Purpose. To examine the influence of gender on the specialty choices o
f graduates from a Brazilian medical school. Method. Data for graduate
s of the Faculty of Medicine of Ribeirao Preto, University of Sao Paul
o (FMRP-USP) who enrolled in the FMRP-USP's residency program were poo
led for surgery, internal medicine, pediatrics, obstetrics-gynecology,
anesthesiology ophthalmology, radiology, and orthopedics and were ana
lyzed by gender in two periods, 1979-1984 (n = 414) and 1989-1994 (n =
407). The data were analyzed statistically by the chi-square test and
Fisher's exact probability test. Results. Women predominated in pedia
trics and men in surgery and orthopedics in both periods, with no pred
ominance of either gender in the other specialties. Between the two st
udy periods, there were decreases in the choices of both genders for i
nternal medicine and increases in the choices of the men for anesthesi
ology and of the women for radiology. Conclusion. Significant changes
occurred in the pattern of specialty choices between the men and the w
omen and the two study periods. Considering the needs of the Brazilian
health care system, the trends in career choices and the influence of
gender should be continuously scrutinized.