Factors that influence dermatology residents’ choice of future subspecialty: A cross-sectional study

Abstract

BACKGROUND: Factors influencing the choice of subspecialty fellowship program vary between medical specialties. In dermatology, there is a disparity in the distribution of dermatologists across fellowship programs. This study aimed to determine the factors considered by Saudi-trained dermatology residents when choosing a fellowship program to aid in promoting program characteristics and refining mentorship. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted in six different regions in Saudi Arabia using a validated self-administered electronic questionnaire to investigate the factors that influence dermatology residents’ choice of future subspecialty. RESULTS: The questionnaire was completed by 70 dermatology residents. Females represented 63% of the study sample. Of the study participants, only 40% decided on what subspecialty they wanted to pursue. Half of the included residents were from Riyadh, and 21% were from Jeddah. Quality of life was the most common factor influencing subspeciality choice, followed by earning potential and private practice opportunities. However, the least influential factors included the research potential of the subspeciality, family, and advice from doctors in other fields. DISCUSSION: Medical residents face a significant decision when choosing their subspecialty, as it can impact their career path. The factors influencing this decision vary between different medical specialties. For example, internal medicine residents tend to choose subspecialties that provide intellectual stimulation and complement their personalities, while orthopedic surgery residents prioritize their experience and interest in the subspecialty. Our study found that quality of life, income potential, and private practice opportunities are important factors that influence subspeciality choice in dermatology residents.