Purpose. To identify the career choices, intended practice locations,
and reasons for career choices of final-year Saudi medical students. M
ethod. A total of 302 final-year students at the four Saudi medical co
lleges were asked to complete a self re port questionnaire at the end
of the 1994 academic year. Results. A total of 253 students (84%) resp
onded (149 men and 104 women). The most frequently chosen specialties
were internal medicine (17%), surgery (16%), pediatrics (14%), and obs
tetrics-gynecology (11%). Twenty-seven percent were not sure of their
future career choices. More of the men chose surgery, but more of the
women chose obstetrics-gynecology and ophthalmology. The leading reaso
ns for selecting a specialty were ''personal interest,'' ''a chance to
help people,'' ''availability of postgraduate training,'' ''few speci
alists in the country, and ''prestige.'' The most frequently chosen lo
cations for postgraduate training were Saudi Arabia (56%) and Canada (
40%). The qualifying examinations the students wished to pass were mos
tly the Canadian boards (49%) and the Arab boards (48%). A majority in
tended to practice in hospitals (90%) and in cities (85%). Conclusion.
The small proportions of students who chose family medicine and some
other specialties indicate that the current drastic deficiency of trai
ned Saudi primary health care physicians will continue unless targeted
strategies to produce more of these physicians are undertaken.