Perceptions of postgraduate family medicine supervision at decentralised training sites, South Africa
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Perceptions of postgraduate family medicine supervision at decentralised training sites, South Africa | |
| Creator | Erumeda, Neetha J. Jenkins, Louis S. George, Ann Z. | |
| Description | Background: Specialist training in family medicine (FM) is growing rapidly in sub-Saharan Africa. The strong emphasis on workplace-based learning for speciality training makes it vital to gain in-depth insights into registrar supervision. Previous studies have explored aspects of supervision at decentralised sites in high-income countries, however, little is known about the benefits and constraints of decentralised postgraduate supervision in low- to middle-income countries, especially in Africa.Aim: This study aimed to explore family physicians’ and registrars’ perceptions of the strengths and challenges of clinical and educational supervision across decentralised training sites.Setting: The study was conducted across two provinces at five decentralised training sites affiliated with the University of the Witwatersrand, Johannesburg.Methods: This qualitative study involved semi-structured interviews with a purposive sample of 11 FPs and 11 registrars. The data were thematically analysed.Results: Two of the four themes identified, ‘supervision is context-specific and supervisor-dependent’, and ‘the nature of engagement matters’, involved strengths and challenges. The other two, ‘supervision is not ideal’ and ‘the training environment is challenging’, focussed on challenges.Conclusion: Supervisors and registrars described the postgraduate FM supervision as context-specific and supervisor-dependent. Supervisors displayed good clinical-teacher characteristics and supervisory relationships. However, several challenges, including registrars’ workload, resource shortages and a lack of standardisation across training sites, need to be addressed. Regular faculty development is essential for supervisors to be aware of relevant aspects of, and current trends in, postgraduate training. | |
| Publisher | AOSIS | |
| Date | 2022-03-14 | |
| Identifier | 10.4102/phcfm.v14i1.3111 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 13 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/3111/5261
https://phcfm.org/index.php/phcfm/article/view/3111/5262
https://phcfm.org/index.php/phcfm/article/view/3111/5263
https://phcfm.org/index.php/phcfm/article/view/3111/5264
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