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      Afghan medical students’ perceptions, and experiences of their medical education and their professional intentions: a cross-sectional study

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          Abstract

          Background

          Numerous challenges have crippled the Afghan healthcare system on individual, organizational, and societal levels. The Afghans have acknowledged that an evidence-based perspective is paramount to enhancing medical training capacities across the country, which may, in turn, best ensure appointing highly competent authorities to address health system problems on such multiple levels.

          Objectives

          This study assessed current Afghan senior medical students’ perceptions, and experiences of their medical education and their future professional intentions.

          Methods

          We conducted this cross-sectional study at seven public and private Afghan medical institutes from March to April 2022. We invited 665 senior medical students through an anonymous survey using the Google survey online forms via social-media platforms, such as WhatsApp Messenger. Descriptive statistics were employed for the data analyses.

          Results

          The mean age (± SD) of the students was 23.7 (± 2.2) years and males constituted 79.9% (510) of the study sample. About 22.6% of them rated their medical training as excellent, and nearly a third of them (37%) said that it is good. Nearly half (48.7%) of the students would prefer to stay in Afghanistan. The leading motives for moving overseas were to obtain more advanced and quality education (69.9%), and a decent personal life (43.9%). Nearly two-thirds (67.4%) of them asserted that current political and armed conflicts in Afghanistan may have influenced their professional choices.

          Conclusion

          This study epitomizes that the quality of medical education in Afghanistan has room for growth and development to meet the standards set on regional and global grounds.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12909-023-04577-7.

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          Most cited references16

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          Lessons from the health sector in Afghanistan: how progress can be made in challenging circumstances.

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            Mapping the factors that influence the career specialty preferences by the undergraduate medical students

            It is often perceived that undergraduate medical students do not select their career specialty until they are graduated. This study aimed to probe the preferences of undergraduate medical students about their career specialty and the factors influencing their choices. A self-administered questionnaire was distributed to 3rd through 5th year undergraduate medical students to record their choices of specialties and to identify the factors that influence their career selection. Out of 220 respondents, 29 (13.2%) students selected General Surgery, 24 (10.9%) Pediatrics, and 18 (8.2%) Internal Medicine as their career specialties; whereas 24 (10.9%) students were not able to select a major specialty. The least popular specialties were Gynecology and Obstetrics, Oncology, Histopathology, Orthopedics, Genetics, Psychology, each selected by one student. One hundred and seventeen (53.1%) thought their selected specialty ‘matched their capabilities’ and 82 (37.2%) perceived their selection as “innovative field in medicine”. Career advice by friends and families and the desire to serve academic institutions could not influence career selection. Career preferences by medical students result from the interplay of a range of factors. General Surgery, Pediatrics and Internal Medicine were the most preferred specialties. The professional grooming programs to target specialties matching the trainees’ capabilities and the specialties with state-of-the-art innovative technologies attract medical undergraduate students. The attained knowledge is vitally important for the policy makers in modifying the existing framework that can cater the popular and favored specialties.
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              Medical research: Perception and barriers to its practice among medical school students of Chennai

              BACKGROUND: Knowledge of medical students about research has been little explored. Although there has been a practice of medical research among undergraduate level, the practice is not universal and there have been potential barriers and difficulties in carrying out the research. The present study was done to find the perception and attitude toward medical research and to assess the practices and potential barriers in carrying out medical research. METHODOLOGY: This cross-sectional study was conducted among 344 medical school students of a medical college in Chennai, Tamil Nadu, in 2018. Systematic random sampling was used. The study tool was self-administered questionnaire including questions on knowledge, barrier, and 5-point Likert scale for assessing attitude. Adequate knowledge (>70% correct answers) and positive attitude (>25 score) were considered. RESULTS: Among the 344 study participants, only 127 (36.9%) of students had adequate knowledge and 68 (19.8%) had positive attitude toward medical research. Regarding practice of research, only 34.3% had conducted a research and only 17.4% had published in journals. Difficulty in choosing topic, difficulty in collecting data, and allocation of time amidst academic activities were considered as a barrier by 41.6%, 40.7%, and 45.9%, respectively. Association of adequate knowledge and practice was statistically significant for age (P = 0.000), gender (P = 0.000), and academic year (P = 0.000). CONCLUSION: Adequate knowledge and positive attitude were lacking in majority of students. Barriers could be addressed by support programs and sensitization toward research.
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                Author and article information

                Contributors
                haroonstanikzai1@gmail.com
                wafahashim@gmail.com
                khalidakbari486@gmail.com
                zabihullah_anwary@yahoo.com
                ahmadharoon.baray@gmail.com
                hadiasayam7@gmail.com
                waheed330@gmail.com
                Journal
                BMC Med Educ
                BMC Med Educ
                BMC Medical Education
                BioMed Central (London )
                1472-6920
                11 August 2023
                11 August 2023
                2023
                : 23
                : 569
                Affiliations
                [1 ]GRID grid.440459.8, ISNI 0000 0004 5927 9333, Public Health Department, Faculty of Medicine, , Kandahar University, ; Kandahar, Afghanistan
                [2 ]GRID grid.440459.8, ISNI 0000 0004 5927 9333, Neuropsychiatric and Behavioral Science Department, Faculty of Medicine, , Kandahar University, ; Kandahar, Afghanistan
                [3 ]GRID grid.449179.6, ISNI 0000 0004 5927 935X, Internal Medicine Department, Faculty of Medicine, , Paktia University, ; Paktia, Afghanistan
                [4 ]GRID grid.448562.9, Clinic Department, Faculty of Medicine, , Bost University, ; Helmand, Afghanistan
                [5 ]Para-Clinic Department, Faculty of Medicine, Malalay Institute of Higher Education, Kandahar, Afghanistan
                [6 ]GRID grid.440459.8, ISNI 0000 0004 5927 9333, Internal Medicine Department, Faculty of Medicine, , Kandahar University, ; Kandahar, Afghanistan
                Article
                4577
                10.1186/s12909-023-04577-7
                10416376
                37563712
                13523a0a-fbe3-4224-8110-28b746a3668d
                © BioMed Central Ltd., part of Springer Nature 2023

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                : 15 September 2022
                : 8 August 2023
                Categories
                Research
                Custom metadata
                © BioMed Central Ltd., part of Springer Nature 2023

                Education
                afghanistan,medical students,medical education,conflict,career choices
                Education
                afghanistan, medical students, medical education, conflict, career choices

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