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Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa
Thesis (MPhil)--Stellenbosch University, 2018.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2018
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| _version_ | 1867614136054054912 |
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| access_status_str | Open Access |
| author | Theron, F. C. Rust |
| author2 | Louw, Alwyn Jacobus Nicolaas |
| author_browse | Louw, Alwyn Jacobus Nicolaas Theron, F. C. Rust |
| author_facet | Louw, Alwyn Jacobus Nicolaas Theron, F. C. Rust |
| author_sort | Theron, F. C. Rust |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MPhil)--Stellenbosch University, 2018. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/105156 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:47:14.419Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2018 |
| publishDateRange | 2018 |
| publishDateSort | 2018 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/105156 Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa Theron, F. C. Rust Louw, Alwyn Jacobus Nicolaas Stellenbosch University. Faculty of Medicine and Health Sciences. Centre for Health Professions Education. Medical students -- Training of -- South Africa Medicine -- Study and teaching -- South Africa Medical education -- South Africa UCTD Thesis (MPhil)--Stellenbosch University, 2018. ENGLISH SUMMARY: The problem: There is currently a critical shortage of medical doctors in South Africa. The limiting factor in training more doctors is that the clinical teaching platform is filled to capacity. Community-based training has been implemented successfully to expand the clinical teaching platform, moving students from the bigger academic teaching hospital to more rural and community-based hospitals. Not only did the students at the community-based centre benefited from more individual workplace education, but also the student who stayed at the bigger academic centrum benefited from smaller student numbers and less competition for access to training and patients. With the current clinical teaching platform being filled to capacity, the Private Hospital and infrastructure seems to be an untapped resource that could be used in collaboration with the public platform to train students and expand the teaching platform. The context: Since 2014, undergraduate medical students as part of their official mid-clinical rotation in Internal Medicine has been rotating for a four-week period on the Private Hospital Platform. This project is a first of its kind in South Africa and lends itself to be studied. Research question: How do the undergraduate medical students experience their rotation at a private hospital setting in South Africa, with regards to their teaching and learning environment, the private physician as an educator and the private patient? Aims and Objectives: This is a qualitative study to evaluate the students experience of their rotation on the private platform. Specific objectives are: -To use the experience of students rotated at the private platform to make informed decisions if the platform is adequate and accessible to undergraduate teaching. -To determine if the students experienced private specialist physicians as capable and to have sufficient time to be an effective educator. -To determine if the students experienced the private patient accessible to student training. Data collection: Survey questionnaire and focus group interviews were used to gather data. Framework analysis, triangulation of results and member checking were used as instruments to validate the data and ensure reliability and objectivity. Results &Discussion: The students` comments on their rotation were overwhelmingly positive. The openness and willingness of the private patient to be seen by the students were for them one of the big surprises. The advantage of the smaller groups, one-on-one interaction with the specialist, bed-side teaching, more personal relationship with the educators, and role- modelling all led to better and more stimulating education and learning experience. Some of the theoretical principles that underpin the experience of the students at the private clinical platform are the following: social cognitive theory, community of practice, reflective practice, principles of feedback, role modelling and the positive working environment. Conclusion: Evaluation of the students` experience of their rotation on the private hospital platform confirms that the Private Hospital Platform can successfully be utilised for undergraduate medical student training. The teaching platform can thus be enlarged to include infrastructure and human resources available in the private sector, more cost-effectively than other initiatives. The enlarged teaching and learning platform will allow access to more students being trained in South Africa for our local need. Ultimately providing more doctors and improving medical care for the whole population. AFRIKAANSE OPSOMMING: Probleemstelling: Daar is tans ‘n kritiese tekort aan mediese dokters in Suid-Afrika. Die beperkende faktor in die opleiding van meer dokters is dat die kliniese onderrigplatform tot kapasiteit gevul is. Gemeenskapgebaseerde opleiding is al suksesvol gemplïmenteer om die kliniese onderrigplatform uit te brei deur studente van groter akademiese hospitale te skuif na landelike en gemeenskapgebaseerde hospitale. In die gemeenskapgebaseerde omgewing het studente nie net voordeel getrek uit individuele onderrig nie, maar ook uit die kleiner dosent-student verhouding; dus is daar minder mededinging vir toegang tot opleiding en pasiënte. Met die huidige kliniese platform wat kapasiteit bereik het, is die infrastruktuur van die privaathospitaal ‘n onbenutte hulpbron wat gebruik kan word in samewerking met die publieke platform om studente op te lei en sodoende die onderrig-platform uit te brei. Die konteks: Sedert 2014 roteer sommige voorgraadse mediese studenter vier weke lank by privaat-hospitale as deel van hul amptelike kliniese rotasie in Interne Geneeskunde. Hierdie is die eerste projek van sy soort in Suid-Afrika en het dus baie navorsingspotensiaal. Navorsingsvraag: Hoe ervaar voorgraadse mediese studente hul rotasie in ‘n private hospitaal omgewing in Suid-Afrika met betrekking tot hul onderrig en leerruimte, die dokter in die private sektor as opvoeder en die privatepasient. Doelstelling en doelwitte: Hierdie is ‘n kwalitatiewe studie om die studente se ervaring van hul rotasie op die private platform te evalueer. Spesifieke doelwitte: - Om die ervaring van studente wat op die private platform geroteer het te gebruik om ingeligte besluite te neem oor die platform as ‘n voldoende en toeganklike omgewing vir voorgraadse onderrig. - Om te bepaal of studente die privaat spesialiste ervaar het as effektiewe opvoeders wat toegerus is met die nodige vaardighede en beskik oor tyd. - Om te bepaal of studente privatepasiente as toeganklik vir studente opleiding ervaar het. Data-insameling: Vraelyste en fokusgroep onderhoude is gebruik om data in te samel. Raamwerkanalise, triangulering van resultate en respondent-terugvoering is gebruik om die geldigheid, betroubaarheid en objektiwiteit van die data te verseker. Resultate en Bespreking: Studente se kommentaar oor die rotasie was oorweldigend positief. Die openheid en gewilligheid van privatepasiente om gesien te word deur studente was vir hulle een van die grootste verrassings. Die voordeel van die kleiner groepe, een-tot-een interaksie met die spesialis, praktiese onderrig, persoonlike verhoudings met die opvoeders en rolmodellering het gesamentlik gelei to ‘n beter en meer stimulerende onderrig- en leerervaring. Teoretiese beginsels wat studente se ervaring by die privaat kliniese platform onderskryf, is: die sosiale kognitiewe teorie, gemeenskapsinteraksie, reflektiewe praktyk, beginsels by die gee van terugvoer, rolmodellering en ‘n positiewe werksomgewing. Gevolgtrekking: Evaluering van studente se ervaring van hul rotasie by die privatehospitaal platform bevestig dat die platform suksesvol gebruik kan word vir voorgraadse opleiding. Die onderrig platform kan dus uitgebrei word om infrastruktuur en menslike hulpbronne wat beskikbaar is in die privaat sektor te gebruik op ‘n koste-effektiewe manier. Die uitgebreide onderrig en leer platform sal toegang gee vir meer studente wat opgelei word in Suid-Afrika vir plaaslike behoeftes. Uiteindelik kan die inisiatief meer dokters voorsien en mediese sorg vir die hele bevolking verbeter. Masters 2018-11-08T12:42:47Z 2018-12-10T06:35:00Z 2018-11-08T12:42:47Z 2018-12-10T06:35:00Z 2018-12 Thesis http://hdl.handle.net/10019.1/105156 en_ZA Stellenbosch University 113 pages : includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Medical students -- Training of -- South Africa Medicine -- Study and teaching -- South Africa Medical education -- South Africa UCTD Theron, F. C. Rust Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title | Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title_full | Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title_fullStr | Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title_full_unstemmed | Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title_short | Undergraduate medical students’ experiences of their clinical rotations in a private hospital setting in South Africa |
| title_sort | undergraduate medical students experiences of their clinical rotations in a private hospital setting in south africa |
| topic | Medical students -- Training of -- South Africa Medicine -- Study and teaching -- South Africa Medical education -- South Africa UCTD |
| url | http://hdl.handle.net/10019.1/105156 |
| work_keys_str_mv | AT theronfcrust undergraduatemedicalstudentsexperiencesoftheirclinicalrotationsinaprivatehospitalsettinginsouthafrica |