{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T10:19:45Z","timestamp":1785320385627,"version":"3.55.0"},"reference-count":35,"publisher":"Ubiquity Press, Ltd.","issue":"1","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Perspect Med Educ"],"abstract":"<jats:p>Abstract\r\n\u00a0\r\nIntroduction: Graduate Medical Education (GME) systems often face disruptions. In Lebanon, repeated crises over the past several years, including political instability, economic collapse, the COVID-19 pandemic, and military conflict, raise questions about institutional support, resident preparedness, and the resilience of the medical education system. This study aims to identify the challenges faced by residents during Lebanon\u2019s ongoing crises and explore trainee perspectives on the effectiveness of institutional support interventions.\r\n\u00a0\r\nMethods: In June 2024, we conducted a cross-sectional survey of graduating residents in a large academic medical center in Lebanon. Descriptive statistics were used to analyze quantitative data. Qualitative content analysis of open-ended survey responses was guided by Maslow\u2019s Hierarchy of Needs and the Job Demands-Resources (JD-R) model.\r\n\u00a0\r\nResults: 127 of 133 (95.27%) residents from medical-surgical specialties completed the survey. Despite ongoing training disruptions, the majority of residents felt well-prepared in core competencies, including 66.93% for patient care, 54.33% for medical knowledge, 57.48% for systems-based practice, 68.50% for communication skills, 72.44% for professionalism, and 61.42% for Practice-Based Learning and Improvement. Qualitatively, it was also notable that the crises enhanced residents' development in the systems-based practice competency domain. Trainee responses centered on 5 themes: meeting basic needs, ensuring well-being, maintaining family and social life, fostering professional growth and clinical experience, and fulfilling career aspirations. Institutional efforts, particularly through the provision of additional job resources, played a critical role in sustaining educational standards amid severe resource constraints. Some challenges were beyond the institution's resources and control.\r\n\u00a0\r\nDiscussion: The unique resilience of Lebanese residency programs despite multiple external disruptions highlights the strengths and vulnerabilities of institutional support systems. While the study identified several significant challenges faced by residents, it underscored the importance of prioritizing resident well-being, fostering a supportive learning environment, and developing crisis-relevant competencies to ensure the continued success of medical education in the face of future challenges.<\/jats:p>","DOI":"10.5334\/pme.1721","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T11:12:22Z","timestamp":1757502742000},"source":"Crossref","is-referenced-by-count":2,"title":["Graduate Medical Education in Lebanon: Challenges, Support, and Adaptation Amid the Compounding Crises"],"prefix":"10.5334","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-0925-7648","authenticated-orcid":false,"given":"Fatima Msheik-El","family":"Khoury","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3452-6927","authenticated-orcid":false,"given":"Carine","family":"Zeeni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9240-7726","authenticated-orcid":false,"given":"Halah","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5529-2847","authenticated-orcid":false,"given":"Frida","family":"Atallah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-8668","authenticated-orcid":false,"given":"Salah","family":"Zeineldine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2025,9,10]]},"reference":[{"key":"key20250910111218_B1","first-page":"507","article-title":"Rebuilding graduate medical education after a crisis: Perspectives of medical residents in the United Arab Emirates","year":"2021","journal-title":"Advances in Medical Education and Practice"},{"issue":"1","key":"key20250910111218_B2","article-title":"Do Economic Crises Affect Medical Education? 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