Internship training adequately prepares South African medical graduates for community service - with exceptions.
نویسندگان
چکیده
BACKGROUND The 2-year internship period for medical graduates began in South Africa in 2005 and has never been formally evaluated. OBJECTIVE This study assessed the perceptions of community service medical officers (COSMOs) working at district hospitals (DHs) in KwaZulu-Natal (KZN) to determine whether the 2-year internship programme had adequately prepared them for community service (CS). METHOD A cross-sectional descriptive study was conducted regarding the perceptions of COSMOs working at 22 district hospitals in KZN. Data were collected in July 2012, using a questionnaire based on the core skills and knowledge detailed in the Health Professions Council of South Africa intern log book. All eight domains were self-assessed and a score of 4 out of 5 indicated an ability to work independently. RESULTS Of the COSMOs, 78% (60 out of 89) completed the questionnaire. Most felt well-prepared for CS in all disciplines, but critical gaps in knowledge and skills were identified in paediatrics, orthopaedics, anaesthetics and obstetrics. In addition, 75% of respondents (45 out of 60) expressed a need for additional training in the disciplines of ear, nose and throat (ENT), urology, ophthalmology and dermatology. CONCLUSION The 2-year internship has provided the basis for independent medical practice in DHs. However, certain critical skill gaps need urgent attention, particularly in obstetrics and anaesthesia. Areas of weakness in ENT, urology, ophthalmology and dermatology could be addressed by including these specialities as a compulsory rotation in surgery, medicine or family medicine during internship training.
منابع مشابه
The state of South African internships: A national survey against HPCSA guidelines.
BACKGROUND Medical internship is designed to bridge the gap between the theoretical knowledge learned as a student and the skills required as a competent medical practitioner. In South Africa (SA) it is a 2-year structured programme incorporating experience in key domains of medicine selected by the Health Professions Council of South Africa (HPCSA). HPCSA guidelines state that the clinical exp...
متن کاملSuccessful implementation of new osteopathic graduate medical education programs in a community hospital: challenges and lessons learned.
Development of new osteopathic graduate medical education (OGME) programs has emerged as a priority for the osteopathic medical profession. As colleges of osteopathic medicine (COMs) expand class sizes and branch campuses, and as new COMs are launched, availability of sufficient internship, residency, and fellowship positions for future COM graduates will become a challenge. Because of constrai...
متن کاملWhere have all the doctors gone? Career choices of Wits medical graduates.
OBJECTIVES To assess the distribution of University of the Witwatersrand (Wits) medical graduates from 1960 to 1994 with regard to private or public sector work, chosen specialist or generalist careers, and work in urban or rural areas, looking for secular trends and gender differences. DESIGN A cross-sectional analysis of the register of what was then the South African Medical and Dental Cou...
متن کاملFactors driving James Cook University Bachelor of Medicine, Bachelor of Surgery graduates' choice of internship location and beyond.
OBJECTIVE To identify the main reason James Cook University (JCU) Bachelor of Medicine, Bachelor of Surgery graduates chose their internship location and first four practice relocations. DESIGN & PARTICIPANTS This cross-sectional study invited 261 JCU medical graduates to participate in an email or telephone survey. MAIN OUTCOME MEASURES Graduates' main reason for choosing internship locati...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
دوره 103 12 شماره
صفحات -
تاریخ انتشار 2013