Adam Lee Goldstein, Tamer Jreis, Wajdi Bkeirat, Osnat Moskowitz, Angie Alpern, Ilan Mitchnik, Barak Feldman, Ronit Zimmer, Ronit Bar-Haim, Shachar Laks, Shachar Shimonovich, Katia Dayan, Miklosh Bala, Mordechai Shimonov
{"title":"战争时期的卫生外交：巴勒斯坦和以色列医生共同培训高级创伤生命支持。","authors":"Adam Lee Goldstein, Tamer Jreis, Wajdi Bkeirat, Osnat Moskowitz, Angie Alpern, Ilan Mitchnik, Barak Feldman, Ronit Zimmer, Ronit Bar-Haim, Shachar Laks, Shachar Shimonovich, Katia Dayan, Miklosh Bala, Mordechai Shimonov","doi":"10.1097/TA.0000000000004646","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>During a war continuation of cooperative training programs for physicians from opposing sides of the conflict represents a significant and unprecedented advancement. Our program, Operating Together, aims to provide lifesaving trauma training during challenging times while also establishing a novel pathway for health diplomacy and medical peace-building.</p><p><strong>Methods: </strong>We examine Advanced Trauma Life Support courses with Palestinian and Israeli physicians training together. We compared the level of training satisfaction and the desire to work together in courses conducted prior to the outbreak of the war to courses run during the war. A longitudinal study was conducted from 10 courses; five given before (November 2022 until August 2023) and five courses during the war (January 2024 until July 2024). The participants, half Palestinian physicians and half Israeli physicians, completed an anonymous questionnaire. Descriptive and statistical analysis was conducted comparing the results from the courses before and during heightened conflict.</p><p><strong>Results: </strong>A total of 199 physicians completed 10 courses and a questionnaire between November 2022 and July 2024. Ninety-seven participants were in five courses before the outbreak of the war and 102 during the war. Fifty-one percent (n = 101) were Palestinian, 49% (n = 98) were Israeli, 28% (n = 56) were female, and 72% (n = 143) were male. During the war, there were no statistical differences regarding the desire to cooperate with health initiatives (93.7% vs. 93.5%, p = 0.954), for social events (79.1% vs. 76.8%, p = 0.716) or course satisfaction (9.1/10 vs. 8.8/10, p = 0.052).</p><p><strong>Conclusion: </strong>War did not negatively influence the attitudes of physicians from opposite sides to work together professionally or cooperate socially. Joint trauma training gives lifesaving skills during challenging times while also establishing a pathway toward medical peacebuilding and optimal regional trauma care.</p><p><strong>Level of evidence: </strong>Prognostic and Epidemiological; Level III.</p>","PeriodicalId":17453,"journal":{"name":"Journal of Trauma and Acute Care Surgery","volume":" ","pages":"253-257"},"PeriodicalIF":3.7000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Health Diplomacy at a Time of War: Palestinian and Israeli Physicians Training Together for Advanced Trauma Life Support.\",\"authors\":\"Adam Lee Goldstein, Tamer Jreis, Wajdi Bkeirat, Osnat Moskowitz, Angie Alpern, Ilan Mitchnik, Barak Feldman, Ronit Zimmer, Ronit Bar-Haim, Shachar Laks, Shachar Shimonovich, Katia Dayan, Miklosh Bala, Mordechai Shimonov\",\"doi\":\"10.1097/TA.0000000000004646\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>During a war continuation of cooperative training programs for physicians from opposing sides of the conflict represents a significant and unprecedented advancement. Our program, Operating Together, aims to provide lifesaving trauma training during challenging times while also establishing a novel pathway for health diplomacy and medical peace-building.</p><p><strong>Methods: </strong>We examine Advanced Trauma Life Support courses with Palestinian and Israeli physicians training together. We compared the level of training satisfaction and the desire to work together in courses conducted prior to the outbreak of the war to courses run during the war. A longitudinal study was conducted from 10 courses; five given before (November 2022 until August 2023) and five courses during the war (January 2024 until July 2024). The participants, half Palestinian physicians and half Israeli physicians, completed an anonymous questionnaire. Descriptive and statistical analysis was conducted comparing the results from the courses before and during heightened conflict.</p><p><strong>Results: </strong>A total of 199 physicians completed 10 courses and a questionnaire between November 2022 and July 2024. Ninety-seven participants were in five courses before the outbreak of the war and 102 during the war. Fifty-one percent (n = 101) were Palestinian, 49% (n = 98) were Israeli, 28% (n = 56) were female, and 72% (n = 143) were male. During the war, there were no statistical differences regarding the desire to cooperate with health initiatives (93.7% vs. 93.5%, p = 0.954), for social events (79.1% vs. 76.8%, p = 0.716) or course satisfaction (9.1/10 vs. 8.8/10, p = 0.052).</p><p><strong>Conclusion: </strong>War did not negatively influence the attitudes of physicians from opposite sides to work together professionally or cooperate socially. Joint trauma training gives lifesaving skills during challenging times while also establishing a pathway toward medical peacebuilding and optimal regional trauma care.</p><p><strong>Level of evidence: </strong>Prognostic and Epidemiological; Level III.</p>\",\"PeriodicalId\":17453,\"journal\":{\"name\":\"Journal of Trauma and Acute Care Surgery\",\"volume\":\" \",\"pages\":\"253-257\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Trauma and Acute Care Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/TA.0000000000004646\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/13 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q2\",\"JCRName\":\"CRITICAL CARE MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Trauma and Acute Care Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/TA.0000000000004646","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/13 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CRITICAL CARE MEDICINE","Score":null,"Total":0}
Health Diplomacy at a Time of War: Palestinian and Israeli Physicians Training Together for Advanced Trauma Life Support.
Background: During a war continuation of cooperative training programs for physicians from opposing sides of the conflict represents a significant and unprecedented advancement. Our program, Operating Together, aims to provide lifesaving trauma training during challenging times while also establishing a novel pathway for health diplomacy and medical peace-building.
Methods: We examine Advanced Trauma Life Support courses with Palestinian and Israeli physicians training together. We compared the level of training satisfaction and the desire to work together in courses conducted prior to the outbreak of the war to courses run during the war. A longitudinal study was conducted from 10 courses; five given before (November 2022 until August 2023) and five courses during the war (January 2024 until July 2024). The participants, half Palestinian physicians and half Israeli physicians, completed an anonymous questionnaire. Descriptive and statistical analysis was conducted comparing the results from the courses before and during heightened conflict.
Results: A total of 199 physicians completed 10 courses and a questionnaire between November 2022 and July 2024. Ninety-seven participants were in five courses before the outbreak of the war and 102 during the war. Fifty-one percent (n = 101) were Palestinian, 49% (n = 98) were Israeli, 28% (n = 56) were female, and 72% (n = 143) were male. During the war, there were no statistical differences regarding the desire to cooperate with health initiatives (93.7% vs. 93.5%, p = 0.954), for social events (79.1% vs. 76.8%, p = 0.716) or course satisfaction (9.1/10 vs. 8.8/10, p = 0.052).
Conclusion: War did not negatively influence the attitudes of physicians from opposite sides to work together professionally or cooperate socially. Joint trauma training gives lifesaving skills during challenging times while also establishing a pathway toward medical peacebuilding and optimal regional trauma care.
Level of evidence: Prognostic and Epidemiological; Level III.
期刊介绍：
The Journal of Trauma and Acute Care Surgery® is designed to provide the scientific basis to optimize care of the severely injured and critically ill surgical patient. Thus, the Journal has a high priority for basic and translation research to fulfill this objectives. Additionally, the Journal is enthusiastic to publish randomized prospective clinical studies to establish care predicated on a mechanistic foundation. Finally, the Journal is seeking systematic reviews, guidelines and algorithms that incorporate the best evidence available.
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