Evaluating the new family medicine internship programmes in the Western Cape, South Africa

South African Family Practice

Field Value
Title Evaluating the new family medicine internship programmes in the Western Cape, South Africa
Creator Hutton, Lauren N. Jenkins, Louis S. Mash, Robert von Pressentin, Klaus Reid, Steve Morgan, Jennie Kapp, Paul
Subject Family Medicine, district health, primary care interns; internship; family medicine; primary care; primary health care; clinical training; medical education.
Description Background: In 2021, South Africa introduced a new 6-month internship in family medicine and primary care. This study aimed to assess the new rotation at district health facilities in the Western Cape.Methods: A descriptive survey of interns and supervisors, as phase-two of an exploratory sequential mixed methods study. Questionnaires were developed from a descriptive exploratory qualitative study. Data were analysed with the Statistical Package for Social Sciences.Results: Questionnaires were completed by 72 interns (response rate 21%) and 36 supervisors (response rate 90%), across 10 training programmes. Interns felt more independent (97.2%), confident (90.3%) and resilient (91.6%). They learnt to manage undifferentiated and chronic conditions (91.6%), to refer patients (94.3%) and conduct procedures (77.8%). Most interns were not exposed to community-based services (68.0%) and continuity of care (54.1%). Supervision was mostly adequate during the day (79.1%) and afterhours (80.6%). Many interns reported no structured teaching programme (41.7% – 55.6%). Most supervision was from medical officers and registrars. Supervisors saw interns as valuable members of the clinical team (100.0%), who required extra support and administration (42.5%). The majority of interns (75.0%) and supervisors (72.7%) thought the rotation was the right length and the best preparation for community service (67.6%).Conclusion: The rotation met most expectations of the Health Professions Council of South Africa. Programmes need to improve exposure to community-orientated primary care, public health medicine, palliative and ongoing care. Supervision and orientation of interns needs improvement.Contribution: This is the first evaluation of the new family medicine internship programme in South Africa.
Publisher AOSIS
Contributor Authors, University of Cape Town, Stellenbosch University
Date 2024-05-10
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — exploratory sequential mixed methods study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v66i1.5837
Source South African Family Practice; Vol 66, No 1 (2024): Part 2; 8 pages 2078-6204 2078-6190
Language eng
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://safpj.co.za/index.php/safpj/article/view/5837/8758 https://safpj.co.za/index.php/safpj/article/view/5837/8759 https://safpj.co.za/index.php/safpj/article/view/5837/8760 https://safpj.co.za/index.php/safpj/article/view/5837/8761
Coverage Western Cape, South Africa 2021-2023 Medical interns, various ages, gender and ethnicity
Rights Copyright (c) 2024 Lauren N. Hutton, Louis S. Jenkins, Robert Mash, Klaus von Pressentin, Steve Reid, Jennie Morgan, Paul Kapp https://creativecommons.org/licenses/by/4.0