Abstract-The aim of this study was to know about the considerations of those admitted to the medicalsurgical postgraduate programs at the University of Cartagena. An observational descriptive methodology was implemented using the databases of the Graduate Department of Medicine. It was noted that the largest number of applicants are from the University of Cartagena followed by the University of Sinu, however in the last year 2017 the second place of admissions, corresponded to graduates of the University of Antioquia. Keywords: Faculty of Medicine, Medical specialties, admission.I. INTRODUCTION A selection of specialties implies a transformation from the undifferentiated undergraduate stage to a completely differentiated professional enterprise, where all future efforts would focus on a single specialized field of medical discipline [1].The evolving landscape of the medical field through innovative and creative developments in technologies has a profound impact on the selection of clinical specialties [2]. In addition, socio-economic and organizational factors also strongly influence the dynamics of medical specializations. Over the past 10 years, the medical profession has broadly opened its doors to women and society, undergoing profound changes, such as the 35-hour work week in some European countries [3]. Medical students have not been spared from these changes and only a few are willing to participate in surgical careers, judged by many to be too restrictive and sometimes underestimated [4].Residents who are currently on the road to surgery are primarily those who have had some contact with surgery during their previous training (called "externat" in France). The situation is complex and several factors influence the choice of students for one or another surgical subspecialty (previous contact with the subspecialty, quality of life, possible income, type of activity) [3].Beyond the challenges inherent in educating and training future generations of general surgeons, surgical educators face the potentially daunting task of identifying successful training candidates who may be successful in their programs and are unlikely to drop out. On the other hand, with an emphasis on Colombia, the national supply of medical programs has increased in recent years by just over 150% from 21 % in 1992 to 64 % in 2015. In some cases, the regional supply is growing much more rapidly [5]. From the 288 institutions of higher education (HEI) registered in Colombia, 64 have qualified registries, Decree 1295 [6] and graduate from 3,500 to 4,000 doctors each year approximately [7].In Cartagena there are 3 Universities with qualified registration that offer training in Medicine and each year 300 doctors graduate approximately.The offer of spots for surgical medical specialties in our country is limited, which in addition to having a working register by the Ministry of National Education, must have an adequate infrastructure, qualified teaching resources and practice scenarios for disciplinary training [5, 7,]. In 2015, the Faculty o...