Background: Choosing a medical specialty can be either a daunting and confusing experience for some medical students and junior doctors or a foregone conclusion to others. The aim of this study is to evaluate factors affecting future specialty choice among medical students in Kuwait University.
Methods: A self-administered questionnaire was used to collect data from medical students registered in Kuwait University during the academic year 2011/2012. Chi-square test and logistic regression were used to test the association between deciding a future specialty and students' sociodemographic and academic factors.
Results: Of the 422 students approached, 387 (91.7%) decided to participate. A total of 144 (37.2%) students made a decision regarding their choice of future medical specialty. Pediatrics, general surgery, and cardiology were the most desired specialties - 18 (12.5%), 17 (11.8%), and 16 (11.1%) students requested these specialties, respectively. Only 61 (42.4%) of those who selected a future specialty received advice regarding their choice. Looking for a good treatment outcome for patients (66; 45.8%) and a challenging specialty (58; 40.3%) were the most influencing incentives when selecting a future specialty. Students in the clinical phase of their study were 3.014 (95% CI: 1.498-6.065) more likely to report on their decision regarding a future specialty compared to students in the basic medical sciences phase (p=0.002).
Conclusion: A variety of factors appeared to inspire medical students in Kuwait to choose a future medical specialty. When identified, these factors can be used by mentors of medical students and directors of residency training programs to motivate students to choose specialties that are limited in Kuwait.
Abdulrahman M, Makki M, Shaaban S, Al Shamsi M, Venkatramana M, Sulaiman N, Sami MM, Abdelmannan DK, Salih AM, AlShaer L.Educ Health (Abingdon). 2016 Sep-Dec;29(3):231-243. doi: 10.4103/1357-6283.204225.PMID: 28406108
Al Zubaidi A, AlBuqaish S, Ali A, Ibrahim M, Marei S, Nugud S, Nugud A.Avicenna J Med. 2023 Jun 22;13(2):97-103. doi: 10.1055/s-0043-1769931. eCollection 2023 Apr.PMID: 37435553 Free PMC article.
Saigal P, Takemura Y, Nishiue T, Fetters MD. Factors considered by medical students when formulating their specialty preferences in Japan: findings from a qualitative study. BMC Med Educ. 2007;7:31. - PMC - PubMed
She L, Wu B, Xu L, Wu J, Zhang P, Li E. Determinants of career aspirations of medical students in southern China. BMC Med Educ. 2008;8:59. - PMC - PubMed
Chang JC, Odrobina MR, McIntyre-Seltman K. Residents as role models: the effect of the obstetrics and gynecology clerkship on medical students’ career interest. J Grad Med Educ. 2010;2:341–5. - PMC - PubMed
Heikkilä T, Hyppölä H, Kumpusalo E, Halila H, Vänskä J, Kujala S, et al. Choosing a medical specialty—study of Finnish doctors graduating in 1977–2006. Med Teach. 2011;33:e440–5. - PubMed
Indyk D, Deen D, Fornari A, Santos MT, Lu WH, Rucker L. The influence of longitudinal mentoring on medical student selection of primary care residencies. BMC Med Educ. 2011;11:27. - PMC - PubMed
Wright B, Scott I, Woloschuk W, Brenneis F, Bradley J. Career choice of new medical students at three Canadian universities: family medicine versus specialty medicine. CMAJ. 2004;170:1920–4. - PMC - PubMed
Newton DA, Grayson MS, Thompson LF. The variable influence of lifestyle and income on medical students’ career specialty choices: data from two U.S. medical schools, 1998–2004. Acad Med. 2005;80:809–14. - PubMed
Lefèvre JH, Karila L, Kerneis S, Rouprêt M. Motivation of French medical students to pursue surgical careers: results of national survey of 1742 students. J Visc Surg. 2010;147:e181–6. - PubMed
Al-Jarallah K, Moussa M, Al-Khanfar KF. The physician workforce in Kuwait to the year 2020. Int J Health Plann Manage. 2010;25:49–62. - PubMed
Department of Human Resources, Ministry of Health, Kuwait
Morrison JM, Murray TS. Career preferences of medical students: influence of a new four-week attachment in general practice. Br J Gen Pract. 1996;46:721–5. - PMC - PubMed
Khader Y, Al-Zoubi D, Amarin Z, Alkafagei A, Khasawneh M, Burgan S, et al. Factors affecting medical students in formulating their specialty preferences in Jordan. BMC Med Educ. 2008;8:32. - PMC - PubMed
Scott IM, Wright BJ, Brenneis FR, Gowans MC. Whether or wither some specialties: a survey of Canadian medical student career interest. BMC Med Educ. 2009;9:57. - PMC - PubMed
Fukuda Y, Harada T. Gender differences in specialty preference and mismatch with real needs in Japanese medical students. BMC Med Educ. 2010;10:15. - PMC - PubMed
Al-Jarallah KF, Moussa MA. Specialty choices of Kuwaiti medical graduates during the last three decades. J Contin Educ Health Prof. 2003;23:94–100. - PubMed
Boyd JS, Clyne B, Reinert SE, Zink BJ. Emergency medicine career choice: a profile of factors and influences from the Association of American Medical Colleges (AAMC) graduation questionnaires. Acad Emerg Med. 2009;16:544–9. - PubMed
