Medical and Health Sciences Education Journal An International Journal of Health Sciences Education MHSEJ (ISSN) The scholarly, peer-reviewed, open access, international medical and health science education journal encompasses all aspects of medical education, public health, and research and publication ethics from all medical and health sciences background. Our audiences are health professionals, health professions educators and learners, health care researchers, policymakers and related disciplines from all over the world. The content of the journal is freely available. There are no subscription fees, nor are there submission fees. Authors and readers may register to receive email notifications of published articles in their field of interest. Manuscript submissions are accepted via online submission system Submit Manuscript. Manuscripts submitted to this journal will be deemed as they have not been published and are not under consideration for publication elsewhere. Editors Prof. Youssef Al Eissa Vice President, King Saud bin Abdulaziz University for Health Sciences Prof. Hossam Hamdy Vice-Chancellor of Medical & Health Sciences Colleges at the University of Sharjah Dean, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, President of AMEEMR Chairman of Medical Education Department, King Saud bin Abdulaziz University for Health Sciences, Secretary General AMEEMR Dr. Ibrahim Al Alwan Prof. Mohi Eldin Magzoub Review Process Manuscripts are subjected to double blinded peer-review process, concealing the identities of authors from reviewers and reviewers from authors. Once your manuscript has been submitted it will be streamed into our journal's reviewing process. Each submission that meets our journal’s guidelines is initially reviewed by one of our Associate Editors, who decides whether a manuscript is ready for external peer review. At this stage, manuscript may be returned with guidance on recommended revision and a request to resubmit before the manuscript is sent out for review. If the manuscript is ready for external review, it will be sent to at least 3 peer reviewers. Following the external reviews, most authors are asked to undertake one or more revisions. One of our CoEditors-in-Chief takes a final decision on the paper’s acceptability for publication in MEHSJ based on his own review, the Associate Editor’s review and the external peer reviews. This decision and detailed feedback related to required revision(s) of the article will be emailed to the author. MHSEJ is an official publication of the Association of Medical Education in the Eastern Mediterranean Region (AMEEMR). Office of the Secretary General, Department of Medical Education, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Kingdom of Saudi Arabia. http://www/mhsej.net or http://www.journalonweb.com Aims & Scope Medical and Health Science Education Journal aims to be recognized at international, regional and national levels as a platform and forum for sharing experiences between academic faculty and other health professionals involved in educational activities including medicine, pharmacy, dentistry, nursing and applied medical colleges. We publish original studies, review articles, think pieces, works in progress and commentaries on current trends, issues, and controversies. We especially want to provide our readers with fresh ideas and innovative models regarding all aspects of medical education and health sciences that can enable them to foster excellence and be maximally responsive to the ever changing medical education needs. Wolster Kluwer Health Medical Research Medknow Publications & Media Pvt. Ltd. Mumbai-400075 India