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Learning of person-centred practice amongst clinical associate students at the University of Pretoria
Thesis (PhD)--University of Pretoria, 2019.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2019
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| _version_ | 1867613589535195136 |
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| access_status_str | Open Access |
| author2 | Marcus, Tessa S. |
| author_browse | Marcus, Tessa S. |
| author_facet | Marcus, Tessa S. |
| collection | Thesis |
| dc_rights_str_mv | © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Thesis (PhD)--University of Pretoria, 2019. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/72533 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:38:33.011Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2019 |
| publishDateRange | 2019 |
| publishDateSort | 2019 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/72533 Learning of person-centred practice amongst clinical associate students at the University of Pretoria Marcus, Tessa S. Murray.Louw@up.ac.za Hugo, Johannes Fredricus Marais Louw, Jakobus Murray Family Medicine UCTD Clinical associates Person-centered practice (PcP) Medical consultations Quality improvement intervention Learning framework Capability approach Objective Structured Clinical Examinations (OSCEs) Peer feedback Assessment tools Self-directed learning Biomedical knowledge Health sciences theses SDG-03 SDG-03: Good health and well-being Health sciences theses SDG-04 SDG-04: Quality education Health sciences theses SDG-17 SDG-17: Partnerships for the goals Thesis (PhD)--University of Pretoria, 2019. Aim: This is a study of the extent to which clinical associate students learn person-centred practice (PcP) as well as the curricular elements that may facilitate such learning. Methods: A quality improvement intervention by students on their own medical consultations was explored in focus group discussions. The learning of PcP were analysed using the capability approach framework. PcP was measured in consultations during Objective Structured Clinical Examinations (OSCEs) before and after the intervention in both intervention and control groups. Results: Disruptions to students’ abilities, knowledge, identity and relationships triggered learning. The quality improvement process functioned as a learning cycle scaffolded by peer feedback and assessment tools during which students reviewed disruptions and developed improvement plans. Even though students articulated their passion for PcP in focus groups, few actually demonstrated these skills during OSCE consultations with simulated patients. An increase in PcP was observed but the difference between intervention and control groups was not significant. Students’ sense of self was disturbed when they were unable to help patients. In response, self-directed students devised learning strategies involving relationships with peers and facilitators. Relationships are thus both triggers for learning and a means to learning. Conclusion and recommendations: The significantly better improvement in third year students, compared to those in second year, suggest that learning PcP is grounded in increased confidence in biomedical knowledge and skills, motivation and sense of self-efficacy. Students learn and practice PcP best in authentic encounters with real patients. Therefore, student learning and practice of PcP should be evaluated in such encounters and, to achieve PcP, the student-patient relationship needs to be given primacy in professional identity formation as patients and their needs transform student apprentices into caring, solution-seeking clinicians who engage with rather than other patients in the therapeutic alliance. Scholarship of Teaching and Learning (SoTL) fund of the Faculty of Health Sciences, University of Pretoria em2025 Family Medicine PhD Family Medicine Unrestricted SDG-03: Good health and well-being SDG-04: Quality education SDG-17: Partnerships for the goals 2019-12-05T13:15:17Z 2019-12-05T13:15:17Z 2020-04 2019 Thesis Louw, JM 2019, Learning of person-centred practice amongst clinical associate students at the University of Pretoria, PhD Family Medicine Thesis, University of Pretoria, Pretoria, viewed yymmdd <http://hdl.handle.net/2263/72533> A2020 http://hdl.handle.net/2263/72533 en © 2019 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | Family Medicine UCTD Clinical associates Person-centered practice (PcP) Medical consultations Quality improvement intervention Learning framework Capability approach Objective Structured Clinical Examinations (OSCEs) Peer feedback Assessment tools Self-directed learning Biomedical knowledge Health sciences theses SDG-03 SDG-03: Good health and well-being Health sciences theses SDG-04 SDG-04: Quality education Health sciences theses SDG-17 SDG-17: Partnerships for the goals Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title | Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title_full | Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title_fullStr | Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title_full_unstemmed | Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title_short | Learning of person-centred practice amongst clinical associate students at the University of Pretoria |
| title_sort | learning of person centred practice amongst clinical associate students at the university of pretoria |
| topic | Family Medicine UCTD Clinical associates Person-centered practice (PcP) Medical consultations Quality improvement intervention Learning framework Capability approach Objective Structured Clinical Examinations (OSCEs) Peer feedback Assessment tools Self-directed learning Biomedical knowledge Health sciences theses SDG-03 SDG-03: Good health and well-being Health sciences theses SDG-04 SDG-04: Quality education Health sciences theses SDG-17 SDG-17: Partnerships for the goals |
| url | http://hdl.handle.net/2263/72533 |