Objective: To access the reasons that are the driving force for joining the medical field, whether willingly, by parents' wish, or because clinicians are the role models and the career choice of the medical students, Methods: This cross-sectional questionnaire-based study was conducted at Jinnah Medical & Dental College and Dow University, Karachi, from May 2018 to November 2018. All the undergraduate medical (MBBS) students were randomly selected, choosing 40 students from each class in an equal number according to gender (20 female students and 20 male students), first to final years from both of the colleges. Consent to participation was obtained verbally from all of the individuals. A questioner was structured regarding demographic information along with reasons for choosing the medical profession and specialty choice for a future career. All the information was collected by using the questioner based self-made study proforma. Results: A total of 400 students were studied. The majority of the students 59.6% were aged 20–22 years, while 40.5% were 23–26 years old. According to the reasons for choosing the medical profession, 37.0% were due to personal interest and parental wishes, 6.8% said their parents are doctors and they are following them, 28.5% students choose the medical profession to serve humanity, 10.5% chose it for high income, 10.3% followed it as a role model, and 7.0% had multiple other reasons. Most common career choices were 26.5% medicine, 30.0% surgery, 5.3% gynaecology, and 7.5% public health, while 8.0% of students still had not decided. Reasons for choosing the medical profession were statistically significant according to age and gender (p = 0.001). Conclusion: The choice of medical education in Pakistan is still affected by stereotypes thoughts with typical eastern influences. Parental wish is a strong and prevailing factor, followed by to serve humanity. Lack of career counselling and guidelines results in the health industry losing many future doctors every year, as well as loss of potential resources for their training. Keywords: Factors, medical profession, gender, career choice

Objective: To determine the reasons of opting to stay in the Pakistan or abroad between students of tow public and private medical colleges. Materials and Methods: Descriptive cross-sectional, questionnaire-based study was conducted in a Private and Public sector medical college in Karachi from October to November 2018. A sample of 400 medical students 200 from each college, 40 students (20 males; 20 females) from each of first to final (5th) year batches separately were selected randomly. Study protocol was approved by the Ethical Review Committee of DUHS while permission for data collection on a questioner of 16 items was sought from authorities of both Medical Colleges. Data were entered & analyzed into SPSS version 26. Results: The mean age of students was 22.18 ± 1.788 years. Father of 20.3% (n=81) and the mother of 12.8% (n=51) students were MBBS, or BDS and almost all of them were practicing. It was found that with the increasing age / class year preference of working in Pakistan (and UK) increased (Up to 1.5 times; p value < 0.380). Likewise; females prefer Pakistan, UK and Gulf countries more than males who had Pakistan and USA top preference to medicine career in the future (P value = 0.758). Although abroad preference was statically significant among private university student (P value = 0.001). Conclusion: Private university medical students were more observed for opting the foreign countries mostly UK and USA compared to the government Medical University students. Financial Reward, life-Style and job Opportunities were observed the commonest reasons. The lack of career counselling and guideline results in health industry losing many future doctors every year as well as loss of potential resources on their training. Keywords: Medical Education, Motivational factors, Emigration