伊拉克医学生的看法、经历和期望。
Perceptions, experiences and expectations of Iraqi medical students.
机构信息
Al Mustansiriya University, College of Medicine, Baghdad, Iraq.
Department of Community Health, College of Health and Medical Technology, Baghdad, Iraq.
出版信息
BMC Med Educ. 2018 Mar 27;18(1):53. doi: 10.1186/s12909-018-1156-8.
BACKGROUND
The environment for medical education in Iraq has been difficult for many years. The 2003 invasion of Iraq accelerated a steady emigration of faculty and graduates. Kidnappings and deaths of doctors became commonplace. To understand current career plans, expectations and perceptions of medical students, three Baghdad medical schools were surveyed.
METHODS
Written questionnaires were completed by 418 medical students variously in their 4th, 5th and 6th (final)years of training. We asked about perceptions of the quality of their medical education, the quality of health services in Iraq generally, and about deaths, injuries and migration of faculty, classmates and family.
RESULTS
The average age of students was 22 years, with 59% women. Most students (90%) were originally from Baghdad. Although there were some positive responses, many students (59%) rated the overall quality of their medical education as fair or poor. Three-fourths of students believed the quality of hospital care in Iraq to be only fair or poor. A majority of students (57%) stated they were thinking frequently or all the time about leaving Iraq after graduation. Reasons given for leaving included the desire for further education, seeking a better lifestyle and fleeing conflict. Leading reasons for staying included the pull of friends and family, familiarity with the health system, and a sense of responsibility to the country. Nearly one in five (18%) students reported the death of a family member attributable to intentional violence, and 15% reported the violent death of a medical school classmate or faculty member since the 2003 invasion. Half the students reported at least one school faculty members had left Iraq because of the war.
CONCLUSION
Medical students hold a mediocre view of the quality of their medical education and of Iraq's health system. Many of their faculty members have left the country. The majority of students may leave Iraq after graduation, afforded the opportunity. This poses a significant problem for staffing an already demoralized and stressed health system. Current circumstances suggest the situation will continue to deteriorate.
背景
伊拉克的医学教育环境多年来一直很艰难。2003 年伊拉克入侵加速了师资和毕业生的稳定外流。医生被绑架和死亡的情况变得司空见惯。为了了解医学生的当前职业规划、期望和看法，对三所巴格达医学院进行了调查。
方法
通过书面问卷对正在接受培训的四年级、五年级和六年级（最后一年）的 418 名医学生进行了调查。我们询问了他们对医学教育质量的看法、伊拉克一般医疗服务的质量，以及教职员工、同学和家人的死亡、受伤和移民情况。
结果
学生的平均年龄为 22 岁，其中 59%为女性。大多数学生（90%）最初来自巴格达。尽管有一些积极的回应，但许多学生（59%）对他们整体医学教育质量的评价是公平或差。四分之三的学生认为伊拉克医院护理的质量仅为公平或差。大多数学生（57%）表示毕业后经常或一直在考虑离开伊拉克。离开的原因包括渴望接受进一步教育、寻求更好的生活方式和逃避冲突。选择留下的主要原因包括朋友和家人的吸引力、对医疗体系的熟悉程度以及对国家的责任感。近五分之一（18%）的学生报告称，由于蓄意暴力，他们的一名家庭成员死亡，15%的学生报告称，自 2003 年入侵以来，一名医学院同学或教职员工死于暴力。一半的学生报告说，至少有一名学校教职员工因战争离开伊拉克。
结论
医学生对他们的医学教育质量和伊拉克的医疗体系持平庸的看法。他们的许多教师已经离开该国。大多数学生毕业后可能会离开伊拉克，如果有机会的话。这对已经士气低落和压力重重的医疗系统的人员配置构成了重大问题。目前的情况表明，情况将继续恶化。
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