Barnett-Vanes Ashton, Hassounah Sondus, Shawki Marwan, Ismail Omar Abdulkadir, Fung Chi, Kedia Tara, Rawaf Salman, Majeed Azeem
Faculty of Medicine, Imperial College London, London, UK Faculty of Medicine, St George's University of London, London, UK Catastrophe and Conflict Forum, Royal Society of Medicine, London, UK.
Faculty of Medicine, Imperial College London, London, UK WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, UK.
BMJ Open. 2016 Feb 16;6(2):e010460. doi: 10.1136/bmjopen-2015-010460.
This study surveyed all Iraqi medical schools and a cross-section of Iraqi medical students regarding their institutional and student experiences of medical education amidst ongoing conflict. The objective was to better understand the current resources and challenges facing medical schools, and the impacts of conflict on the training landscape and student experience, to provide evidence for further research and policy development.
Deans of all Iraqi medical schools registered in the World Directory of Medical Schools were invited to participate in a survey electronically. Medical students from three Iraqi medical schools were invited to participate in a survey electronically.
Primary: Student enrolment and graduation statistics; human resources of medical schools; dean perspectives on impact of conflict. Secondary: Medical student perspectives on quality of teaching, welfare and future career intentions.
Of 24 medical schools listed in the World Directory of Medical Schools, 15 replied to an initial email sent to confirm their contact details, and 8 medical schools responded to our survey, giving a response rate from contactable medical schools of 53% and overall of 33%. Five (63%) medical schools reported medical student educational attainment being impaired or significantly impaired; 4 (50%) felt the quality of training medical schools could offer had been impaired or significantly impaired due to conflict. A total of 197 medical students responded, 62% of whom felt their safety had been threatened due to violent insecurity. The majority (56%) of medical students intended to leave Iraq after graduating.
Medical schools are facing challenges in staff recruitment and adequate resource provision; the majority believe quality of training has suffered as a result. Medical students are experiencing added psychological stress and lower quality of teaching; the majority intend to leave Iraq after graduation.
本研究调查了伊拉克所有医学院校以及部分伊拉克医学生，了解他们在持续冲突背景下的医学教育机构经历和学生体验。目的是更好地了解医学院校目前面临的资源和挑战，以及冲突对培训环境和学生体验的影响，为进一步的研究和政策制定提供证据。
邀请了世界医学院校名录中注册的所有伊拉克医学院校的院长参加电子调查。邀请了三所伊拉克医学院的医学生参加电子调查。
主要结果：学生入学和毕业统计数据；医学院校的人力资源；院长对冲突影响的看法。次要结果：医学生对教学质量、福利和未来职业意向的看法。
在世界医学院校名录列出的24所医学院校中，15所回复了最初发送的确认其联系方式的电子邮件，8所医学院校回复了我们的调查，可联系到的医学院校的回复率为53%，总体回复率为33%。五所（63%）医学院校报告称医学生的教育程度受到损害或严重损害；四所（50%）认为由于冲突，医学院校能够提供的培训质量受到损害或严重损害。共有197名医学生回复，其中62%的人认为由于暴力不安全，他们的安全受到了威胁。大多数（56%）医学生打算毕业后离开伊拉克。
医学院校在招聘教职员工和提供充足资源方面面临挑战；大多数人认为培训质量因此受到了影响。医学生正经历额外的心理压力和较低的教学质量；大多数人打算毕业后离开伊拉克。
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