Human Resources for Health最新文献

{"title":"The role of calling in medical students' migration intention.","authors":"Gizem Limnili, Oğulcan Çöme, Nilgun Ozcakar","doi":"10.1186/s12960-026-01046-2","DOIUrl":"10.1186/s12960-026-01046-2","url":null,"abstract":"<p><strong>Background: </strong>A sense of calling-defined as viewing work as a meaningful contribution to society-has been linked to job satisfaction and overall well-being. In medicine, this intrinsic motivation may interact with systemic challenges and influence physicians' career trajectories, including their desire to work abroad.</p><p><strong>Aim: </strong>To examine the relationship between medical students' sense of calling and their willingness to work abroad, comparing first- and final-year students.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at a Turkish medical school in 2024. A total of 278 students (140 first-year, 138 final-year) completed a structured online questionnaire. The survey included socio-demographic characteristics, perceptions of the medical profession, intention to work abroad, and the Turkish version of the Calling and Vocation Questionnaire (CVQ). Descriptive and comparative statistical analyses were conducted, with statistical significance set at p < 0.05.</p><p><strong>Results: </strong>More than half (56.8%) of students expressed a desire to work abroad, primarily citing a higher quality of life and income. First-year students reported significantly higher interest in working abroad and marginally higher \"presence of calling\" scores than final-year students. Dissatisfaction with the healthcare system and anticipated income were significantly associated with the intention to migrate. The presence of calling was slightly, though not significantly, higher among students intending to relocate.</p><p><strong>Conclusion: </strong>Medical students' vocational ideals decline over time, influenced by systemic dissatisfaction and perceived limitations within the national healthcare system. Addressing structural barriers in medical education and professional practice is essential to preserving professional motivation and mitigating physician migration.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"12"},"PeriodicalIF":5.4,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12911210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The determinants of health workers' job satisfaction in the Saudi Arabian health facilities.","authors":"Mohannad Alkhateeb, Sayem Ahmed, Solveig Lövestad, Jahangir Khan","doi":"10.1186/s12960-025-01045-9","DOIUrl":"10.1186/s12960-025-01045-9","url":null,"abstract":"<p><strong>Background: </strong>Job satisfaction is closely related to health service quality and patients' outcomes, including safety and continuity of care. With the transformation of Saudi Arabia's healthcare system driven by Vision 2030, determining the factors influencing job satisfaction among healthcare workers has become critical.</p><p><strong>Objective: </strong>To identify the sociodemographic determinants and their association with healthcare workers' job satisfaction in public hospitals in Jeddah, Saudi Arabia.</p><p><strong>Methods: </strong>Through a cross-sectional design, healthcare workers from 13 public hospitals were invited to respond to a self-administered questionnaire based on Spector's Job Satisfaction Survey. Data were collected via an electronic online survey (Google Form). Chi-square, ANOVA, independent t-tests, and multiple linear regression analysis were used.</p><p><strong>Results: </strong>Nine hundred and thirty-two healthcare workers responded. There were significantly more females than males among nurses, midwives, and those with bachelor's qualifications. Conversely, there were significantly more males than females in administrative jobs. Males reported significantly higher income, were more likely to be married, and perform non-clinical work. Higher satisfaction scores were reported among males, non-Saudis, those 50 years or above, holding a diploma education, married, working in a tertiary hospital, and working the day shift. The regression model showed that being female, working in a night or rotating shift were negatively associated with job satisfaction. Being non-Saudi and working part-time were positively associated with job satisfaction.</p><p><strong>Conclusions: </strong>Job satisfaction was higher among non-Saudis and those working part-time. It was lower among females and those working at night or rotating shift.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"11"},"PeriodicalIF":5.4,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12903613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Contextualising the job demands-resources model: a cross-sectional study of the psychosocial work environment across different healthcare professions.","authors":"Britta Elsert Gynning, Elin Karlsson, Kevin Teoh, Per Gustavsson, Filip Christiansen, Emma Brulin","doi":"10.1186/s12960-025-01044-w","DOIUrl":"10.1186/s12960-025-01044-w","url":null,"abstract":"","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":"24 1","pages":"5"},"PeriodicalIF":4.3,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12817412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing health workforce shortages: analysing dental students' career choices and barriers to public health dentistry in Pakistan.","authors":"Muhammad Taqi, Syed Jaffar Abbas Zaidi, Amber Saeed, Abdul Hafeez Shaikh","doi":"10.1186/s12960-026-01048-0","DOIUrl":"10.1186/s12960-026-01048-0","url":null,"abstract":"<p><strong>Background: </strong>The shortage of healthcare professionals, particularly public health dentists, in Pakistan, hinders the achievement of Sustainable Development Goal 3, which emphasizes good health and well-being. Dental Public Health (DPH) focuses on population-based oral healthcare, but it remains an underrepresented career choice among dental students in Pakistan. Understanding the factors that influence students' specialty choices is crucial for addressing workforce gaps and improving oral health outcomes.</p><p><strong>Methods: </strong>This sequential explanatory mixed-methods study was conducted from February to June 2023 in Karachi, Pakistan. The quantitative phase involved a cross-sectional survey of 350 third- and fourth-year dental students and house officers from six randomly selected dental schools, with a response rate of 52% (n = 185). An adapted and validated questionnaire assessed attitudes toward pursuing DPH as a career. The data were analyzed using SPSS version 21. The qualitative phase included in-depth semi-structured interviews with 20 purposively selected participants to explore the motivations behind their specialty choices. A thematic analysis was performed on the qualitative data.</p><p><strong>Results: </strong>Only 17.5% of house officers expressed an interest in pursuing DPH, compared to 39.2% of third-year students and 20.8% of fourth-year students. The majority preferred clinical specialties such as oral surgery. Students from private institutions showed slightly higher interest in DPH (37.3%) than those from public institutions (18.6%). Key themes from the interviews revealed that clinical specialties are favored for better financial prospects and relevance to private practice. DPH was considered a fallback option if clinical specialty was unattainable. Several participants acknowledged DPH's role in community service, research opportunities, and job security but felt that these benefits were insufficient to choose it in clinical fields.</p><p><strong>Conclusions: </strong>There is declining interest in DPH as students' progress in their dental education, with a strong preference for clinical specialties due to perceived financial and professional advantages. Strategies such as integrating public health principles into the curriculum, providing incentives, and raising awareness about the importance of DPH are recommended to address the shortage of public health dentists in Pakistan. Enhancing the appeal of DPH as a viable career option is essential to strengthen the public health workforce and improve oral health equity.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"9"},"PeriodicalIF":5.4,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145971356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"HRM issues and practices in internal stakeholder management for healthcare: a bibliometric and systematic literature analysis.","authors":"Lavender Awino Okore, Edina Molnár","doi":"10.1186/s12960-026-01049-z","DOIUrl":"10.1186/s12960-026-01049-z","url":null,"abstract":"<p><p>Effective human resource management (HRM) is a dominant topic of interest owing to its crucial role in both health production and service provision. Despite the recognition of the fundamental Strategic HRM (SHRM) practices, the intellectual structure and direction of research is yet to be fully developed, integrated and practically evolved in response to contemporary developments. Therefore, this study analyses the knowledge structure and evolution of HRM issues and practices in internal stakeholder management (ISM) within healthcare. In this study, we conduct a bibliometric analysis of 477 articles published in the Web of Science database from 2000 to 2024. The articles were synthesised through a qualitative analysis (citation network analysis and a concurrence network of key words). We synthesised 6 clusters that highlighted distinct themes and their respective references using VOS Viewer. Thereafter, a systematic analysis was conducted to identify gaps and synthesize findings. The findings revealed 6 major thematic clusters: (1) HRM Innovation and Work Engagement Practices; (2) Lean Management and Empowerment; (3) Cross-sectoral High Performance Work Systems (HPWS); (4) Work Environment and Patient Satisfaction Factors-high commitment work systems (HCWS); (5) Leadership and Employee Well-being; (6) HRM and Institutional Performance. The analysis confirmed employee well-being, leadership engagement, burn-out and the implementation of HPWS and HCWS as emerging issues in HRM practice. The findings evidence the evolution of HPWS towards a dual integrated model with employee well-being, centrally supported by leadership. We highlight the strategic framing significance of SDG 3 (Good Health and Well-being) and SDG 8 (Decent Work and Economic Growth), in the operationalisation and cascading of public and organisational HRM practices in healthcare. We argue out the managerial tension in managing efficiency and satisfaction based on the influential studies advancing performance and other dominant clusters revealing salience for human capital support. Therefore, the findings uphold the imperative of anchoring (SHRM) practices on engaging leadership, fair compensation practices, employee well-being, robust and responsive support systems. We contribute to enhanced ISM organisational performance and sustainable health-care delivery by bringing to the fore evidence-based insights that supports policy development and effective health-care management.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"7"},"PeriodicalIF":5.4,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between medical education reforms and trends in the ophthalmology workforce and cataract surgery performance in Kazakhstan.","authors":"Yuliya Semenova, Malika Urazhanova, Temirgali Aimyshev, Abduzhappar Gaipov","doi":"10.1186/s12960-026-01047-1","DOIUrl":"10.1186/s12960-026-01047-1","url":null,"abstract":"<p><strong>Background: </strong>In 2008, Kazakhstan introduced a structured ophthalmology residency program. Between 2008 and 2020, two parallel training pathways coexisted: a three-year residency program and short-term ophthalmology training courses lasting up to six months. After 2020, only the residency program remained in place. This study aims to examine the associations between these medical education reforms and the observed trends in the absolute numbers and per million population (PMP) rates of ophthalmologists in Kazakhstan from 1998 to 2022. Furthermore, it explores temporal patterns in cataract surgery performance by ophthalmologists across the country.</p><p><strong>Methods: </strong>Interrupted Time Series (ITS) analysis using ARIMA models was conducted to examine the associations between medical education reforms and the number and PMP rates of ophthalmologists in Kazakhstan, as well as their performance in conducting cataract surgeries.</p><p><strong>Results: </strong>Throughout the study period, the PMP rates of ophthalmologists ranged from 59.73 to 90.48, demonstrating an overall upward trend. The ITS model identified a statistically significant negative level change in both the number and PMP rates of rural ophthalmologists at the time of the residency program's introduction in 2008, whereas no statistically significant association was observed for urban ophthalmologists. The discontinuation of short-term training courses exerted a minor, statistically insignificant negative effect on the numbers and PMP rates of ophthalmologists. The number of cataract surgeries performed varied between 9,550 and 19,018, corresponding to a cataract surgical rate ranging from 639.72 to 1,067.88, with marked regional disparities.</p><p><strong>Conclusion: </strong>This evaluation provides exploratory evidence on how medical education reforms may be associated with temporal changes in the ophthalmology workforce and cataract surgery performance, and can inform future policy discussions on ophthalmology training and service provision in Kazakhstan.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"8"},"PeriodicalIF":5.4,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12888199/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing health system and service delivery capacity in responding to changing disease patterns in the Philippines: an analysis using national health information system longitudinal data.","authors":"Yikai Feng, Roemer D Tanghal, Beatriz Ianne Laolao, Junyi Shi, Yanxin Bi, Jie Wang, Minmin Wang, Yinzi Jin, Yunguo Liu","doi":"10.1186/s12960-025-01041-z","DOIUrl":"10.1186/s12960-025-01041-z","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The Philippines is experiencing an escalating prevalence of noncommunicable diseases (NCDs). As a country with aspirations of achieving universal health coverage, it is imperative to undertake evidence-based health planning to align health service coverage and health resources with the requisite NCD-related health services in each region. This study aimed to address the following questions: (1) in light of the mounting burden of NCDs, to what extent do the health systems and service delivery capacity align with the local health service needs? (2) Which regions require greater attention? and (3) Which aspects of health system strengthening should be prioritized in these regions?&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using regional, provincial, and municipal data from the Field Health Services Information System (FHSIS) Annual Report, the Philippine Statistical Yearbook, and the Philippine Health Statistics, we constructed the Noncommunicable Diseases-Health Care Need Index (NCD-HCNI) and health system and service delivery index (HSSDI) in each region. To ascertain the overall trend of these indicators across regions, we employed the average annual percent change (AAPC) for the longitudinal data of these indicators for the period 2010 to 2022 in calculating the health system development index (HSDI). The sub-indexes (for NCD-HCNI: health status index/risk factor index; for HSSDI: health service coverage index/health units index/health workforce index; for HSDI: health service coverage development index/health workforce development index) were employed to identify priority regions. Regression models and correlation analyses were used to ascertain the compatibility between the capacity of the health system and service delivery and the NCD-related health care need at the regional level.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;The NCD-HCNI was higher in the Davao Region (64.34), Calabarzon (61.61), National Capital Region (59.80), BARMM (49.39), and Northern Mindanao (46.11), while the HSSDI for National Capital Region (25.25) and Northern Mindanao (26.24) were comparatively lower. The HSDI was lower in the National Capital Region (31.41), Davao Region (51.38), and BARMM (65.00). A negative correlation was observed between HSSDI and NCD-HCNI at both regional (β = -0.45, p &lt; 0.05) and provincial levels (β = -0.17, p &lt; 0.05), indicating that there is an inverse relationship between the availability of health resources and the need for NCD-related health services in the Philippines. A positive correlation was noted between HSSDI and HSDI at the provincial and municipal levels (β = 0.20, p &lt; 0.05), indicating that regions with low availability of health resources also exhibit health system development gaps. Specifically, the health workforce index demonstrated a negative correlation with the health status index (r = -0.29, p &lt; 0.01), the proportion of adults aged 20 years and above with hypertension (r = -0.30, p &lt; 0.01), and the proport","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"4"},"PeriodicalIF":4.3,"publicationDate":"2026-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12809893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145906714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Too many, too soon? Challenges in medical school expansion in the United Kingdom.","authors":"Tomas Ferreira, Alexander M Collins","doi":"10.1186/s12960-025-01038-8","DOIUrl":"10.1186/s12960-025-01038-8","url":null,"abstract":"<p><p>The persistent shortfall in medical staffing in the UK has drawn renewed focus since the government first published its NHS Long Term Workforce Plan, in which it pledged to double the capacity of UK medical schools in the context of significant bottlenecks in doctors' pathways to career progression. In this article, we challenge the viability of medical school expansion as a tool to combat the persistent workforce crisis in the NHS. Our critique contributes to the ongoing workforce planning debate, and highlights issues with clinical capacity, sustainability, and the preservation of educational standards. With an updated Long Term Workforce Plan forthcoming, we urge policymakers to implement an immediate moratorium on medical school expansion in the UK until these factors - and a viable future for the medical profession - can be guaranteed.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":"23 1","pages":"72"},"PeriodicalIF":5.4,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12754921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145865791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Job satisfaction among postgraduate dental students and its contributing factors: a cross-sectional analysis.","authors":"Fahimeh Farzanegan, Erfan Shadi, Habibollah Esmaily, Fateme Hashemi, Arsalan Shahri","doi":"10.1186/s12960-025-01039-7","DOIUrl":"10.1186/s12960-025-01039-7","url":null,"abstract":"<p><strong>Background: </strong>This analytical cross-sectional study assessed job satisfaction, stress, and perceived social support among postgraduate dental students and identified contributing factors.</p><p><strong>Methods: </strong>Sixty-four postgraduate dental students across 10 specialties at Mashhad Dental School participated between January and February 2024. A structured questionnaire included the Brayfield-Rothe Job Satisfaction Scale, a validated Persian Job Satisfaction Scale, the Multidimensional Scale of Perceived Social Support, and the Ryff Psychological Well-Being Scale. Demographic data were also collected. Statistical analyses examined relationships between variables, with a significance level of 0.05.</p><p><strong>Results: </strong>The Brayfield-Rothe Scale indicated above-average job satisfaction (p < 0.05), while the Persian Job Satisfaction Scale showed below-average scores (p < 0.05). Perceived social support (p < 0.05) and psychological well-being (p < 0.05) were above average. Married students reported significantly higher satisfaction and social support (p = 0.002). Significant correlations were found between job satisfaction, perceived social support, and psychological well-being.</p><p><strong>Conclusion: </strong>Postgraduate dental students reported high perceived social support and psychological well-being but elevated stress levels, with varying job satisfaction across scales. Married students demonstrated higher satisfaction and support. Enhancing support systems and stress-reduction strategies in dental education is recommended.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":"23 1","pages":"71"},"PeriodicalIF":5.4,"publicationDate":"2025-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12752424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What drives Malaysian medical students' specialty choices? Findings from the MMSCI study.","authors":"Gerald Tze Zhen Ser, Zhi Sean Teng, Wei-Han Hong, Chin Hai Teo, Yang Faridah Abdul Aziz, Jamunarani Vadivelu","doi":"10.1186/s12960-025-01042-y","DOIUrl":"10.1186/s12960-025-01042-y","url":null,"abstract":"<p><strong>Introduction: </strong>The training of clinical specialists in Malaysia on completion of the undergraduate medical programme is long and expansive. In recent years, the training process has been plagued with issues of funding, recognition, insufficient training opportunities, and lack of uniformity in the delivery of the training. However, there is a dire shortage of clinical specialists across all specialties in Malaysia, especially with the increase in demand for healthcare services. An analysis of the intentions of Malaysian medical students to specialise and the factors that influence their decisions is currently lacking. This study aims to provide insights into specialty training and may inform the planning of human resources for health in the country.</p><p><strong>Methods: </strong>This was a cross-sectional study involving 859 medical students from 21 medical schools in Malaysia. This study was part of the Malaysian Medical Students' Career Intentions (MMSCI) project. Data were collected via a self-administered online questionnaire.</p><p><strong>Results: </strong>Majority of medical students expressed an interest to specialise (85%). The most favoured specialties were General Surgery, Paediatrics, and Obstetrics and Gynaecology. Medical students from private universities had a greater intention to specialise compared to public university students (p < 0.001). Male medical students were more likely to select a pure surgical specialty as compared to medical-based specialties (p = 0.037). Female medical students rated \"Working Environment & Conditions\" and \"Work-Life Balance\" as important factors for the choice of specialty training (p = 0.044 and p = 0.032, respectively).</p><p><strong>Conclusion: </strong>Majority of Malaysian medical students expressed intentions to specialise. The preferences in specialty choices in our study reflect the global trends. Passion and interest were the top reasons for medical students when indicating their specialty of choice. Further studies are needed to explore the changing trends in specialty choices and the influencing factors.</p>","PeriodicalId":39823,"journal":{"name":"Human Resources for Health","volume":" ","pages":"6"},"PeriodicalIF":4.3,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145843972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}