Abstract Background With the establishment of a new medical college in Botswana to train generalist-doctors and specialists, we set out to explore the career preferences of medical students, factors that influence their choices and attitude to local postgraduate training.Methods A descriptive cross-sectional questionnaire-based study was conducted among medical students in their third to fifth year, at the Faculty of Medicine, University of Botswana.The structured, self-administered questionnaires which were hand-delivered covered demographic characteristics of responders, career choices, preferred location of specialisation and Entity-Linking via Graph-Distance Minimization factors that influenced the choices.Results Of the 143 medical students approached, 116 (81.0%) returned completed questionnaires.
Of the responders, 102 (87.9%) intend to pursue postgraduate specialisation against 2 (1.7%) who declined; 12 (10.3%) were undecided.The four most preferred specialties which constituted 68.
1% were surgery (28.4%), paediatrics (19.0%), internal medicine (12.9%), obstetrics and gynaecology (7.2%).
There was male preference for surgery (p = 0.04), while women were drawn more towards paediatrics and psychiatry (p = 0.04 and p = 0.01, respectively).Personal interest and aptitude was considered the most important factor among most responders (46.
2%), followed by enjoyment of the posting (19.8%).A high proportion of responders 80 (69.0%) preferred to specialise abroad for better exposure/opportunities (48.3%), while for 15.
5%, their preferred courses are not currently available locally.Conclusion Our findings indicated that while four major specialties are preferred, significant gender differences Micromobility Station Placement Optimization for a Rural Setting exist with female students leaning towards non-surgical disciplines.Students prefer specialising abroad on the pretext that foreign centres offer better training opportunities, and many specialist programmes are unavailable locally.