Background Even though selecting a surgical career to follow after graduation is a difficult and complex procedure, many other elements may influence a student's choice. The purpose of this study is to identify the variables influencing medical students' and interns' decision to pursue a surgical profession. Methods: A descriptive, cross-sectional survey was conducted distributing questionaire online to sixth-year medical students and interns. Survey items obtained data on demographics, surgical interests, and factors affecting a surgical career. Results A total of 685 participants responded, (76.1%) were sixth-year medical students, and (23.9%) were medical interns. Most participants (70.5%) were interested In pursuing surgery as a future career. Factors influencing students' decisions, such as lifestyle, career opportunities, future employment, work hours, stressful job, financial rewards, lifestyle during training, intellectual challenge, and hands-on work skills, were the highest-scored factors, respectively. On the other hand, the least scored factors were Saudi surgical programs being better than overseas ones, advice from family and friends, and surgery being "female-unfriendly", respectively. Conclusion As most respondents showed interest in pursuing a career in surgery, many factors have played a significant role in their decision. These findings represent an opportunity that needs to be addressed to increase the number of applicants to surgical residency programs.
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