+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Career preferences of final year medical students at a medical school in Kenya--A cross sectional study

Career preferences of final year medical students at a medical school in Kenya--A cross sectional study

Bmc Medical Education 16: 5

The World Health Organization (WHO) recommended physician to population ratio is 23:10,000. Kenya has a physician to population ratio of 1.8:10,000 and is among 57 countries listed as having a serious shortage of health workers. Approximately 52% of physicians work in urban areas, 6% in rural and 42% in peri-urban locations. This study explored factors influencing the choice of career specialization and location for practice among final year medical students by gender. A descriptive cross-sectional study was carried out on final year students in 2013 at the University of Nairobi's, School of Medicine in Kenya. Sample size was calculated at 156 students for simple random sampling. Data collected using a pre-tested self-administered questionnaire included socio-demographic characteristics of the population, first and second choices for specialization. Outcome variables collected were factors affecting choice of specialty and location for practice. Bivariate analysis by gender was carried out between the listed factors and outcome variables with calculation of odds ratios and chi-square statistics at an alpha level of significance of 0.05. Factors included in a binomial logistic regression model were analysed to score the independent categorical variables affecting choice of specialty and location of practice. Internal medicine, Surgery, Obstetrics/Gynaecology and Paediatrics accounted for 58.7% of all choices of specialization. Female students were less likely to select Obs/Gyn (OR 0.41, 95% CI =0.17-0.99) and Surgery (OR 0.33, 95% CI = 0.13-0.86) but eight times more likely to select Paediatrics (OR 8.67, 95% CI = 1.91-39.30). Surgery was primarily selected because of the 'perceived prestige of the specialty' (OR 4.3 95% CI = 1.35-14.1). Paediatrics was selected due to 'Ease of raising a family' (OR 4.08 95% CI = 1.08-15.4). Rural origin increased the odds of practicing in a rural area (OR 2.5, 95% CI = 1.04-6.04). Training abroad was more likely to result in preference for working abroad (OR 9.27 95% CI = 2.1-41.9). The 4 core specialties predominate as career preferences. Females are more likely to select career choices due to 'ease of raising a family'. Rural origin of students was found to be the most important factor for retention of rural health workforce. This data can be used to design prospective cohort studies in an effort to understand the dynamic influence that governments, educational institutions, work environments, family and friends exert on medical students' careers.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 057359698

Download citation: RISBibTeXText

PMID: 26754206

DOI: 10.1186/s12909-016-0528-1

Related references

Mapping medical careers: questionnaire assessment of career preferences in medical school applicants and final-year students. Bmc Medical Education 4: 18, 2004

Perceptions of family medicine and career choice among first year medical students: a cross-sectional survey in a Turkish medical school. Collegium Antropologicum 31(2): 595-600, 2007

Specialty preferences among final year medical students in medical schools of southeast Nigeria: need for career guidance. Bmc Medical Education 16(1): 259, 2017

Associations between medical school and career preferences in Year 1 medical students in Scotland. Medical Education 46(5): 473-484, 2012

Specialty preferences among final-year medical students at Zagreb University Medical School. Lijecnicki Vjesnik 129(5): 118-123, 2007

Career preferences of graduating medical students in China: a nationwide cross-sectional study. Bmc Medical Education 16: 136, 2017

Psychiatry as a career choice among medical students: a cross-sectional study examining school-related and non-school factors. BMJ Open 8(8): E022201, 2018

Impact of educational preparation on medical students in transition from final year to PRHO year: a qualitative evaluation of final-year training following the introduction of a new year 5 curriculum in a London medical school. Medical Teacher 26(3): 276-278, 2004

Internship workplace preferences of final-year medical students at Zagreb University Medical School, Croatia: all roads lead to Zagreb. Human Resources for Health 4(): 7-7, 2006

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 16: 12, 2019

The differences in speciality preferences and career determinant factors between first- and fifth-year medical school students. Nihon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 52(1): 48-54, 2016

Medical students' and prospective medical students' uncertainties about career intentions: cross-sectional and longitudinal studies. Medical Teacher 32(3): E143-E151, 2011

Undergraduate medical students' perspectives of skills, uses and preferences of information technology in medical education: A cross-sectional study in a Saudi Medical College. Medical Teacher 40(Sup1): S68-S76, 2018

The knowledge attitude and practice regarding diabetes and diabetic retinopathy among the final year medical students of King Faisal University Medical College of Al Hasa region of Saudi Arabia: a cross sectional survey. Nigerian Journal of Clinical Practice 16(2): 164-168, 2013

Maintenance of empathy levels among first and final year medical students: a cross sectional study. F1000research 2: 157, 2013