• SAEID KHEZER AHMED Family Physician, Avrocity Family Medicine Center, Duhok, , Kurdistan Region, Iraq
  • RAJAB H. SANAAN Lecturer, Family and Community Medicine Department, College of Medicine, University of Duhok, Kurdistan Region, Iraq
  • DELDAR MORAD ABDULAH Assistant Lecturer, Department of Adult Nursing, College of Nursing, University of Duhok,Kurdistan Region, Iraq
Keywords: Family Medicine, Perception, Society


Background: There is the shortage in the number of family doctors in this region and across the world. The perception of medicine graduates toward family medicine as a career may provide information on the future supply of family doctors in Kurdistan region of Iraq.  The perception and specialty preferences of graduates of Duhok College of Medicine toward family medicine were examined in the current study.

Subject and Methods: A cross-sectional study involving 131 medical graduates aged 24-29 years old of last three years from University of Duhok, College of Medicine working in Duhok governorate hospitals and its primary health centers was applied. Data were collected by the use of an anonymous self-administered questionnaire in English. Descriptive and analytic statistical methods were performed to find out the various aspects of the medical graduates’ preferences toward family medicine.

Results: The number of participants was 131 medical graduates included 59.5% males and 40.5% females. The study revealed that the mean age of the sample population was 26.31±1.36 years. The preferred medical specialties were radiology (40.5%), pediatrics (40.5%), internal medicine (33.6%), and general surgery (32.8%) by both genders. The lowest interest was shown toward the family medicine (10.0%) compared with other medical specialties. Working time (72.5%), prestige (66.9%), and patient interaction (65.6%) have been the most important aspects of their specialty selection in both genders. The majority of them stated that family medicine is poorly valued by our society (79.4%), family doctors have limited career possibilities (43.5%). The family medicine was poorly valued in our society because it does not able to increase the private job opportunities (p=0.003), is not very attractive (p=0.015), have limited career possibilities (p=0.006). Moreover, the graduates did not show their interest towards family medicine because it does not provide the salary as high as other medical fields in our society (p=0.018).

Conclusions: The medical graduates have currently a positive perception of family medicine as an essential clinical specialty in the region; however, they showed low interest in its selection as a future career. Numerous essential steps recommended to be done to reach the sufficient number of family doctor that would fulfill the need of our community.


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1. Macinko J, Starfield B, Shi L. The contribution of primary care systems to health outcomes within Organization for Economic Cooperation and Development (OECD) countries, 1970–1998. Health services research. 2003;38(3):831-65.
2. Watt WD. The family physician: gatekeeper to the health-care system. Can Fam Physician J. 1987;33(5):1101-4.
3. Al-Dabbagh SA. Specialization in family medicine; a necessity or a fashion. Dohuk Medical Journal. 2007;1(1):1-3.
4. Gutierrez C, Scheid P, editors. The history of family medicine and its impact in US health care delivery.2002.
5. Al-Jumaily M, Al-Lami MFH. Satisfaction of Attendants to a Family Medicine Training Center and a Primary Health Care Center in Baghdad. J Fac Med Baghdad. 2010;52(1):41-5.
6. Shabila NP, Al-Tawil NG, Al-Hadithi TS, Sondorp E, Vaughan K. Iraqi primary care system in Kurdistan region: providers’ perspectives on problems and opportunities for improvement. BMC international health and human rights. 2012a;12(1):1-9.
7. Abyad A. Family medicine in the Middle East: reflections on the experiences of several countries. J Am Board Fam Pract. 1996;9(4):289-97.
8. Moore M, Anthony CR, YeeWei L, Jones SS, Overton A, Yoong JK, Lim Y. The future of health care in the Kurdistan Region-Iraq: toward an effective, high quality system with an emphasis on primary care: Rand Corporation, Publications Department; 2014.
9. Khader Y, Al-Zoubi D, Amarin Z, Alkafagei A, Khasawneh M, Burgan S, El Salem K, Omari M. Factors affecting medical students in formulating their specialty preferences in Jordan. BMC medical Education. 2008;8(1):1-7.
10. Hogg R, Spriggs B, Cook V. Do medical students want a career in general practice? A rich mix of influences. Education for Primary Care Journal. 2008;19(1):54-64.
11. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank quarterly J. 2005;83(3):457-502.
12. Gillam S. Is the declaration of Alma Ata still relevant to primary health care? Bmj. 2008;336(7643):536-8.
13. Deutsch T, Lippmann S, Heitzer M, Frese T, Sandholzer H. Choosing to become a general practitioner–What attracts and what deters? An analysis of German medical graduates’ motives. Journal of Family Medicine and Primary Care. 2016;5(1):34–41.
14. Thurber AD, Busing N. Decreasing supply of family physicians and general practitioners. Serious implications for the future. Can Fam Physician J. 1999;45(3):2084-9.
15. Al‐Mendalawi MD. Specialty preferences of Iraqi medical students. The clinical teacher. 2010;7(3):175-9.
16. AbouZaid L, Nabil N, AlFadil S, Alatmi A., Saeed A. Career choice and its influencing factors: Perception of senior medical students. J Contemp Med Educ. 2014;2(3):168-73.
17. Grigg M, Arora M, Diwan AD. Australian medical students and their choice of surgery as a career: a review. ANZ journal of surgery. 2014;84(9):653-5.
18. Sahebari M, Mohhamdzahe Lari S, Baharvahdat H. Choosing a Medical Specialty: Factors Considered by Iranian General Practitioners. Future of Medical Education Journal. 2014;4(4):15-9.
19. Mehmood SI, Kumar A, Al-Binali A, Borleffs JC. Specialty preferences: trends and perceptions among Saudi undergraduate medical students. Medical teacher. 2012;34(sup1):S51-60.
20. AlKot MM, Gouda MA, KhalafAllah MT, Zahran MS, Kallaf MM, Zayed AM. Family Medicine in Egypt From Medical Students' Perspective: A Nationwide Survey. Teaching and learning in medicine. 2015;27(3):264-73.
21. Mariolis A, Mihas C, Alevizos A, Gizlis V, Mariolis T, Marayiannis K, Tountas Y, Stefanadis C, Philalithis A, Creatsas G. General Practice as a career choice among undergraduate medical students in Greece. BMC medical education. 2007;7(1):1-6.
22. Al-Fouzan R, Al-Ajlan S, Marwan Y, Al-Saleh M. Factors affecting future specialty choice among medical students in Kuwait. Medical education online J. 2012;17(2012):1-7.
23. Fevzi , Yaris F, Topsever P, Muge Filiz T, Serdar Gurel F, Cubukcu M, Gorpelioglu S. Factors affecting choice of specialty among first-year medical students of four universities in different regions of Turkey. Croatian medical journal. 2008;49(3):415-20.
24. Mishari Ak, Essa SA, Hamdan AS. Job Satisfaction among Primary Health Care Physicians in AlKarkhdistrict,Baghdad. Mustansiriya Medical Journal. 2014;13(1):65-70.
25. Jordan J, Brown JB, Russell G. Choosing family medicine. What influences medical students? Can Fam Physician J. 2003;49 (9):1131-7.
26. Moosa S, Downing R, Mash B, Reid S, Pentz S, Essuman A. Understanding of family medicine in Africa: a qualitative study of leaders’ views. The British journal of general practice : the journal of the Royal College of General Practitioners. 2013;63(608):e209-e16.
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