Evidence map›Paper›PMID 37474187›Full record

SynthesisBMJ open2023

Impact of armed conflict on health professionals' education and training in Syria: a systematic review.

Yamama Bdaiwi, Ammar Sabouni, Preeti Patel, Abdulkarim Ekzayez, Safwan Alchalati, Omer Abdrabbuh, Aula Abbara, Margaret Glogowska

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 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

8 authors.

Yamama BdaiwiDepartment of War Studies, King's College London, London, UK.ORCID 0000-0002-1020-474X
Ammar SabouniSyria Development Centre, London, UK.
Preeti PatelDepartment of War Studies, King's College London, London, UK.
Abdulkarim EkzayezDepartment of War Studies, King's College London, London, UK.
Safwan AlchalatiSyrian Board of Medical Specialities, Idlib, Syrian Arab Republic.
Omer AbdrabbuhCerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey omar.abdrabbuh@gmail.com.ORCID 0000-0002-5898-0430
Aula AbbaraDepartment of Infection, Imperial College London, London, UK.
Margaret GlogowskaNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide an overview of the holistic impact of the armed conflict on medical education and health professionals' training (MEHPT) in Syria.

settingSyria is a country which underwent an armed conflict for 10 years and suffered from the weaponisation of health.

methodsA 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. OUTCOMES: The impact of conflict on the MEHPT system, personnel, experiences, challenges and channels of support.

resultsOf 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.

conclusionConflict 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.

Indexed as

Education, MedicalHealth PersonnelAllied Health PersonnelArmed ConflictsHumansSyriaeducation & training (see medical education & training)health educationmedical education & training

Identifiers

PMID37474187
PMCPMC10360414

What OpenQuestion holds

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Registered trials

None linked

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.