Sudan Journal of Medical Sciences
ISSN: 1858-5051
High-impact research on the latest developments in medicine and healthcare across MENA and Africa
Awareness of Final-Year Medical Students of Omdurman Islamic University on Their Career Choices
Published date: Mar 31 2023
Journal Title: Sudan Journal of Medical Sciences
Issue title: Sudan JMS: Volume 18 (2023), Issue No. 1
Pages: 37–47
Authors:
Abstract:
Background: Medical students undergo a complex process as a student to make a career decision and pursue further specialization. This study explores the factors that influence the career choices of the two genders studying in the final year of medicine at Omdurman Islamic University.
Methods: This institution-based cross-sectional study was conducted on 194 male and female fifth-year medical students studying at Omdurman Islamic University. The questionnaire contains 15 multiple-choice questions to determine the factors affecting students’ career choices – lifestyle, income, family impact,…etc. – and the association between gender and the specialties they choose to pursue.
Results: The specialties were preferred in the following order: surgery by 22.9%, internal medicine by 18.3%, obstetric gynecology by 13.8%, and pediatric by 10% (limited to the four major specialties). The least chosen specialties were histopathology, emergency medicine, psychiatry, and anesthesia (all were 0.9%). Family medicine and forensics were not chosen by any participant. Females significantly preferred dermatology, obstetrics and gynecology, otolaryngology, and pediatrics compared to their male counterparts. Whereas, males compared to females significantly preferred orthopedics and surgery. The factors influencing change in students’ specialties based on their gender were family views and family obligations. Nearly 80% of students choose a career based on personal interest; lifestyle and financial reward were also seen to play an important role in choosing a specialty. About 91% of participants agreed that there is a need for guidance. A great proportion of final-year students (62%) preferred to specialize abroad and related it to a good lifestyle and financial stability.
Conclusion: This study showed that the students’ awareness about specialty choices was limited to certain specialties as seen in the literature. The most preferred specialties were surgery (22.9%), internal medicine (18.3%), obstetrics and gynecology (13.8%), and pediatric (10%). There are many factors influencing the selection of specialties, however, the most common one is personal interest followed by lifestyle issues and financial reward. Additionally, there is a significant gender difference in career-choice decisions.
Keywords: career choice, preferred medical specialty, awareness toward specialty
References:
[1] Khan, I., Bashar, M. A., Tiwari, H. K., & Reddy, M. M. (2022). Perception of medical professionals from tertiary care teaching institutes towards the specialty of community medicine and its specialists amid the COVID-19 pandemic. International Journal of Medicine and Public Health, 12(2), 71–75.
[2] Looi, M. K. (2020). Covid-19: Is a second wave hitting Europe? BMJ, m4113.
[3] Mohamed, A. A., Khan, W. S., Abdelrazig, Y. M., Elzain, Y. I., Khalil, H. O., Elsayed, O. B., & Ibrahim, O. A. (2015). Factors considered by undergraduate medical students when selecting specialty of their future careers. Pan African Medical Journal, 20, 102.
[4] Arshad, S., McCombe, G., Carberry, C., Harrold, A., & Cullen, W. (2020). What factors influence medical students to enter a career in general practice? A scoping review. Irish Journal of Medical Science, 190(2), 657–665.
[5] Goel, S., Angeli, F., Dhirar, N., Singla, N., & Ruwaard, D. (2018). What motivates medical students to select medical studies: A systematic literature review. BMC Medical Education, 18(1), 16.
[6] Peel, J. K., Schlachta, C. M., & Alkhamesi, N. A. (2018). A systematic review of the factors affecting choice of surgery as a career. Canadian Journal of Surgery, 61(1), 58–67.
[7] Yang, Y., Li, J., Wu, X., Wang, J., Li, W., Zhu, Y., Chen, C., & Lin, H. (2019). Factors influencing subspecialty choice among medical students: A systematic review and meta-analysis. BMJ Open, 9(3), e022097.
[8] Weissman, C., Zisk-Rony, R. Y., Schroeder, J. E., Weiss, Y. G., Avidan, A., Elchalal, U., & Tandeter, H. (2012). Medical specialty considerations by medical students early in their clinical experience. Israel Journal of Health Policy Research, 1(1), 13.
[9] Petrides, K., & McManus, I. (2004). Mapping medical careers: Questionnaire assessment of career preferences in medical school applicants and final-year students. BMC Medical Education, 4(1), 18.
[10] Kawamoto, R., Ninomiya, D., Kasai, Y., Kusunoki, T., Ohtsuka, N., Kumagi, T., & Abe, M. (2016). Gender difference in preference of specialty as a career choice among Japanese medical students. BMC Medical Education, 16(1), 288.
[11] Kumar, R., & Dhaliwal, U. (2011). Career choices of undergraduate medical students. The National Medical Journal of India, 24(3), 166–169.
[12] Newton, D. A., Grayson, M. S., & Thompson, L. F. (2005). The variable influence of lifestyle and income on medical students’ career specialty choices: Data from two U.S. medical schools, 1998–2004. Academic Medicine, 80(9), 809–814.
[13] Dorsey, E. R., Jarjoura, D., & Rutecki, G. W. (2003). Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA, 290(9), 1173.
[14] Baldwin, D. C., Daugherty, S. R., Tsai, R., & Scotti, M. J. (2003). A national survey of residents’ self-reported work hours: Thinking beyond specialty. Academic Medicine, 78(11), 1154–1163.
[15] Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., Collicott, P., Novotny, P. J., Sloan, J., & Freischlag, J. A. (2009). Burnout and career satisfaction among American surgeons. Annals of Surgery, 250(3), 463–471.
[16] Chung, Y. C., Lin, C. Y., Huang, C. N., & Yang, J. H. (2013). Perceptions on gender awareness and considerations in career choices of medical students in a medical school in Taiwan. The Kaohsiung Journal of Medical Sciences, 29(11), 629–635.
[17] Huda, N., & Yousuf, S. (2006). Career preference of final year medical students of Ziauddin Medical University. Education for Health: Change in Learning & Practice, 19(3), 345–353.
[18] Kaderli, R., Buser, C., Stefenelli, U., & Businger, A. (2011). Students’ interest in becoming a general surgeon before and after a surgical clerkship in German-speaking Switzerland. Swiss Medical Weekly, 141(3334).
[19] O’Herrin, J. K., Lewis, B. J., Rikkers, L. F., & Chen, H. (2004). Why do students choose careers in surgery? Journal of Surgical Research, 119(2), 124–129.
[20] Jaffer, U., Pennell, A., & Musonda, P. (2010). General surgical trainee experiences of mentoring: A UK regional audit. Journal of Surgical Education, 67(1), 19–24.
[21] Cochran, A., Paukert, J. L., Scales, E. M., & Neumayer, L. A. (2004). How medical students define surgical mentors. The American Journal of Surgery, 187(6), 698–701.
[22] Ossai, E. N., Uwakwe, K. A., Anyanwagu, U. C., Ibiok, N. C., Azuogu, B. N., & Ekeke, N. (2016). Specialty preferences among final year medical students in medical schools of southeast Nigeria: Need for career guidance. BMC Medical Education, 16(1), 259.
[23] Azu, O. O., Naidu, E., & Naidu, J. (2013). Choice of speciality amongst first-year medical students in the Nelson R. Mandela School of Medicine, University of KwaZulu-Natal. African Journal of Primary Health Care & Family Medicine, 5(1), a513.
[24] Lefevre, J. H., Roupret, M., Kerneis, S., & Karila, L. (2010). Career choices of medical students: A national survey of 1780 students. Medical Education, 44(6), 603–612.
[25] Abdalla, F. M., Omar, M. A., & Badr, E. E. (2016). Contribution of Sudanese medical diaspora to the healthcare delivery system in Sudan: Exploring options and barriers. Human Resources for Health, 14(S1), 28.
