Determinants of proclivity for anaesthesia as a career among medical students in a Southwestern Nigeria tertiary institution: a cross-sectional study
摘要
Nigeria faces a critical shortage of anaesthetists (0.113 per 100,000) exacerbated by consistently low uptake among medical graduates. This study investigated factors influencing medical students’ interest in anaesthesia as a career choice.
MethodsA descriptive cross-sectional survey was conducted among 147 final-year and penultimate medical students at University College Hospital, Ibadan, using a structured self-administered online questionnaire. Data were collected in March 2025 and analyzed using SPSS version 27 employing Chi-square tests and binary logistic regression.
ResultsAmong students considering specialization, 29.2% expressed interest in anaesthesia and 9.2% ranked it first choice. Among respondents interested in anaesthesia, 28.9% developed interest during clinical exposure, while 65.8% did so after their posting. Key motivators included perceived lucrativeness (92.1%), personal interest (76.3%), and positive rotation experiences (73.7%), while deterrents were low personal interest (90.3%), lack of role models (37.1%), and experience during clinical rotation in the department (25.4%). While most understood the anesthetist’s role, 58.5% planned to practice abroad. Logistic regression found no significant sociodemographic or academic predictors.
ConclusionInterest in anaesthesia among Nigerian medical students remains low but higher than previously reported in other regions. Clinical exposure during rotations plays a pivotal role in shaping career preferences, suggesting a need for enhanced undergraduate training programs and improved mentorship to address the shortage of anaesthetists in Nigeria’s healthcare system.