Evidence map›Paper›PMID 36597081›Full record

ArticleBMC medical education2023

Revealing the significant shortcomings in the learning environment at the three largest medical schools in Syria: what's next?

Ghaith Alfakhry, Ahmad Naeem, M Bader AboHajar, Aisha Alfakhry, Abdul Fattah Mohandes, Iyad Ali, Ebrahim Makhoul, Nadeem Ahmed, M Mhdy Abla, Khaled Alhomsi and 1 more

Abstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ghaith AlfakhryEducation Quality and Scientific Research Office, Al-Sham Private University, Damascus, Syria. alfakhry.g@aspu.edu.sy.
Ahmad NaeemFaculty of Medicine, Damascus University, Damascus, Syria.
M Bader AboHajarFaculty of Medicine, Damascus University, Damascus, Syria.
Aisha AlfakhryFaculty of Medicine, University of Aleppo, Aleppo, Syria.
Abdul Fattah MohandesFaculty of Medicine, University of Aleppo, Aleppo, Syria.
Iyad AliFaculty of Medicine, Tishreen University, Latakia, Syria.
Ebrahim MakhoulFaculty of Medicine, Tishreen University, Latakia, Syria.
Nadeem AhmedFaculty of Medicine, Tishreen University, Latakia, Syria.
M Mhdy AblaFaculty of Dentistry, Damascus University, Damascus, Syria.
Khaled AlhomsiDepartment of Biomedical Sciences, Al-Sham Private University, Damascus, Syria.
Issam JamousProgram of Medical Education, Syrian Virtual University, Damascus, Syria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical education in Syria still adopts a traditional, teacher-centered curriculum to this day. These elements imply the existence of issues in the learning environment (LE). This study aims to provide the first evaluation of the LE at the largest medical schools in Syria using the DREEM inventory.

methodsThe three largest medical schools in Syria are the ones at Damascus University (DU), University of Aleppo (AU), Tishreen University (TU). The Arabic version of the DREEM questionnaire was used. Students across all years of study except year 1 were approached. Both paper-based and electronic surveys were conducted.

resultsA total of 1774 questionnaire forms were completed (DU:941, AU:533, TU: 300). The overall DREEM score at DU, AU, and TU were 100.8 ± 28.7, 101.3 ± 31.7, and 97.8 ± 35.7 respectively with no significant difference (P = 0.254) between the three universities. DREEM subscales concerning Learning, Atmosphere, Academic Self-perception and Social Self-perception had a low score across all universities. Clinical-stage students reported significantly lower perception (P ≤ 0.001) of the LE in comparison to their pre-clinical counterparts across all subscales.

conclusionsThe findings of this study highlight the significant shortcomings of the medical LE in Syria. If not addressed properly, the academic, clinical, and professional competence of the healthcare workforce will continue to deteriorate. Moreover, the negative LE might be a predisposing factor for medical students' exodus. The Syrian medical education system requires leaders who are willing to defy the status quo to achieve a true educational transformation.

Indexed as

Education, MedicalEducation, Medical, UndergraduateStudents, MedicalCurriculumHumansLearningSchools, MedicalSurveys and QuestionnairesSyriaDREEMLearning environmentMedical educationSyria

Identifiers

PMID36597081
PMCPMC9809110

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.