Abstract
BACKGROUND: Choosing a medical specialty is a crucial decision influenced by factors such as personal interest, job opportunities, stability, patient variety, lifestyle, and financial incentives, with gender also playing a role. This study explores factors affecting Arab medical students' preference for cardiology, aiming to address the shortage of cardiologists amidst a high prevalence of cardiovascular diseases in the region and to promote interest in this specialty. METHODS: A cross-sectional study was conducted across Saudi Arabia, Sudan, Egypt, Syria, Jordan, and Algeria. A total of 391 clinical-year medical students completed a structured questionnaire covering demographics, specialty preferences, and influencing factors. Data were analyzed using SPSS. RESULTS: Participants were predominantly aged 18-24 (68.5%) with a balanced gender distribution (57.5% males). While many had completed rotations in internal medicine (81.8%), fewer had done so in cardiology (45.3%). About 47.1% expressed interest in cardiology. Key factors influencing interest included intellectual appeal, salary, national need, scholarship opportunities, and hands-on work. Significant predictors of cardiology interest were completing a cardiology rotation and valuing long-term patient relationships, hands-on work, and intellectual challenges ( P < 0.001, P = 0.02, P = 0.04, respectively). Gender, marital status, and children were not significant predictors. CONCLUSIONS: Despite the high prevalence of cardiovascular diseases and the shortage of cardiologists, interest in cardiology among Arab students is promising, exceeding some global trends. Enhancing hands-on experiences, promoting cardiology rotations, and emphasizing cardiology's intellectual and practical aspects may further boost interest. Future research should investigate educational strategies to promote pursuing a career in cardiology.