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The aim of the study was to evaluate how the Swedish medical program had prepared for the demands of residency training. A national alumni survey was performed among residents two years after graduation from medical schools in Sweden. The survey comprised three domains: General view of the undergraduate program; to be prepared for clinical work; to be prepared personally, professionally and scientifically. Two thirds of the 424 answering physicians were satisfied or very satisfied with their education. They felt well prepared for history taking and physical exam but less well prepared for more complex clinical issues such as handling patients with psychiatric problems, handling conflict or inter professional team based collaboration. Many wanted a change of the medical program towards a more contemporary curriculum. Their suggestions were in line with the curriculum reforms now taking place at all medical schools in Sweden. Answering women felt significantly less prepared than men regarding several defined clinical skills. This finding should be seen in the perspective that both men and women in this survey answered that the program only in a low grade had highlighted gender questions in the education. This is an important take home message to deans and program directors responsible of curriculum design and quality improvement strategies.

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