Medical education in decline: What do 6th year medical students choose for their education in CABA/AMBA?

Introduction: In the current context of the Argentine health system, access to medical residencies was an issue of growing concern for medical students. Faced with job insecurity, excessive working hours and low salaries, this study analyzed the perceptions, motivations and professional alternatives considered by students in the last year of their degree, with the aim of understanding what factors influenced their decision to choose —or not— this training path.Methods: A cross-sectional study was carried out during the months of August and September 2024. One hundred and one sixth-year students from public and private universities in CABA, who resided in CABA or AMBA, participated. Data collection was carried out by means of an anonymous, self-administered and voluntary survey, distributed by digital means. Variables such as type of university, job preferences, perception of the system and future expectations were included.Results: 36.6% of those surveyed said they did not wish to undertake a medical residency. The main reasons given were low pay, poor quality of life and the demanding workload. More than 55% expressed an interest in working abroad or in private practice. The most desired specialties did not always coincide with those offering the most vacancies, reflecting a disconnect between aspirations and reality.Conclusions: The study revealed a generational change in the way medical training is perceived. Future doctors prioritized personal well-being, mental health and better economic conditions over the traditional path of residency.