Department of War Studies, King's College London, London, UK.
Syria Development Centre, London, UK.
BMJ Open. 2023 Jul 20;13(7):e064851. doi: 10.1136/bmjopen-2022-064851.
To provide an overview of the holistic impact of the armed conflict on medical education and health professionals' training (MEHPT) in Syria.
Syria is a country which underwent an armed conflict for 10 years and suffered from the weaponisation of health.
A mixed-methods systematic review including quantitative, qualitative, mixed-methods and textual literature between 2011 and 2021 including papers on the Syrian MEHPT undergraduate and postgraduate education and training personnel (including medicine, dentistry, pharmacy, nursing, midwifery and allied health professionals). The electronic search was conducted in October 2018 in Embase, Global Health, Medline, PsycINFO, Web of Science, PubMed, Scopus, CINAHL and grey literature. And an update to the search was conducted in August 2021 in PubMed, Google Scholar and Trip database.
The impact of conflict on the MEHPT system, personnel, experiences, challenges and channels of support.
Of the 5710 citations screened, 70 met the inclusion criteria (34 quantitative, 3 qualitative, 1 mixed-method, and 32 reports and opinion papers). The two major cross-cutting themes were attacks on MEHPT and innovations (present in 41% and 44% of the papers, respectively), followed by challenges facing the MEHPT sector and attitudes and knowledge of trainees and students, and lastly health system and policy issues, and narrating experiences.
Conflict in Syria has politicised all aspects of MEHPT. Influenced by political control, the MEHPT system has been divided into two distinguished geopolitical contexts; government-controlled areas (GCAs) and non-GCAs (NGCAs), each having its characteristics and level of war impact. International and regional academic institutes collaboration and coordination efforts are needed to formulate educational platforms using innovative approaches (such as online/blended/store-and-forward/peer-training/online tutoring) to strengthen and build the capacity of the health workforce in conflict-affected areas.
概述武装冲突对叙利亚医学教育和卫生专业人员培训（MEHPT）的全面影响。
叙利亚是一个经历了 10 年武装冲突的国家，其卫生系统遭到武器化。
本研究采用混合方法系统评价，纳入了 2011 年至 2021 年期间关于叙利亚 MEHPT 本科和研究生教育以及培训人员（包括医学、牙科、药学、护理、助产和相关卫生专业人员）的定量、定性、混合方法和文本文献。电子检索于 2018 年 10 月在 Embase、全球健康、Medline、PsycINFO、Web of Science、PubMed、Scopus、CINAHL 和灰色文献中进行。并于 2021 年 8 月在 PubMed、Google Scholar 和 Trip 数据库中进行了更新搜索。
冲突对 MEHPT 系统、人员、经验、挑战和支持渠道的影响。
叙利亚的冲突使 MEHPT 的各个方面都政治化了。受政治控制的影响，MEHPT 系统分为两个截然不同的地缘政治背景；政府控制区（GCAs）和非政府控制区（NGCAs），每个地区都有其特点和战争影响程度。需要国际和区域学术机构合作与协调，制定使用创新方法（如在线/混合/存储转发/同行培训/在线辅导）的教育平台，以加强和建设受冲突影响地区的卫生人力。
