Strides in Development of Medical Education

Document Type : Original Article


1 Internal Medicine Department, Alimentary Tract Research Center, Imam Khomeini Hospital Clinical Research Development Unit, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Immunology Department, Medical Faculty, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran


Background: Medical residents choose to pursue their careers based on multiple internal and external factors. These factors, in turn, affect not only their personal future but the overall status of the health care system in every region.
Objectives: To determine the factors affecting radiology residents' choice of specialty career choice.
Methods: This research was a cross-sectional study. The statistical population was all radiology residents (N=48) of Ahvaz Jundishapur University of Medical sciences studying during the academic year 2018-2019. The data were collected by a researcher-made questionnaire. The validity of the questionnaire was confirmed by the experts, and its reliability was calculated using Cronbach's alpha (α = 0.71). Data were analyzed using descriptive and analytical tests (Mann-Whitney U test) by SPSS version 18.
Results: The mean age of participants was 30.7±2.6 years. The most important factors influencing the choice of radiology specialty were: “Acquiring knowledge and competency for better treatment” (mean 4.18 out of 5), “convenience and lack of emergency” (3.90), and “good career future" (3.88), respectively; While “family and friends' advice” (3.18) and “possibility of continuing education and fellowship” (3.07) were the least important factors. “Higher-income” was significantly more important in the specialty choice among male residents (p < 0.05).
Conclusion: This study provided valuable information on the factors influencing the choice of radiology specialty. Understanding specific factors that influence decisions to enter the specialty of radiology may provide proper guidance for human resources planners to consider the needs of the community’s health system.


  1. Chen JY, Heller MT. How competitive is the match for radiology residency? Present view and historical perspective. J Am Coll Radiol. 2014 May;11(5):501-6. doi: 10.1016/j.jacr.2013.11.011. [PMID: 24793041]
  2. Arora R. The training and practice of radiology in India: current trends. Quant Imaging Med Surg. 2014 Dec; 4(6): 449–450. doi: 10.3978/j.issn.2223-4292.2014.11.04. [PMCID: PMC4256238]. [PMID: 25525575].
  3. Shakurnia A, Seyedian SS, Baniasad M. The Tendency of Senior Medical Students to choose a Specialty: The difference between what students want and what society needs. Educational Development of Jundishapur. 2019; 10(3): 209-18. [In Persian]
  4. Alizadeh Y KPM, Kazemnezhad Leily E, Khoshrang H, Behboudi H, Mohammadi M, et al. Factors Associated with Medical Students Tendency to Choose a Medical Specialty. J Guilan Univ Med Sci. 2014; 23(89):29-36. [In Persian]
  5. Husein J, Nayef HAH. Which medical specialty do I choose? The answer of Iraqi graduated doctors working in Basra. Iraqi New Medical Journal January. 2016; 2(1):37-46. 
  6. Lambert TW, Smith F, Goldacre MJ. Career specialty choices of UK medical graduates of 2015 compared with earlier cohorts: questionnaire surveys. Postgrad Med J. 2018 Apr; 94(1110):191-197. doi: 10.1136/postgradmedj-2017-135309. [PMID: 29440478]. [PMCID: PMC5870466].
  7. Yang Y, Li J, Wu X, Wang J, Li W, Zhu Y, et al. Factors influencing subspecialty choice among medical students: a systematic review and meta-analysis. BMJ Open. 2019 Mar 7;9(3): e022097. doi: 10.1136/bmjopen-2018-022097. [PMID: 30850399]. [PMCID: PMC6429728].
  8. Dorsey ER, Jarjoura D, Rutecki GW. Influence of controllable lifestyle on recent trends in specialty choice by US medical students. JAMA. 2003 Sep 3;290(9):1173-8. doi: 10.1001/jama.290.9.1173. [PMID: 12952999].
  9. Arleo EK, Bluth E, Francavilla M, Straus CM, Reddy S, Recht M. Surveying Fourth-Year Medical Students Regarding the Choice of Diagnostic Radiology as a Specialty. J Am Coll Radiol. 2016 Feb;13(2):188-95. doi: 10.1016/j.jacr.2015.08.005. [PMID: 26499162].
  10. Yen AJ, Webb EM, Jordan EJ, Kallianos K, Naeger DM. The Stability of Factors Influencing the Choice of Medical Specialty Among Medical Students and Postgraduate Radiology Trainees. J Am Coll Radiol. 2018; 15(6):886-91. doi:10.1016/j.jacr.2018.03.006. [PMid:29724626]
  11. Enoch L, Chibnall JT, Schindler DL, Slavin SJ. Association of medical student burnout with residency specialty choice. Med Educ. 2013 Feb;47(2):173-81. doi: 10.1111/medu.12083. [PMID: 23323656].
  12. Newton DA, Grayson MS, Thompson LF. The variable influence of lifestyle and income on medical students' career specialty choices: data from two U.S. medical schools, 1998-2004. Acad Med. 2005 Sep;80(9):809-14. doi: 10.1097/00001888-200509000-00005. [PMID: 16123458].
  13. Khosravi H, Haitz K, Nambudiri VE. Residency Specialty Choice Trends Over 24 Years, J Med Edu. 2018; 17(2): e105618. doi: 10.22037/jme. v17i2.22178.
  14. Matalon SA, Guenette JP, Smith SE, Uyeda JW, Chua AS, Gaviola GC, et al. Factors Influencing Choice of Radiology and Relationship to Resident Job Satisfaction. Current Problems in Diagnostic Radiology. 2019 Jul - Aug;48(4):333-341. doi: 10.1067/j.cpradiol.2018.03.008. [PMID: 29656882].
  15. Minister of Health and Medical Education announced: Radiology Choosing Top ranks of Residency specialty choice Exam. [Cited 2020 June 14]. Available from: [In Persian]
  16. Momen A, Shakurnia A. Factors influencing pediatric specialty choice among pediatric residents of Ahvaz Jundishapur University of Medical Sciences. Int J Pediatr. 2015; 3(3.2):701-6.
  17. Zener R, Lee SY, Visscher KL, Ricketts M, Speer S, Wiseman D. Women in Radiology: Exploring the Gender Disparity. J Am Coll Radiol. 2016 Mar;13(3):344-50. e1. doi: 10.1016/j.jacr.2015.10.019. [PMID: 26774885].
  18. Ip SW, Ko HS, Applegate KE. Factors influencing career choices in radiology trainees in Queensland, Australia. J Med Imaging Radiat Oncol. 2010 Apr;54(2):93-9. doi: 10.1111/j.1754-9485.2010.02145. x. [PMID: 20518870].
  19. Ram R, Jumper H, Lensing SY, Tang J-L, Deloney LA, Kenney PJ. Understanding Gender Differences among Medical Students When Choosing Radiology as a Medical Specialty. Academic Radiology. 2018; 25(10):1353-8. doi:
  20. Pyatigorskaya N, Madson M, Di Marco L. Women's career choices in radiology in France. Diagn Interv Imaging. 2017 Nov;98(11):775-783. doi: 10.1016/j.diii.2017.06.017. [PMID: 28757429].
  21. Feng L, Ruzal-Shapiro C. Factors that influence radiologists' career choices. Acad Radiol. 2003 Jan;10(1):45-51. doi: 10.1016/s1076-6332(03)80787-0. [PMID: 12529028].
  22. Esmailian S. The Shortage of Emergency Medicine Residents; A Serious Alarm for the Iranian Ministry of Health and Medical Education. Strides Dev Med Educ. 2019 Dec; 16(1): e84664. doi: 10.5812/SDME.84664.