Evidence map›Paper›PMID 41658777›Full record

ArticleCureus2026

Medical Education Beyond Beirut: A Qualitative Study of Rural Training in Lebanon.

Peter Kfoury, Samira Takkoush, Diane Rizkallah, Frida D Atallah, Charles E Bardawil, Ahmad A Alattar, Nayda H Bidikian, Sarah Wehbe, Salim M Adib

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Peter KfouryFaculty of Medicine, American University of Beirut, Beirut, LBN.
Samira TakkoushFaculty of Medicine, American University of Beirut, Beirut, LBN.
Diane RizkallahFaculty of Medicine, American University of Beirut, Beirut, LBN.
Frida D AtallahFaculty of Medicine, American University of Beirut, Beirut, LBN.
Charles E BardawilFaculty of Medicine, American University of Beirut, Beirut, LBN.
Ahmad A AlattarFaculty of Medicine, American University of Beirut, Beirut, LBN.
Nayda H BidikianFaculty of Medicine, American University of Beirut, Beirut, LBN.
Sarah WehbeFaculty of Medicine, American University of Beirut, Beirut, LBN.
Salim M AdibDepartment of Epidemiology and Population Health, Faculty of Health Sciences, American University of Beirut, Beirut, LBN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Lebanon, a lack of systematic incorporation of rural medical training into medical curricula exacerbates healthcare disparities. This study describes the current state of medical training in rural areas and explores the needs, requirements, and limitations associated with establishing training programs in those areas.

methodsThis qualitative study used semi-structured interviews with relevant stakeholders. Purposive sampling was employed to identify key persons potentially involved in planning medical education programs and the implementation of rural primary healthcare facilities, and to query about their opinions and vision. Of 26 stakeholders invited, eight participated in the study. Inductive analysis was performed to define thematic domains from the transcribed text.

resultsAnalysis identified four major themes: (i) disconnect between legal requirements and practicality, (ii) mutual benefits, (iii) reality of rural medical training: existing efforts and challenges, and (iv) a practical model for implementation. Responses covered the status of rural medical training in Lebanon, rural communities' needs, challenges, and a proposed implementation model. Despite legal requirements mandating rural service for practicing physicians in Lebanon after graduation, enforcement is inconsistent, with medical training and practice concentrated in urban centers. Barriers such as supervisor shortages and financial constraints hinder any rural implementation. Collaborative efforts between local and national governments and academic institutions are recommended to address these challenges through new legislative frameworks, quality improvement of primary healthcare centers, and targeted funding.

conclusionsFuture initiatives should address existing obstacles to establish a sustainable and equitable healthcare system nationwide. While limited by a small sample size and the qualitative scope, this research can serve as a foundation to create a model for improving medical education and healthcare delivery in rural areas, in Lebanon, the Arab region, and other low- and middle-income countries facing similar challenges.

Indexed as

low- and middle-income countriesmiddle east countriesprimary healthcareprimary healthcare centersqualitative researchrural health services

Identifiers

PMID41658777
PMCPMC12882807

What OpenQuestion holds

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LicenceCC BY
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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.