Rationale and Objectives: To determine graduating medical students' pe
rceptions of radiology and to document changes in their perceptions si
nce they entered medical school. Materials and Methods: A survey quest
ionnaire was distributed to 213 graduating students. Questions were si
milar to those answered by the same group of students as they entered
medical school nearly 4 years earlier. Results: The survey was anonymo
usly completed by 140 students. Seventy percent of students changed th
eir choice of medical specialty since entering medical school. Factors
with a major or important influence on specialty choice included inte
llectual excitement (96%), high patient contact (86%), opportunity for
a good family life (72%), and regular hours (57%). Radiology was perc
eived to be a well-paid (89%), ''high-tech'' (86%) specialty with a he
althy lifestyle (82%), regular hours (99%), and good family life (92%)
, but it was not perceived to offer high patient contact (1%) and was
intellectually exciting to only 33% of students. This perception was u
nchanged from freshman year. Conclusions: This 4-year longitudinal stu
dy of a medical student class documents surprisingly little change in
perception of radiology throughout medical school. High patient contac
t and intellectual excitement, both factors of major or important infl
uence on specialty choice, were thought to be lacking in radiology.