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Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations

    Authors

    • Somayeh Akbari farmad 1
    • Neda Atashgahi 2

    1 Medical Sciences Education Research Center, Department of Medical Education, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

    2 Mashhad university of medical sciences, school of medicine, Mashhad, Iran

,
Articles in Press

Document Type : Letter to Editor

10.22038/hmed.2026.95257.1598
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Abstract

Medical education in wartime faces extensive challenges, including the destruction of healthcare and academic infrastructures, disruption of clinical training, displacement of learners, and limited access to educational resources. In response, educational systems have adopted flexible strategies such as virtual learning, clinical simulation, telesimulation, and tele‑education to maintain continuity, though their effectiveness depends heavily on technological infrastructure and faculty preparedness. Ethical issues are also prominent, as medical trainees may face tasks beyond their competence and severe psychological stress, emphasizing the need for structured psychosocial and institutional support. Strengthening resilience requires proactive planning, development of digital infrastructure, and international collaboration. Countries exposed to armed conflict should establish comprehensive policies to ensure educational continuity and protect the future healthcare workforce. Current evidence indicates that the integration of technological tools, institutional support, and ethical safeguards can mitigate the adverse impacts of war on medical education, though further research is needed to develop evidence‑based crisis‑adapted models.

Keywords

  • Medical Education
  • Wartime Conditions
  • Ethical Considerations
  • Educational Resilience
  • Health Policy
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Horizon of Medical Education Development

Articles in Press, Accepted Manuscript
Available Online from 17 June 2026
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APA

Akbari farmad, S. and Atashgahi, N. (2026). Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations. Horizon of Medical Education Development, (), -. doi: 10.22038/hmed.2026.95257.1598

MLA

Akbari farmad, S. , and Atashgahi, N. . "Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations", Horizon of Medical Education Development, , , 2026, -. doi: 10.22038/hmed.2026.95257.1598

HARVARD

Akbari farmad, S., Atashgahi, N. (2026). 'Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations', Horizon of Medical Education Development, (), pp. -. doi: 10.22038/hmed.2026.95257.1598

CHICAGO

S. Akbari farmad and N. Atashgahi, "Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations," Horizon of Medical Education Development, (2026): -, doi: 10.22038/hmed.2026.95257.1598

VANCOUVER

Akbari farmad, S., Atashgahi, N. Medical Education in Wartime: Challenges, Adaptive Strategies, and Ethical Considerations. Horizon of Medical Education Development, 2026; (): -. doi: 10.22038/hmed.2026.95257.1598

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