Training of workplace-based clinical trainers in family medicine, South Africa: Before-and-after evaluation

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Training of workplace-based clinical trainers in family medicine, South Africa: Before-and-after evaluation
 
Creator Mash, Robert Blitz, Julia Edwards, Jill Mowle, Steve
 
Subject Family Medicine training of trainers; general practice physicians; family practice; graduate education; teaching methods; educational activities; competency based education
Description Background: The training of family physicians is a relatively new phenomenon in the district health services of South Africa. There are concerns about the quality of clinical training and the low pass rate in the national examination.Aim: To assess the effect of a five-day course to train clinical trainers in family medicine on the participants’ subsequent capability in the workplace.Setting: Family physician clinical trainers from training programmes mainly in South Africa, but also from Ghana, Uganda, Kenya, Malawi and Botswana.Methods: A before-and-after study using self-reported change at 6 weeks (N = 18) and a 360-degree evaluation of clinical trainers by trainees after 3 months (N = 33). Quantitative data were analysed using the Statistical Package for Social Sciences, and qualitative data wereanalysed thematically.Results: Significant change (p 0.05) was found at 6 weeks in terms of ensuring safe and effective patient care through training, establishing and maintaining an environment for learning, teaching and facilitating learning, enhancing learning through assessment, and supporting and monitoring educational progress. Family physicians reported that they were better at giving feedback, more aware of different learning styles, more facilitative and less authoritarian in their educational approach, more reflective and critical of their educational capabilities and more aware of principles in assessment. Despite this, the trainees did notreport any noticeable change in the trainers’ capability after 3 months.Conclusion: The results support a short-term improvement in the capability of clinical trainers following the course. This change needs to be supported by ongoing formative assessment and supportive visits, which are reported on elsewhere.
 
Publisher AOSIS
 
Contributor European Union and Tropical Health Education Trust
Date 2018-05-31
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Before-and-after study
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v10i1.1589
 
Source African Journal of Primary Health Care & Family Medicine; Vol 10, No 1 (2018); 6 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/1589/2614 https://phcfm.org/index.php/phcfm/article/view/1589/2613 https://phcfm.org/index.php/phcfm/article/view/1589/2615 https://phcfm.org/index.php/phcfm/article/view/1589/2603
 
Coverage South Africa 2016-2017 Clinical trainers in family medicine
Rights Copyright (c) 2018 Robert Mash, Julia Blitz, Jill Edwards, Steve Mowle https://creativecommons.org/licenses/by/4.0
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