Factors affecting the specialty choice among medical students of Saudi Arabia; an exploratory study.

Background: Career or specialty choice is one of the crucial steps of a medical student's life. It's a difficult yet important decision that is hard to reverse after getting into the residency program. The recent catastrophic experience of shortage and maldistribution of the health workforce among different specialties during the recent pandemic has made it critical for the authorities to look into the motivators and determinants for the specialty choice from the undergraduate medical student's perspective. Therefore, the study aimed to find out the major factors affecting career choice and the effects of the COVID-19 pandemic on the specialty choice of medical students in Saudi Arabia.

Method: This qualitative exploratory study was carried out to explore the factors affecting the specialty choice and effects of COVID-19 on the specialty choice of senior medical students and interns of Saudi Arabia by utilizing semi-structured audio-recoded interviews. Participants of the study were enrolled by convenient sampling after informed written consent. Data were transcribed and thematic analysis was done to extract the themes.

Result: A total of 28 medical students and 14 interns participated in the study. The study identified five major themes with 18 relevant subthemes. The subthemes derived from the transcribed data were arranged under the following key themes; recognizing the determinants for specialty choice, financial expectation, gender specificity/stereotype, the impact of COVID-19, and concomitant motivation factors.

Conclusion: The right selection of a suitable future career is pivotal and strongly associated with future job success and satisfaction for a medical graduate. The study has provided insight to the regulatory bodies about student's fears and factors affecting them to choose or avoid certain specialties to formulate a future resource management plan accordingly.