• Users Online: 2125
  • Print this page
  • Email this page
ORIGINAL ARTICLE
Year : 2022  |  Volume : 31  |  Issue : 4  |  Page : 390-395

Career choices and determining factors among final year medical students in Lagos Nigeria


1 Department of Surgery, College of Medicine, Lagos State University, Lagos, Nigeria
2 Department of Surgery, Lagos State University Teaching Hospital, Lagos, Nigeria
3 Department of General Surgery, Grange University Hospital, Cwmbran, Wales, United Kingdom
4 Department of Ear, Nose and Throat Surgery, James Cook University Hospital, Middlesbrough, England, United Kingdom

Correspondence Address:
Dr. Setemi Olufemi
Department of Surgery, Lagos State University Teaching Hospital, Ikeja, Lagos
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/NJM.NJM_38_22

Rights and Permissions

Background: Identifying the factors that influence the choices medical students make regarding their careers can prove invaluable in the management of healthcare manpower. Aim: The aim of this study was to determine the career choices and the determining factors for these choices among final year medical students at the Lagos State University College of Medicine, Nigeria. Materials and Methods: This study is a cross-sectional survey of two consecutive final year classes with a total of 141 students surveyed in February 2014 and February 2015. Results: A total of 141 students were surveyed. 75.2% intended to specialise, the most common specialties being: Surgery (29.2%), Paediatrics (14.2%), Obstetrics and Gynaecology (13.2%) and Internal medicine (13.2%). More men preferred surgery (43.5% vs 18.3%; p = 0.005) and more women paediatrics (20% vs 6.5%; p = 0.011). 24.8% did not want to specialise. The reasons included: rigours of residency (48.6%), unacceptable hours of practice (34.3%), difficulty getting placements (28.6%) and family requirements (22.9%). 48.1% of the respondents chose to do their residency abroad, 27.4% chose to stay at home and 24.5% were undecided. The main factors influencing choice of residency abroad were better exposure (88.2%), improved standards of living (82.4%), avoiding incessant strike actions (80.4%) and better financial rewards (72.5%). Conclusion: Most students showed a preference for the core clinical specialties with significant gender disparity in specialty preference. The potential for continuous 'brain drain' is also identified. Appropriate steps should be taken to mitigate the factors identified that influenced these choices, to protect the future medical workforce.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed502    
    Printed20    
    Emailed0    
    PDF Downloaded79    
    Comments [Add]    

Recommend this journal