By the Numbers: Specialty Preferences Before and After Med School
Do you know how many of your peers end up in the field they picked when they began medical school? Which specialty preferences are students most likely to stick with, and which ones attract students along the way? We break down the statistics.
The odds
Chances are you will end up in a different medical specialty than the one you had picked out when you first set foot on campus.
Just 1 in 4 medical school graduates ended up in the same specialty they picked the summer before they started medical school, according to a recent report from the Association of American Medical Colleges. That statistic is based on information from 10,353 students who indicated a specialty preference on the 2015 Graduation Questionnaire (GQ) and participated in the Matriculating Student Questionnaire (MSQ) they were invited to complete the summer before the first year of medical school.
Slightly more than one-half of the students who indicated a preference on the MSQ ended up in a different specialty than the one reported before gross anatomy and clinical rotations, the data showed. Another 15 percent were undecided when they took the MSQ, while 7 percent of the students had no MSQ response.
Specialties with staying power
Orthopaedic surgery and its subspecialties had the highest percentage of students who initially indicated they planned to pursue that field, the data showed. Among the 2015 graduates going into a residency for orthopaedic surgery or a subspecialty, 53.6 percent had said that was what they wanted to pursue when they began medical school.
Rounding out the top five specialties with the highest percentage of graduates pursuing their initial preference were:
- Pediatrics or a subspecialty: 37.7 percent
- Neurological surgery: 33.1 percent
- Emergency medicine or a subspecialty: 31.8 percent
- Family medicine or a subspecialty: 31.6 percent
Among the 2,033 going into internal medicine or a subspecialty, 26.3 percent initially said they wanted to pursue that specialty.
New specialty picks
Internal medicine/pediatrics had the largest percent of students who indicated a different specialty before they started medical school, with 78.9 percent thinking they would pursue a different field. The other top specialties with students who originally thought they would go into a different type of medicine were:
- Physical medicine and rehabilitation or subspecialty: 69.9 percent
- Urology: 71.0 percent
- Otolaryngology or subspecialty: 68.1 percent
- Preventive medicine or subspecialty: 66.7 percent
Slightly less than one-half of the more than 2,000 graduates going into internal medicine and its subspecialties reported a different specialty interest before starting medical school.
Dallas, TX
By Tanya Albert Henry
Source: AMA