Undergraduate medical education is changing allover the world. Undergraduate teaching is uneven in quality, variable in commitment and lacking in coordinated objectives. The present study aimed at exploring the attitude of the newly graduated physicians about the current and desired undergrąduate medical education in Alexandria Faculty of Medicine. Methods: Cross-sectional approach was adopted where the target population was the newly graduated physicians in the academic year 2000/2001, Alexandria Faculty of Medicine. A representative sample of 300 newly graduated physicians was randomly selected. The study was conducted during the period from the beginning of September 2002 to the end of December 2002 using pre-designed self-administered questionnaire. The questionnaire consisted of two sections. The first section was about socio-demographic characteristics. The second section examined attitude towards medical education by seeking levels of agreement with statements based on the themes of the 1993 General Medical Council [GMC] recommendations for change in medical education. Subjects were asked to rate a series of 21 statements using four point Likert scale ranging from strongly disagree [1] to strongly agree [4]. Data were analyzed using SPSS version 9. In order to reveal differences in attitude of newly attitudes physicians, factor analysis [rotated Varimax] was undertaken to summate the individual items and create educational attitudes. On the basis of the factor analysis, the items were summated to produce four total scores for the different educational orientations. Moreover, differences in the educational orientations scores between newly graduated physicians according to their sex and their final grade were analyzed using tests of significance. Results: A total of 276 out of 300 randomly selected newly graduated physicians completed and returned the questionnaire representing a response rate of 92.0%. Male physicians constituted 56.9% of the studied sample and the rest 43.1% were females with a male to female ratio of 1.3:1. The final grade of achievement at Bachelor degree in Medicine of about 70% of them was either excellent or very good. Most of the statements about medical education received agreement [agreement and strong agreement mixed together] among the majority [>85%] of the respondents. Lesser percentage of respondents [50%-85%] gave agreement on the statement that "the current emphasis in medical education is on passive acquisition of knowledge rather than active one " and on the statements related to greater emphasis in medical education should be placed on " behavioural sciences", " basic medical sciences", "research skills" and "postponing some specialized knowledge as well as the details of new technologies in management to postgraduate training". Using factor analysis, the responses were classified into four educational orientations relating to "psychosocial", "scientific", "active " and "reform" orientation. The results showed gender differences in attitude of newly graduated physicians in educational orientation. Those who got an excellent final grade had the highest mean agreement score for "reform orientation".