Evidence map›Paper›PMID 41864907›Full record

ArticleBMC medical education2026

Clinical training under movement restriction: checkpoint burden, burnout, and intentions to train abroad among medical students in Palestine.

Nouraldeen Deeb, Salahaldeen Deeb, Alhareth M Amro, Khaled Alhashlamon, Ammir Abuzahra, Samia Hamad, Farid K Abu Shama, Abdallah Qawasmeh

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In one paragraph

Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Nouraldeen Deeb *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.ORCID http://orcid.org/0009-0008-0515-5112
Salahaldeen Deeb *Faculty of Medicine, Al-Quds University, Jerusalem, Palestine. salahdeeb2001@gmail.com.ORCID http://orcid.org/0000-0001-6299-0925
Alhareth M AmroFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.
Khaled AlhashlamonFaculty of Medicine, Al-Quds University, Jerusalem, Palestine.ORCID http://orcid.org/0009-0000-6276-1655
Ammir AbuzahraFaculty of Medicine, Hebron University, Jerusalem, Palestine.ORCID http://orcid.org/0009-0008-8490-3149
Samia HamadFaculty of Medicine, An-Najah University, Jerusalem, MD, Palestine.
Farid K Abu ShamaHealth Education and Scientific Research Unit, Minstry of Health, Ramallah, Palestine.
Abdallah QawasmehHealth Education and Scientific Research Unit, Minstry of Health, Ramallah, Palestine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical education in Palestine occurs amid checkpoint-related movement restrictions that may affect well-being and career plans. We assessed burnout, perceived clinical training adequacy, checkpoint burden, and intention to pursue residency abroad among clinical-year medical students.

methodsWe conducted a cross-sectional online survey in 2025 among 4th–6th year medical students from five West Bank medical schools (N = 371). Burnout and perceived training adequacy were assessed using study-specific multi-item Likert composites adapted from previously published instruments and piloted in Arabic for this context. Checkpoint burden was summarized as a standardized index derived from checkpoint-crossing frequency, delayed arrival or missed training time, and missed clinical days. Intention to pursue residency training abroad was coded as yes versus no/unsure.

resultsMean burnout was 3.29 ± 0.83 and perceived training adequacy was 3.18 ± 0.70; 59.3% of respondents intended to pursue residency training abroad. Burnout was negatively correlated with perceived training adequacy (r = − 0.276, p < 0.0001) and positively correlated with checkpoint burden (r = + 0.245, p < 0.00001), whereas perceived training adequacy was not associated with checkpoint burden (r = + 0.022, p = 0.668). In multivariable logistic regression, higher burnout independently predicted intention to pursue residency training abroad (OR 1.57, 95% CI 1.19–2.08; p = 0.0015), and male sex was associated with higher odds (OR 2.18, 95% CI 1.39–3.42; p = 0.0007), whereas higher checkpoint burden (OR 0.68, 95% CI 0.48–0.96; p = 0.029) and East Jerusalem residence (OR 0.26, 95% CI 0.13–0.49; p < 0.0001) were associated with lower odds of intending to train abroad.

conclusionsHigher burnout was associated with greater checkpoint burden and with intention to pursue residency training abroad. Perceived training adequacy was not associated with checkpoint burden. Given the cross-sectional design and the use of adapted, not formally validated, composite measures, these findings should be interpreted cautiously; nevertheless, they highlight the need for student support and for measures that reduce the educational impact of mobility restrictions.

Indexed as

Burnout, ProfessionalCareer ChoiceInternship and ResidencyStudents, MedicalAdultCross-Sectional StudiesFemaleHumansIntentionMaleMiddle EastSurveys and QuestionnairesBurnoutMedical DoctorsMilitary checkpointPalestinian cities in the West BankRestricted road

Identifiers

PMID41864907
PMCPMC13130462

What Socratic holds

Textmetadata
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 Socratic graph.