Document Type : Review article
Authors
- MOHAMMAD MUZAFFAR MIR 1
- AHMAD HAMOUD AL-HAZMI 2
- ALSALEEM MOHAMMED ABADI 3
- ABDULLAH M. AL-SHAHRANI 4
- MUSHABAB ALGHAMDI 5
- MOHANNAD MOHAMMAD S. ALAMRI 4
- AHMED YAHIA AL AMEER 6
- SABA MUZAFFAR MIR 7
- MOHAMMED JEELANI 8
- JUNAID AHMAD 9
- MOHAMMED OHAJ 1
1 Department of Clinical Biochemistry, College of Medicine, University of Bisha, Bisha, 61922, Saudi Arabia
2 Department of Family and Community Medicine, College of Medicine, Jouf University, Sakaka, 72388, Saudi Arabia
3 Department of Family and Community Medicine, College of Medicine, King Khalid University, Abha 61421, Saudi Arabia
4 Department of Family and Community Medicine, College of Medicine, University of Bisha, Bisha, 61922, Saudi Arabia
5 Department of Internal Medicine, College of Medicine, University of Bisha, Bisha, 61922, Saudi Arabia
6 Department of Surgery, College of Medicine, University of Bisha, Bisha, 61922, Saudi Arabia
7 Department of Microbiology, Government Medical College, Baramulla, 193101, J and K, India
8 Department of Physiology, Ayaan Institute of Medical Sciences, Telangana, 501504, India
9 Department of Microbiology, Government Medical College, Baramulla, 193101, J and K, India;
Abstract
Introduction: Medical education in the Gulf Cooperation Council (GCC) has undergone substantial transformation over the past two decades, driven by health system reform, workforce localization,
and increasing demand for quality and accountability. Saudi Arabia serves as a central analytical anchor due to its scale and regulatory maturity. This study provides a structured, policyoriented
synthesis of medical education across the GCC and examines its transition from expansion toward system alignment.
Methods: A narrative review with structured thematic analysis was conducted. A search of PubMed, Scopus, and Web of Science, supplemented by policy documents and institutional reports, was performed for 2010–2025. Sources were selected based on relevance to GCC medical education. Data were organized across domains, including governance and accreditation, undergraduate education, assessment and licensing, postgraduate training and workforce alignment, and faculty development.
Results: Substantial progress is evident in regulatory consolidation, competency-based education, simulation-based learning, and national licensure examinations. However, implementation remains variable across institutions and countries. Key challenges include faculty capacity constraints, limited clinical training infrastructure, an imbalance in assessment practices, and misalignment between educational output and workforce needs. The literature remains largely descriptive, with
limited standardized data on the outcomes and workforce impact.
Conclusion: Medical education in the GCC is transitioning from expansion toward system alignment, where integration of educational design, regulation, and workforce planning is critical. Strengthening assessment systems, investing in faculty development, expanding community-based training, and improving outcome measurements are essential. A coordinated, data-driven
approach with regional collaboration is required to advance a responsive and globally competitive medical education system.
Highlights
Keywords
- Goodwin AM, Oliver SW, McInnes I, Millar KF, Collins K, Paton C. Professionalism in medical education: the state of the art. Int J Med Educ. 2024;15:44-7.
- Kumar VD, Murugan M. Professionalism in practice: Exploring the ethical perplexity of involving students in Medical Education Research. J Adv Med Educ Prof. 2020;8(4):200-3.
- Nyquist JG. Educating Physicians: A Call for Reform of Medical School and Residency. J Chiropr Educ. 2011;25(2):193-5.
- Tian J, Zhou J, Zeng X, Chen J. Public health promotion and medical education reform, volume III. Front Public Health. 2025;13:1730130.
- Habibi H, Bigdeli S, Sohrabi Z, Ebadi A. Professionalism among academic educational leaders: A concept analysis. J Adv Med Educ Prof. 2022;10(4):259-66.
- Harden RM. Outcome-based education: the future is today. Med Teach. 2007;29(7):625–9.
- Riaz Q, Rizwan Khan M, Masood S. Evaluating the Clinical Learning Environment for Competency-based Postgraduate Education in a Low-Middle income Country: Trainee Perceptions using PHEEM Inventory. J Adv Med Educ Prof. 2025;13(4):303-10.
- Gruppen LD, Mangrulkar RS, Kolars JC. The promise of competency-based education in the health professions for improving global health. Hum Resour Health. 2012;10:43.
- Nguyen AM, Rivera AM, Gualtieri L. A New Health Care Paradigm: The Power of Digital Health and E-Patients. Mayo Clin Proc Digit Health. 2023;1(3):203-9.
- Singh PK, Singh S, Kumari V, Tiwari M. Navigating healthcare leadership: Theories, challenges, and practical insights for the future. J Postgrad Med. 2024;70(4):232-41.
- Alsubahi N, Pavlova M, Alzahrani AA, Ahmad A, Groot W. Healthcare Quality from the Perspective of Patients in Gulf Cooperation Council Countries: A Systematic Literature Review. Healthcare (Basel). 2024;12(3):315.
- Alqadasi ET, Chamroonsawasdi K, Saejeng K, Nagi MA. Burden of non-communicable diseases in Health Council of Gulf Cooperation (GCC) countries. J Taibah Univ Med Sci. 2024;19(4):877-84.
- Telmesani A, Zaini RG, Ghazi HO. Medical education in Saudi Arabia: a review of recent developments and future challenges. East Mediterr Health J. 2011;17(8):703-7.
- Hamad A, Al-Jedai A, Ojeil R, Al-Jazairi ASh, AlAssy A, AlRuthia YS, et al. Driving the future of value-based healthcare in the Gulf Cooperation Council: a roadmap for achieving sustainable access to specialty pharmaceuticals. Front Public Health. 2025;13:1667846.
- Alrebish SA, Taha MH, Ahmed MH, Abdalla ME. Commitment towards a better future for medical education in Saudi Arabia: the efforts of the college of medicine at Qassim University to become socially accountable. Med Educ Online. 2020;25(1):1710328.
- Alharbi NS. Evaluating competency-based medical education: a systematized review of current practices. BMC medical education. 2024;24(1):612.
- Meo SA, Hassan A, Aqil M, Usmani AM. Medical education research in GCC countries. BMC Med Educ. 2015;15:8.
- Al-Muhanna FA, Subbaroa VV. Standards in medical education and GCC countries. J Family Community Med. 2003;10(1):15-7.
- Hamdy H, Telmesani AW, Wardy NA, Abdel-Khalek N, Carruthers G, Hassan F, et al. Undergraduate medical education in the Gulf Cooperation Council: a multi-countries study (Part 2). Med Teach. 2010;32(4):290-5.
- Alduraibi KM, Aldosari M, Alharbi AD, Alkhudairy AI, Almutairi MN, Alanazi NS, et al. Challenges and Barriers to Medical Research Among Medical Students in Saudi Arabia. Cureus. 2024;16(5):e59505.
- Green BN, Johnson CD, Adams A. Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. J Chiropr Med. 2006;5(3):101-17.
- Ferrari R. Writing narrative style literature reviews. Medical Writing. 2015;24(4):230–5.
- Seed Ahmed M, Soltani A, Zahra D, Allouch S, Al Saady RM, Nasr A, et al. Remote online learning reimagined: perceptions and experiences of medical students in a post-pandemic world. BMC Med Educ. 2025;25(1):215
- AlRuthia Y, Aldallal S, Al-Abdulkarim HA, Al-jedai A, Almudaiheem H, Hamad A, et al. Healthcare systems and health economics in GCC countries: informing decision-makers from the perspective of the Gulf health economics association. Front Public Health. 2025;13:1510401.
- Sheikh JI, Cheema S, Chaabna K, Lowenfels AB, Mamtani R. Capacity building in health care professions within the Gulf cooperation council countries: paving the way forward. BMC Med Educ. 2019;19(1):83
- Mawkili WA. The future of personalized medicine in Saudi Arabia: Opportunities and challenges. Saudi Med J. 2025;46(1):19-25.
- Baimai S, Vanicharoenchai V, Iramaneerat C. Bridging Simulation and Practice in Medical History Taking: A Comprehensive Needs Assessment of Standardized Patient Competencies in Early Clinical Exposure. J Adv Med Educ Prof. 2025;13(3):206-17.
- Binsuwaidan R, Altwaijry NA, Ibrahim AA, Alghamdi RA, Humaid RB, AlSharif AA, et al. Insights into simulation-based learning: student and faculty experiences in a PharmD program in Saudi Arabia. BMC Med Educ. 2025;25(1):170.
- Shbeer A. Evaluating Student Satisfaction and Self-Confidence in Simulation-Based Anesthesiology Training among Final-Year Medical Students. Healthcare (Basel, Switzerland). 2024;12(15):1521.
- Imran M, Malik AA, Zubairi NA, Anwer F, Bashir MA. Scholarly Research Output and Trends in Medical Education from the Arab Region (2005-2024): A Bibliometric Analysis. Advances in medical education and practice. 2026;17:582931.
- Khoja T, Rawaf S, Qidwai W, Rawaf D, Nanji K, Hamad A. Health Care in Gulf Cooperation Council Countries: A Review of Challenges and Opportunities. Cureus. 2017;9(8):e1586.
- Bajammal S, Zaini R, Abuznadah W, Al-Rukban M, Aly SM, Boker A, et al. The need for national medical licensing examination in Saudi Arabia. BMC Med Educ. 2008;8:53.
- Saudi Commission for Health Specialties. Annual Report. Riyadh: SCFHS; 2022.
- Al Kuwaiti A, Al Gelban K, Subbarayalu AV, Al-Muhanna A, Al-Muhanna F. Reinforcing the Medical Education System and Internship Program in Saudi Arabia: A Narrative Review. Informatics in Medicine Unlocked. 2025;57:101674.
- Boulet JR. Establishing the Validity of Licensing Examination Scores. J Grad Med Educ. 2019;11(5):527-9.
- Mir MM, Jeelani M, Alshahrani MS. A practical approach for successful small group teaching in medical schools with student centered curricula. J Adv Med Educ Prof. 2019;7(3):149-53.
- Mir MM, Mir GM, Raina NT, Mir SM, Mir SM, Miskeen E, et al. Application of Artificial Intelligence in Medical Education: Current Scenario and Future Perspectives. J Adv Med Educ Prof. 2023;11(3):133-40.
- Mir MM, Alharthi MH, Alfaifi J, Sohail SK, Mir SM, Raina NT, et al. Artificial Intelligence, Assessment Integrity, and Professionalism in Medical Education: Global Disruption and Lessons from the Gulf Cooperation Council Region. Int Med Educ. 2026;5:27.
- Algahtani H, Shirah B, Aldarmahi A, Alshawwa L, Tekian A, Norcini J. Barriers to Faculty Development Program for Medical Education: Experience from Saudi Arabia. Dr. Sulaiman Al Habib Med J. 2020;2(3):101–5.
- Bin Abdulrahman KA, Siddiqui IA, Aldaham SA, Akram S. Faculty development program: a guide for medical schools in Arabian Gulf (GCC) countries. Med Teach. 2012;34(Suppl 1):S61–S6.
- Ebrahimi A, Ebrahimi S, Ashkani Esfahani S. How COVID-19 pandemic can lead to promotion of remote medical education and democratization of education?. J Adv Med Educ Prof. 2020;8(3):144-5.
- Alsaywid B, Lytras MD, Abuzenada M, Lytra H, Sultan L, Badawoud H, et al. Effectiveness and Preparedness of Institutions' E-Learning Methods During the COVID-19 Pandemic for Residents' Medical Training in Saudi Arabia: A Pilot Study. Front Public Health. 2021;9:707833.
- The Health Ministers of Member State. Gulf Health Council: Annual report. KSA: NashraTech; 2024
- Ahmed Y, Taha MH, Khayal S. Integrating Research and Teaching in Medical Education: Challenges, Strategies, and Implications for Healthcare. J Adv Med Educ Prof. 2024;12(1):1-7.
- Batarfi MA, Agha S. Exploring faculty perspectives on critical thinking in medical education: Challenges, strategies, and institutional support. Saudi Med J. 2025;46(6):670-8.