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Tytuł:
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Perceptions of postgraduate family medicine supervision at decentralised training sites, South Africa.
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Autorzy:
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Erumeda NJ; Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and, Gauteng Department of Health, Ekurhuleni Health District Services, Germiston. .
Jenkins LS
George AZ
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Źródło:
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African journal of primary health care & family medicine [Afr J Prim Health Care Fam Med] 2022 Mar 14; Vol. 14 (1), pp. e1-e13. Date of Electronic Publication: 2022 Mar 14.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Original Publication: Tygervalley, South Africa : OpenJournals Pub.
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MeSH Terms:
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Clinical Competence*
Family Practice*/education
Humans ; Physicians, Family/education ; Qualitative Research ; South Africa
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References:
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Contributed Indexing:
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Keywords: clinical supervision; decentralised clinical training; educational supervision; family medicine registrar; family physician; postgraduate training; workplace-based learning
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Entry Date(s):
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Date Created: 20220406 Date Completed: 20220408 Latest Revision: 20220411
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Update Code:
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20240105
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PubMed Central ID:
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PMC8991043
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DOI:
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10.4102/phcfm.v14i1.3111
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PMID:
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35384683
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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.