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Patients' satisfaction at public hospitals is an integral part to any hospital in the world. In recent times, health care industry has restructured its services to give better health care services to the study on patients. The focus of the study on patient' satisfaction from public hospitals services in selected cities Alkharj and Hotat Bani Tamim of Riyadh regions, Saudi Arabia. In these two public hospitals from each city, we conducted a sample of two hundred nineteen patients including hospitals representatives selected to collect primary data using Rasch measurement model, the measured items with the goodness fit and misfit of data. In the public hospitals services five items fulfilled the three stipulated criteria for misfit while two diagnosed as minor misfits. Patients' satisfaction from the two hospitals none of the items fulfilled the three stipulated criteria for misfit is due to varies of response from the respondents. The study shows that public hospitals are not performing well and hospitals services are inappropriate according to the needs of hospital representatives.

Backgrounds: Commonly, doctors migrate for postgraduate study in African and Middle-east countries to western countries. In this study, we would like to know the percentage of graduates who intended to study abroad and determine the factors of their traveling. Material and methods: This is cross-sectional questionnaire survey. Medical students were asked about their future specialty preference, reasons, and site of training. Also, some demographic data were collected. The data was analyzed by SPSS. P value of < 0.05 was considered significant. Result and Discussion: 197 students responded to our survey and filled the questionnaire properly. Participants knew about future specialty from the teacher, the internet, senior college and advice from a family member with rate 83 (42.1%), 42 (22.8%), 41 (21.3%), and 27(13.7%) respectively. One hundred five (53.3%) of the responders preferred to get their specialty training outside Sudan while the remainder 92(46.7%) preferred local training. The commonest specialty selected among both group are medicine and surgery respectively. Obstetrics and gynecology are selected mainly among students who prefer local training 14 out of 15 totally, with statistically significant (p-value = 0.0001). Residency has significant related to the site of training with (P value 0.03). International recognition and advanced facilities are the commonest cause of traveling abroad among the students. While free hands on training and social reasons are the most common causes of home postgraduates training. Conclusion: More than fifty percent of the participant prefers abroad post-graduates training. The factors which influents site training can be defined as "Pull and Push" factors.

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