Faculty of Medicine, International University of Africa, Khartoum, Sudan.
One Percent Research Initiative, Khartoum, Sudan.
PLoS One. 2024 Oct 9;19(10):e0311583. doi: 10.1371/journal.pone.0311583. eCollection 2024.
The ongoing conflict in Sudan has severely disrupted the health professions education, notably in dentistry. This study aims to explore the impact of the armed conflict on dental education and training. A mixed-method cross-sectional study encompassed 29 dental schools in Khartoum, Darfur, Kordofan States, and Merowe City. Five key informants from the Sudanese Medical Specialization Board, the Human Resource Development Administration, and a university offering clinical dental master's programs were interviewed. Quantitative data on attacks against dental schools were collected through a structured Google form, and qualitative data on postgraduate training were obtained through semi-structured key informant interviews. Findings reveal that 79.3% of dental schools faced military assaults, with 73.9% experiencing looting and 60.9% repurposed as military bases. Notably, 44.8% of schools shifted to online education,3.4% collaborated with other universities, and 27.6% adopted a combined approach. Key informants' interviews unveiled disruptions in specialty training and housemanship, limiting access to crucial training facilities. The primary proposed solution was overseas training. Recurrently emphasized strategies to enhance the resilience of the training system included establishing dental centers in all states, collaborating with external training bodies, and anticipating and preparing for potential disasters. The adverse effects of the conflict on both undergraduate and postgraduate dental education are discernible, manifested through resource limitations, a shortage of dental materials and supplies within training facilities, and direct disruptions to clinical training due to attacks on healthcare institutions. The imperative need for urgent interventions is underscored to alleviate these consequences and safeguard the continuity of educational and training efforts.
目前苏丹的武装冲突严重扰乱了医疗专业教育,尤其是牙科教育。本研究旨在探讨武装冲突对牙科教育和培训的影响。这是一项混合方法的横断面研究,涵盖了喀土穆、达尔富尔、科尔多凡州和麦罗威市的 29 所牙科学院。从苏丹医学专业委员会、人力资源开发局以及一所提供临床牙科硕士课程的大学中选取了 5 名主要知情人进行访谈。通过结构化的谷歌表格收集了有关牙科学校遭受袭击的定量数据,通过半结构化的主要知情人访谈收集了有关研究生培训的定性数据。研究结果表明,79.3%的牙科学院遭到了军事袭击,其中 73.9%的学院遭到了抢劫,60.9%的学院被重新用作军事基地。值得注意的是,44.8%的学校转向了在线教育,3.4%的学校与其他大学合作,27.6%的学校采用了混合方式。主要知情人的访谈揭示了专科培训和住院医师培训的中断,限制了获得关键培训设施的机会。主要建议的解决方案是海外培训。反复强调的增强培训系统弹性的策略包括在所有州建立牙科中心、与外部培训机构合作,以及预测和准备可能发生的灾难。冲突对本科和研究生牙科教育的负面影响是显而易见的,表现为资源有限、培训设施内牙科材料和用品短缺以及由于袭击医疗机构而直接中断临床培训。迫切需要采取紧急干预措施来减轻这些后果,并保障教育和培训工作的连续性。