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Hi. Hello everyone. I hope you're doing well. Wherever you are, uh welcome to the HSA educates medics mentorship training day. My name is Juan and my name is Eliana Choi and we are the courtiers for the event as well as the mentorship officers for the Gems mentorship scheme. Along with the aim of today is to provide mentors and mentees the necessary context from a theoretical and practical aspect of how the scheme is going to run. And also we an opportunity for us to consider ways of enhancing mentoring for medical students in challenging environments. The schedule for today is simple. Uh We have a split in the morning and afternoon session. The morning session would involve the talks from our distinguished guest speakers which will be chaired by myself and moderated by Eliana, followed by lunch at 1 p.m. The afternoon session will involve a panel chaired by myself and moderated by Hansa, followed by AQ and a session which we will take questions from the audience that can be delivered, directed towards the panel to our or our speakers who will be available to answer any questions you might have in the chat or throughout the day. All right. So without further ado, let's start with our first speaker. So um it's my absolute pleasure having uh our first speaker, Tariq Abdul Jawad, um who's 1/5 year medical student at Al Azr University in Gaza, um currently displaced outside of Gaza at the moment. Uh He's the chair of the Student Engagement Committee with G Scheme and he's the collaboration lead at Ox Pel. So Tariq, welcome. And the stage is yours. Thank you so much. Thank you, AANA and thank you for organizing uh the lunch day for the uh internship scheme. So I'm just gonna share my screen now. OK. So everyone. Hello, good morning. And I hope you're coping well with the storm. So let, let me start uh by uh thanking the organizers for organizing such a wonderful training day and uh introductory day for the mentorship scheme at James Ski and be Academy. So today I'm gonna talk briefly about medical education during crisis and this presentation is gonna be spontaneous about how medical education was before the war and how is it going during the war and some student personal perspectives in this matter? So, uh my name is Tariq Abd Jawad. I'm a 50 medical student at a university in Gaza and, and I'm chairing the student engagement committee at G Scheme as well as I'm uh the collaboration lead in Gaza Ya at El. And I also hold and held some other positions at uh at other organizations in and international levels and national levels. I have uh reached a nearly 5000 working hours, voluntary working hours in over 30 projects throughout the past five years where um nearly 1000 medical student participations happened and at the 15 positions I've held. And uh during the war after October 7th, 2023 I have worked over 800 working hours at the emergency department at one of the main hospitals in Gaza Strip. And um I'm just gonna talk uh a bit more in more details and more in depth about the experience at working in the emergency department at one of the main hospitals in Gaza middle area. Uh So um I'm just gonna start by stating that no hospital in this world can cope with one night shift of what we are witnessing in Gaza right now. Uh So from day one, the atrocities and the types of injuries that we are witnessing in Gaza and hospitals at the moment. And since like, and for over 14 months are indescribable and um for the in the first day and my first night shift at the hospital and I literally speaking what happened? Um We counted the martyrs and the death toll of the first of one of the many death tolls of the first day by counting how many brains and how many eyes we have in a single bag. So this is just an example and uh one incident of the many incidents that we have encountered during working at the emergency department. So um regarding how is the life of a healthcare worker working in the Gazan hospitals at the moment during the war? So uh healthcare workers are at imminent risk and imminent risk of death and killing at every everything, every single second beca because uh healthcare workers are a key uh a core, uh key of the um of Gaza in general, especially during such circumstances. That being said they are a main target of what is happening and what's happening. And um we have lost many professors, we have lost many colleagues during um our work in Gaza and until now, so um this is just a brief introduction of my experience during the war. So II was supposed to be a final year medical student at the moment at the University of Gaza. However, as you all know, our education has been interrupted immensely and until now, I'm still in fifth year and no education, no medical education was provided in Gaza until last June because after uh last June gym scheme happened and online education and clinical rotations have um uh continued. So let's talk about how was it uh what was it like medical education in Gaza? So in your in the screen, you can see in the left hand side, Lazar University Medical School campus and then the other side, you can see the campus of the Medical School of Islamic University in Gaza. So basically, we have a six year medical school program in Gaza. Uh the first three years are basic year education. So we uh are being taught and we are being taught um uh three years of basic sciences. So regarding ALA University, we have them at your system, a dual integrated system. And in Islamic University in Gaza, we have the general uh subject system. So they are a bit different. But regarding the me integra system, we have the um first year and a half of our medical school, we have it like for general subjects like pathology, histology, um medical English language and so on. And the second year and a half, we have meds and these three years collectively are for basic sciences and we have lectures, they are scheduled week by week and uh they are delivered by distinguished professors and doctors who have studied all over the world and they are putting their expertise and they are putting their um uh knowledge into the, the students of Gaza and uh to be frank the education and the medical education in Gaza is being um um given on high, very high standards. So it is not very, very easy, it's not very easy to uh be to graduate from a medical school in Gaza. Uh So, uh regarding the basic years, we have also um of course, a practical aspect of these three years. And this practical aspect mainly focuses on laboratory uh work. So here I'm just gonna show you some of the labs that we have at Al Azar University in Gaza. You can see here um the Oxford Gaza Group um medical missions and academic missions. They have been coming to Gaza since like 2011. And this was in the last visit to the laboratories and the newly the new labor arteries of a university medical school. Uh So these labs um are for the practical aspect of the first three years of medical school. And then uh the second three years of medical school are the clinic and years. So we have one day each week, just for lectures and theoretical lectures at the university campus. And the rest of the week, we have uh bit side teaching sessions in the hospitals. We have rotations in the hospitals and uh we have at least like 8 to 12 clinical rotations um every year of the clinical years. That was your anniversary. So uh we have like uh four days of the week um at the hospital rotating uh doing bedside teaching and so on. And this focuses these focus mainly on uh history, taking physical examinations of the patients, uh analyzing and uh getting to at least differential diagnosis of the patients that we encounter along with our professors at the hospital and also presenting cases and presenting um guidelines, presenting articles at the conference uh the morning conferences because at the beginning of each clinical day. We have um a morning conference, a morning session uh with the doctors, they present the uh previous day's cases and um they introduced us what we are going to handle this particular day. And then um during this morning conference, maybe students can also present something. And then we go with our professors. We rotate, we uh take history and we perform physical examination and so on. And also on the um in the one day of lectures at the university, we have these lectures scheduled to be aligned and parallel with the clinical rotations as much as possible. Of course. So today was a good day. So I'm just gonna show you how he today was a good day. So what I'm gonna show you now is like a, a very simple real and video that was created exactly two years ago. So it's um crazy how two years difference can be today was a good day. So this is actually my subgroup. So we are. So this is why I'm showing you this. So uh we are divided into subgroups and these subgroups um our professors, they um try to make the numbers of subgroups as small as possible so that we can get as much high quality education training during the hospital in the hospitals as as possible. So this, this was my subgroup for uh the uh first two years of um clinical years. And uh this is my class. Uh the class of 2019 to 2025. However, now we are not graduating in 2025. Here are another two students now and we're gonna talk about what's it like now? So as you know, the university campuses, they got bumped, they got completely and partially destroyed and from multiple aspects. So until last year, no medical education at all was provided. So during my work in the hospital and during the first three months uh of this war and no medical education was at the time was delivered. However, the students in the hospitals as there are as there were many students and still are many students in the hospitals. Uh they like take these and take advantage of any time possible in order to solve the question banks with each other, discuss cases with each other. We were also like solving ECG s this like checking the um patients cases um getting like in teaching circles with our seniors in the hospitals. However, that's not convenient and that's not always possible because of the chaos that we see at the hospitals as the hospitals are filled with internally displaced um Gazan people. So um after June 2024 gy scheme started as you know and then clinical rotations have started in collaboration with the medical schools. So during these clinical rotations, the students uh they come to the hospitals of course and the cha the only chance they have to revise their subjects and revise their studies and their curriculum is to is during and in the corridors of the hospital. So as you see here they are, the students are sitting in the corridors of the hospital because the hospitals are the only place that has electricity in Gaza right now in general. So the students, they charge their phones, they check their lectures while being in the hospital from our class. Also, they are setting for their neurology exam. Uh let's switch them luck for in their exam and in the exam they are gonna have in the future. So as you see, the students are studying the corridors here, I'm gonna show you like, I'm showing you the um lecture hall where the morning conference and many bits and many teaching sessions in the hospital used to happen. So this is in the public aid hospital in Gaza City itself and this, as I recall, this is on the top floor and this top floor of the hospital, it got p multiple times, not only one time. So this is um the student who's talking, who was talking in the last video. He's also taking this video and this is where he used to uh take his uh surgery conference, morning conferences and surgery lectures in the uh hospital. Mhm. You can see the, you can see the extent of damage, even lecture halls. Uh has this is also in the corridors of the same house on the top floor. And as you, as they can see, I need to emphasize in this point in Gaza, we actually uh as I said, we have like a, a very high quality medical education. So we depend on question banks very much but not only one question bank as many countries do. However, we solve at least like 2 to 3 question banks in order to um prepare as, as much as possible for our exams. So as you see here, the students are using your word uh question bank and um they they get access to this question back like in a very hard way. So as you can see, they are solving questions, they are taking notes on the reception desk in the hospital. This is in in the public aid hospital like in the ground floor. So the the patients are waiting for the students and healthcare workers. However, the students also they are studying while serving the patients and are taking care of them. And now uh like a couple of days before like maybe yeah, a week ago, uh the final year students of a university in Gaza, they undertook their internal medicine online exam in the hospitals and in the teaching centers. So as you see here, one of the students is using her mobile phone to take her internal medicine exam. And I believe that all of us here are medics. So you can see how stressful it is to solve an internal medicine exam that's worth at least 80% of your final mark on your phone. So um and this is this, this was the second day after the uh theoretical online exam and this was the ay for the internal medicine exam for a student, a university students. So as you can see here, they are performing ACY stations on very high standards in the hospitals. This was uh this is a video that was produced by, by Academy about what I, what I just showed you. So you can see here you can see here like a a very clear example of how steadfast and resilient. The medical students of Gaza are even in like in normal settings, they are brilliant. However, to be that resilient and to, to be that steadfast during these circumstances is something indescribable because believe me only like the road to the hospital, like when you're going to the hospital and going back home or back to the place they are displaced at, it's a very dangerous road and they are at imminent risk even by going to the hospital and also by being inside the hospitals because at least every hospital in Gaza has been pumped, the 36 hospitals and primary healthcare centers and the least one of them was bumped like eight times. So uh they are at imminent risk even inside the hospitals. However, they spend most of their times inside the hospitals right now right now just to get their education and to get through their degree in order to get into their internship years and to be able to serve the the patients as they are doing right now. So I'm just like, I'm gonna like stop for a minute for a minute. And the loving memory of Osama Amel and Mohammed, I'm, I'm showing these three like images only because they are my classmates. They are from my class at a university, The class of 2019 to 2025. This is Osama Fi this is Amal Hajazi and this is Mohammed Abu Shha. Osama was killed with his whole family as well. Amel Hijazi and Osa and Mohammad Aiha was also targeted, Osama actually was a brilliant, brilliant student. He was always ahead of his class and he was also determined on taking the US path and he has passed the US semi step one exam while he was in fourth year. And as you know, fourth year is uh one of the hardest years in medical school. However, Osama was preparing for other exams and other international recognized exams while being in fourth year, Sama has been always an example of an an an outstanding student. Amal Hajazi was a very respected and well behaved student in my class as well. And Mohammad uh is a HLE and um he was a premier student as well. So this is and the and the loving memory of Hammad Amad O and there are many others, many other students just like me um show you just like a sec just a second. Let let, let us just take a minute to in the the the loving memory of these students. And I'm just gonna show you some other pictures. Here. We have some pictures of the uh martyrs of Al Assar University Gaza students, medical school students. So here we have Yasin Aras as well. We have Ead Awad, we have Asama, we have Mohammad Dan, we have Mohammad, we have also Maram Shehab de Al Masri Edema but not Barizin aml Ahmad Mahadi. I'm the I'm the Lahman in the, these are the pictures I have some of the Azan University Gaza students who has martyred many of them with their whole family. OK. So now regarding the efforts that have been like uh happening for the sake of Gaza medical education. So since the war started, many global and regional efforts have been um happening for the the sake of medical education in Gaza. And um many organizations they have stood up for serving regarding for the sake of serving the students and uh getting them to continue and pursue their medical education in Gaza as well as abroad. Many, many students, the students who are outside of Gaza right now, there are nearly 300 medical students outside of Gaza and the clinical students of them. They have been placed in many countries like South Africa, Turkey, Pakistan and some other parts of Europe as well. And then these efforts have been United and uh the Gaza educate mid exhibition scheme in Academy was born and um it was launched uh last June 2024 and uh clinical rotations have been organized in collaboration with G scheme as well as online teaching on the plat on the online platform G scheme, as well as on the model of the anniversaries. And the online lectures are being um uh given for the students by extraordinary volunteers and the faculty members from all over the world. And um the students, as you can see, the students are already currently taking their final exams in sixth year inside of Gaz and they are will be able to graduate by the end of this month. So, yeah, and this was actually my presentation and I hope that it was beneficial and I give a clear introduction about the situation, how it was and how it is now. And uh I hope I gave you a clear um example on o of how resilient the medical students of Gaza and how they need uh how mentorship for them is highly needed because even if they are very steadfast, very resilient, uh brilliant students, they need guidance and they need mentorship. So, yeah, thank you so much. And this was my presentation. I hope for listening. Thank you so much for your lovely presentation. Um We're getting comments as well. Um People are um appreciating your efforts and um they're considering the mas and the colleagues that are no longer with us. Um So thank you for sharing your personal recount on what it is like to be a medical student in was like, I'm sure it's given us as an audience, a clearer understanding on uh of the challenges that are currently in place. And you've quite beautifully captured the aspects of resilience and how the students despite the limited resources are still taking their exams and making uh making sure that they get through the next stage. Um So thank you for sharing all of that with us. So I'll open up the floor if that's ok if we have any questions in the chat. Yes. Sure. Thank you, Hansa for your kind words. Yeah. If you have any questions, please just ask, we hope that we can honor their memory well, and that we can continue developing the future of all the remaining students who are still there and who are still fighting every single day to complete their medical degrees and to become the future of Gaza. Absolutely. Absolutely.