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ISSN (Online): 1694-4658
Emerging Medical Science
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  2. Vol. 5, No. 01, (2026)
  3. Medicine Versus Surgical Specialty Preferences among House Officers in…
Review Article Open Access

Medicine Versus Surgical Specialty Preferences among House Officers in Pakistan: A Multi-Center Cross-Sectional Study and a Literature Review

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Emerging Medical ScienceVol. 5, No. 01, (2026) February 11, 2026pp. 08 - 16
55 38
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Abstract

Background: Choosing a medical specialty is one of the most important decisions for young doctors. In addition to affecting their personal and professional lives, this choice has an impact on the healthcare system as a whole, influencing service delivery and personnel distribution. This study aims to understand the current specialty preferences of house officers in major Pakistani hospitals and to explore the key factors influencing their decisions. Methods: This is an observational multi-center cross-sectional study and literature review conducted in four major hospitals—Pakistan Institute of Medical Sciences (PIMS), Shifa International, Holy Family, and FAUJI Foundation—between June and July 2025. Data collection employed a self-administered questionnaire via Google Forms. Descriptive analysis and a binary logistic regression model were used to summarize the findings. Results: Among the 180 house officers surveyed in Pakistan, internal medicine was the most desired specialty, chosen by 43.9% of participants. This was followed by general surgery (32.2%) and pediatrics (7.2%). The most common reported factor contributing to the specialty choice was passion, 117 (65.00%). Regarding preference rates for medicine versus surgery, gender, the presence or absence of a role model, and consistency in decision-making were statistically significant predictors. Conclusion: The most sought-after specialty among Pakistani house officers was internal medicine. A strong focus on specialization was driven by passion, gender, and role models.

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