Chua KZ, Quah EL, Kamal NH, et al. A systematic scoping review of ethical issues in mentoring in medical schools. BMC Medical Education. 2020 Dec; 20(1): 1-10. doi: 10.1186/s12909-020-02169-3. DOI: https://doi.org/10.1186/s12909-020-02169-3

Teshome D. Attitude and perception of medical students towards histology subject at Wollo University, Ethiopia. Advances in Medical Education and Practice. 2022 Apr; 13: 337-44. doi: 10.2147/AMEP.S359703. DOI: https://doi.org/10.2147/AMEP.S359703

Adams JA and Dewsbury BM. Student preference for course approach to pedagogically different methodologies in anatomy and physiology. Advances in Physiology Education. 2022 Mar; 46(1): 45-55. doi: 10.1152/advan.00137.2020. DOI: https://doi.org/10.1152/advan.00137.2020

Khan S. The impact of gendered experiences on female medical students’ specialty choice: A systematic review. The American Journal of Surgery. 2022 Nov; 225(1): 33-9. doi: 10.1016/j.amjsurg.2022.10.023. DOI: https://doi.org/10.1016/j.amjsurg.2022.10.023

Eidson-Ton WS, Rainwater J, Hilty D, Henderson S, Hancock C, Nation CL, et al. Training medical students for rural, underserved areas: a rural medical education program in California. Journal of Health Care for the Poor and Underserved. 2016 Nov; 27(4):1674-88. doi: 10.1353/hpu.2016.0155. DOI: https://doi.org/10.1353/hpu.2016.0155

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Published

2023-06-30
CITATION
DOI: 10.54393/pjhs.v4i06.803
Published: 2023-06-30

How to Cite

Arif, M. M., Nisar , W. ., Agha , K. ., Qureshi, M. G. ., Mansoor, A. ., Malik, A. U. ., Khokhar, M. S. ., Awan, F. ., Khwaja, S. I. ., & Parveen, A. . (2023). Exploring Specialty Selection and Influencing Factors among Medical Students and Postgraduates: An Observational Study: Specialty Selection and Influencing Factors among Medical Students. Pakistan Journal of Health Sciences, 4(06), 263–269. https://doi.org/10.54393/pjhs.v4i06.803

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