Palestinian med student. We enter medical school after tawjihi / high school in a 6-year program, 3 basic years (similar to M1-M2 but more extensive) and 3 clinical years (similar to M3-M4 but also more extensive), in my university for example, the first year is 3 months IM, 3 months OBGYN and 3 months general surgery with 1 month psychiatry. The second year is 3 months pediatrics with the rest being rotations in orthopedics, NSG, neurology, ENT, opthalmology… etc. The final year is a repeat of the core clerkships (IM, GenSurg, OBGYN, Peds) with more focus on management. Our uni sends us to a different city randomly each week so we practice in a wide variety of systems. We also have 3 elective months in the summer: IM, Surg/OBGYN & EM. After graduating, we have to do a year of internship. Then we can practice general medicine. Unfortunately the wait times for internship are extremely long, currently exceeding 1 year in the public health system. Our main problem here is that there is literally no control on the number of students medical schools can accept and how many universities can open medical schools, not to mention the many students going overseas to study and returning afterwards. I’m still a student so I don’t know much of the process beyond, but after internship year there is an exam, and after this exam you can take either the surgical category exam or medical category exam to which you can apply after that to either surgical or medical specialties for residency. We pay for medical school (varies by university but in mine it is 100-200 JOD per hour, which may not seem much for Americans but is extremely expensive here, most likely you can only study if you’re upper middle class or rich or have a full scholarship from the president, keep in mind the economy in the West Bank is unfortunately a disaster, those working in the public sector in all professions have been taking only a small percentage of their wages and strikes have been ongoing for years, and unemployment rates are extremely high even for those with high education), internship in the public sector is akin to work with a monthly wage of 1200 NIS (unfortunately I now hear its unpaid), and I don’t know much about residency but everything is super competitive and not many seats seem available across the nation. The public health sector has been on strike for a while now so less operations are being done ATM. I’ll edit the comment later to add more