Motivations for Choosing a Medical Specialty
Insights from Pará Students
Keywords:
Choice Behavior, Career Choice, Medical SpecialtyAbstract
Objective: In Brazil, 66% of physicians hold a medical specialty title, with the majority concentrated in only 13 specialties. Understanding the factors that influence this choice is essential to reduce inequalities in the distribution of specialists across the country. Objective: To identify intrinsic and extrinsic motivational factors that influence the choice of medical specialty. Method: Observational, cross-sectional, and quantitative study conducted with medical students from a university in the Northern Region of Brazil. Data were collected through an online questionnaire. Results: The sample included 243 medical students, mostly male, single, with a mean age of 22 years. The most frequently chosen specialties were General Surgery, Cardiology, and Neurosurgery, with 68.7% expressing a preference for clinical fields. The main influencing factors were personal satisfaction, affinity with the area, and professional autonomy. Conclusion: Specialty choice was guided by personal and professional factors, notably satisfaction, affinity, financial return, and quality of life. Men prioritized financial aspects, while women valued work–life balance.
References
Scheffer M, Guilloux AGA, Miotto BA, Almeida C, Guerra A, Cassenote A, et al. Demografia Médica no Brasil 2023. São Paulo, SP: FMUSP, AMB, 2023. 344 p.ISBN: 978-65-00-60986 8.
Ladha FA, Pettinato AM, Perrin AE. Medical student residency preferences and motivational factors: a longitudinal, single-institution perspective. BMC Med Educ. 2022 Mar 17;22(1). https://doi.org/10.1186/s12909-022-03244-7.
Alencar AAR, Plácido TG, Silva GC, Silva AVT, Valença MA, Valença MM, et al. Fatores preditivos na escolha da especialidade na residência médica. jmm. 2021 Dec 29;3(2):6–14. https://doi.org/10.37085/jmmv3.n2.2021.pp.6-14.
Khamees A, Awadi S, Al Sharie S, Faiyoumi BA, Alzu’bi E, Hailat L, et al. Factors affecting medical student’s decision in choosing a future career specialty: A cross-sectional study. Ann Med Surg (Lond). 2022 Feb 1;74:103305. https://doi.org/10.1016/j.amsu.2022.103305.
Kuteesa J, Musiime V, Munabi IG, Mubuuke AG, Opoka R, Mukunya D, et al. Specialty career preferences among final year medical students at Makerere University College of health sciences, Uganda: a mixed methods study. BMC Med Educ. 2021 Apr 16;21(1). https://doi.org/10.1186/s12909-021-02630-x.
Pincus D. The structure of human motivation. BMC Psychol. 2023 Oct 6;11(1). https://doi.org/10.1186/s40359-023-01346-5.
Morris LS, Grehl MM, Rutter SB, Mehta M, Westwater ML. On what motivates us: A detailed review of intrinsic v. extrinsic motivation. Psychol Med. 2022 Jul 7;52(10):1–16. https://doi.org/10.1017/s0033291722001611.
Corsi PR, Fernandes ÉC, Intelizano PM, Montagnini C, Baracat FI, Sampaio C. Fatores que influenciam o aluno na escolha da especialidade médica. Rev Bras Educ Med. 2014 Jun 1;38(2):213 https://doi.org/10.1590/S0100-55022014000200008.
Sarikhani Y, Ghahramani S, Bayati M, Lotfi F, Bastani P. A thematic network for factors affecting the choice of specialty education by medical students: a scoping study in low-and middle-income countries. BMC Med Educ. 2021 Feb 10;21(1). https://doi.org/10.1186/s12909-021-02539-5.
Martins JB, Rodriguez FP, Coelho ICMM, Silva EM. Fatores que Influenciam a Escolha da Especialização Médica pelos Estudantes de Medicina em uma Instituição de Ensino de Curitiba (PR). Rev Bras Educ Med. 2019 Jun;43(2):152-8. https://doi.org/10.1186/s12909-021-02539-5.
Souza LCL, Mendonça V, Garcia G, Brandão E, Barral-Netto M. Medical Specialty Choice and Related Factors of Brazilian Medical Students and Recent Doctors. Costa MJ, editor. PLoS One. 2015 Jul 24;10(7):e0133585. https://doi.org/10.1371/journal.pone.0133585.
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;9(3):e022097. https://doi.org/10.1136/bmjopen-2018-022097.
Lefevre JH, Roupret M, Kerneis S, Karila L. Career choices of medical students: a national survey of 1780 students. Med Educ. 2010 Jun;44(6):603–1. https://doi.org/10.1111/j.1365-2923.2010.03707.x.
Alyazidi AS, Gaddoury MA, Alotibi FA, Aljehani KM, Ahmed RA, Alhudaifi SA, et al. The determining factors of medical students in considering a specialty as a future career path: A cross-sectional multinational study in the Middle East. J Family Med Prim Care. 2023 Nov1;12(11):2622–34.https://doi.org/10.4103/jfmpc.jfmpc_1742_22.
McDonald C, Henderson A, Barlow P, Keith J. Assessing factors for choosing a primary care specialty in medical students; A longitudinal study. Med Educ Online. 2021 Jan 1;26(1):1890901. https://doi.org/10.1080/10872981.2021.1890901.
Ng-Sueng LF, Vargas-Matos I, Mayta-Tristán P, Pereyra-Elías R, Montenegro-Idrogo JJ, Inga-Berrospi F, et al. Gender Associated with the Intention to Choose a Medical Specialty in Medical Students: A Cross-Sectional Study in 11 Countries in Latin America. Ciccozzi M, editor. PLoS One. 2016 Aug 12;11(8):e0161000. https://doi.org/10.1371/journal.pone.0161000.
Heiligers PJ. Gender differences in medical students’ motives and career choice. BMC Med Educ. 2012 Aug 23;12(1). https://doi.org/10.1186/1472-6920-12-82.
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 Feb 12;94(1110):191–7. https://doi.org/10.1136/postgradmedj-2017-135309.
Levaillant M, Levaillant L, Lerolle N, Vallet B, Hamel-Broza JF. Factors influencing medical students’ choice of specialization: A gender based systematic review. EClinicalMedicine. 2020 Nov;28:100589. https://doi.org/10.1016/j.eclinm.2020.100589.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Revista de Divulgação Científica Sena Aires

This work is licensed under a Creative Commons Attribution 4.0 International License.
-
Atribuição — Você deve dar o crédito apropriado, prover um link para a licença e indicar se mudanças foram feitas. Você deve fazê-lo em qualquer circunstância razoável, mas de nenhuma maneira que sugira que o licenciante apoia você ou o seu uso.
- Sem restrições adicionais — Você não pode aplicar termos jurídicos ou medidas de caráter tecnológico que restrinjam legalmente outros de fazerem algo que a licença permita.
