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ORIGINAL ARTICLE
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Factors influencing urology physicians in Saudi Arabia for choosing their subspecialty program


1 Medical Intern, College of Medicine, King Saud University, Riyadh, Saudi Arabia
2 Cancer Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
3 Cancer Research Chair, College of Medicine, King Saud University; Cancer Research Chair, Department of Urology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Mostafa A Arafa,
College of Medicine, King Saud University, P.O Box: 34526, Riyadh
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/UA.UA_9_20

Aim: The aim of the study was to identify factors that influence urology physicians for choosing subspecialty and to know the most competitive urology subspecialty among residents. Methodology: An online questionnaire was sent to all Saudi Urology residents, registrars, and fellows all over Saudi Arabia, during February 2019–June 2019. The survey included demographic data, level and location of training, a subspecialty of interest, as well as 15 influencing factors that could affect physicians' choice in the form of Likert scale, ranging from strongly disagree = 0 to strongly agree = 4. Results: Of the 193 urology Saudi physicians, 85 replied (44.1%). Their mean age was 29 + 3.2 years. The majority of them were male (98.8%). There were 66 (77.6%) residents, 12 (14.1%) were fellows, and 7 (8.2%) were registrars. Four factors were found to be significantly different across positions, i.e., personal interest in the subspecialty, patient's prognosis, potential to join a private hospital, and family/friend advice. Among residents, the highest score means of the impact factors were the patient's prognosis, potential to join a private hospital and family/friend advice. The most prominent factors that influence urology physicians to select their subspecialty were personal interest in the specialty (88.2%), followed by the patient prognosis and lifestyle (84.7%, 78.8%). About 28.2% of the participants have a desire of endourology, followed by infertility and pediatric urology (23.5% and 20%, respectively). Conclusion: The most influencing factors among urology physicians for choosing their subspecialty are the patient's prognosis and personal interest. Female medical graduates should be encouraged to join a urology residency.


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    -  Alasim HI
    -  Arafa MA
    -  Rabah DM
    -  Alrawaf FK
    -  Almanie AA
    -  Alkhamshi AS
    -  Almotairi AI
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