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Overview of the<br />
Renewed MBChB Curriculum
MBChB Programme Renewal<br />
A Curriculum for Health Care in the 21 st Century<br />
INSERT<br />
LOGO HERE<br />
Mission Statement<br />
Curriculum DNA<br />
The experience of the MBChB future graduate will<br />
be filled with exciting opportunities to develop as a<br />
well-rounded, dynamic professional and team<br />
member with the ability to use the appropriate<br />
knowledge, skills and attributes in an innovative<br />
and relevant way for the South African healthcare<br />
reality and the world beyond<br />
ELECTIVE<br />
Distributed Apprenticeship<br />
Year 6<br />
Apprenticeship<br />
Phase<br />
Guiding Principles<br />
Competence Core Curriculum<br />
Community Contextual<br />
Pre-apprenticeship<br />
Phase<br />
Compassion Curiosity. Confidence<br />
Collaboration<br />
Communication<br />
Citizenship Care of Self & Others<br />
Critical & Creative Thinkers<br />
Change Agents<br />
Longitudinal Primary Health Care<br />
Experience<br />
Learnership<br />
Phase<br />
Competencies<br />
Presenting problems<br />
Partnership<br />
(WCDoH; People’s<br />
Health Movement)<br />
.<br />
Transformative<br />
learning<br />
Blended learning<br />
Developed at Houwhoek workshop August 2017<br />
Design Principles<br />
Burden of disease<br />
Early clinical exposure<br />
Self-directed learning<br />
Flexible assessment<br />
4 Pillars<br />
Contextual relevance<br />
Integration,<br />
spiraling, continuity<br />
Reflective practice<br />
Frequent formative<br />
feedback<br />
Healthcare Practitioner<br />
As Healthcare Practitioners, health professional graduates integrate all of the graduate attribute<br />
roles, applying their emergent profession-specific knowledge, clinical skills, and professional values<br />
in their provision of high-quality and safe patient-centred care in diverse health and social contexts.<br />
The Healthcare Practitioner is the central role in the SU FMHS graduate attributes framework. This<br />
role defines the health professional graduate’s clinical scope of practice (Core Clinical<br />
Curriculum), and draws on the competencies included in the six other, intrinsic roles<br />
(Communicator, Collaborator, Leader, Health Advocate, Scholar, and Professional).<br />
Communicator<br />
As Communicators, health professional graduates form relationships with patients and their<br />
families that facilitate the gathering and sharing of essential information for effective healthcare.<br />
Collaborator<br />
As Collaborators, health professional graduates work effectively with colleagues from their own, as<br />
well as other health care professions to provide safe, high quality, patient-centred care.<br />
Leader & Manager<br />
As Leaders, health professional graduates engage with others to contribute to a vision of a highquality<br />
healthcare system and take responsibility for the delivery of excellent patient care through<br />
their activities as entry-level healthcare practitioners.<br />
Scholar<br />
As Scholars, health professional graduates demonstrate a lifelong commitment to excellence in<br />
practice through continuous learning and by teaching others, evaluating evidence, and contributing<br />
to scholarship.<br />
Health Advocate<br />
As Health Advocates, health professional graduates contribute their knowledge and influence as<br />
they work with individuals, communities and populations to improve health. They work with those<br />
they serve to determine and understand needs, speak on behalf of others when required, and<br />
support the mobilization of resources to effect change.<br />
Professional<br />
As Professionals, healthcare professional graduates are committed to the health<br />
and well-being of individual patients and society through ethical practice, high<br />
personal standards of behaviour, accountability to the profession and society,<br />
profession-led regulation, and maintenance of personal health.<br />
Poster template by ResearchPosters.co.za
Health Systems<br />
Skills Development<br />
Rural Experience<br />
Being and Becoming in Health Care<br />
Year 1 Semester 1<br />
Module co-leads: Kerrin Begg (kbegg@sun.ac.za); Alwyn Louw (ajnlouw@sun.ac.za)<br />
The Being and Becoming in Health Care module will facilitate the students' transition into Higher Education. It will lay the foundation for the further<br />
development into the health care professional the student strives to be.<br />
This module is important to assist the students in their identity and role formation as person and professional, as well as in the broader context of the<br />
health system. The students will start to develop their sense of purpose in health care, embracing both science and humanity.<br />
The students' transformative learning journey will take them through what is entailed in becoming a student, becoming human, becoming a<br />
professional, to being human, being a professional, being in the community and being in the health system.<br />
The students will broaden their understanding of self, others, the community and the health system in the South African context. We will guide the<br />
students by using the bio-psycho-social approach, through the development of skills, reflective practice and relational engagement and<br />
communication.<br />
The students will complete the first part of their journey with a reflective portfolio and personal development plan that will act as the launch-pad for the<br />
rest of their 6-year journey. This will culminate in the development of the graduate attributes, finishing the beginning with the end in mind.<br />
Assessment<br />
Self<br />
7<br />
8<br />
Patient<br />
Reflection & Debriefing<br />
6<br />
5<br />
Community<br />
Students’<br />
Transformative<br />
Learning<br />
Journey<br />
2<br />
4<br />
3<br />
1<br />
Reflection & Debriefing<br />
Start your journey here<br />
1<br />
Becoming a Student<br />
Use reflective learning practices in order to engage in transformative learning<br />
3<br />
5<br />
7<br />
2<br />
4<br />
6<br />
8<br />
8<br />
Becoming a Professional<br />
Becoming Human<br />
Being Human<br />
Being a Professional<br />
Being in the Community<br />
Being in the Health System<br />
Becoming a Doctor<br />
To identify the contribution doctors & other professionals make to healthcare & the health system<br />
Examine the uniqueness of people - Biologically<br />
Examine your uniqueness & how it influences the way you relate to others as well as how<br />
to establish the uniqueness of other people<br />
To identify the contribution doctors and other professionals make to healthcare &<br />
the health system - in practice<br />
Critically reflect on psychosocial & environmental influences on health and healing for<br />
individuals & communities<br />
Explain the structure & functioning of the South African Health System<br />
Develop & initiate a personal development plan towards becoming a Health Professional<br />
C<br />
Longitudinal Primary Health<br />
Care Experience<br />
Reflection<br />
Language & Communication<br />
Skills<br />
Designed by Kanita Brits CHPE Learning Technologies
Form and Function<br />
Year 1 Semester 2<br />
Module co-leads: Karin Baatjes (kbaatjes@sun.ac.za)<br />
Erna Marais (et4@sun.ac.za)<br />
This module encompasses the teaching of normal structure &<br />
function of humans, communities & health systems.<br />
Human body<br />
Self<br />
Community<br />
Health Systems<br />
Explain and demonstrate clinically<br />
relevant structures, functions and<br />
systems of the normal human body<br />
Anatomy, Histology, Physiology<br />
Skills<br />
Clinical examination<br />
and language<br />
Communicate within a clinical context<br />
Be accountable to self and others<br />
Identify and apply research evidence<br />
and descriptive statistics to<br />
interpret data<br />
Describe the forms and functions<br />
of the family and relation to health<br />
and disease<br />
Skills<br />
Use of genogram & ecomap<br />
Vision and values<br />
Governance and funding model of<br />
the system<br />
Different components of the<br />
system<br />
Who works in the district health<br />
system<br />
The primary health care approach<br />
Community orientated primary<br />
care<br />
Skills<br />
Evaluation of local<br />
health system<br />
Longitudinal Primary Health Care Experience<br />
Clinical Curiosity<br />
Learning Opportunities<br />
Assessment<br />
Searching and identification of evidence<br />
Application of descriptive statistics<br />
Skills<br />
Critical appraisal<br />
Lectures<br />
Practical sessions:<br />
i.e. dissection, histology<br />
Skills lab:<br />
Clinical examination and language<br />
E- learning<br />
Primary health care:<br />
Clinics and Community<br />
Self-study<br />
Tutorials<br />
- Portfolio (year 1-3)<br />
- MCQ’s<br />
- Written assignments<br />
- Peer assessment<br />
- Self assessment<br />
- Group presentations<br />
- Spot tests<br />
- Logbooks of skills attained:<br />
examination<br />
and language
HEALTH AND WELLNESS<br />
Year 2 Semester 1<br />
Module team: Dr Derick van Vuuren; Dr Esté Swart ; Sr Hillary Rhode<br />
Contact: dvvuuren@sun.ac.za<br />
Health is a state of complete physical, mental and social well-being and not merely the absence of disease<br />
or infirmity. – The World Health Organisation<br />
It is envisaged that this module will address the fostering of health and prevention of ill-health – with a focus on exploring the concept of<br />
“normality” and understanding what the maintenance of health and well-being entails. This will include examining the well-being of a<br />
person (including self), a vibrant community and an effective health system, as well as how these relate and interact with each other.<br />
Finally, we will follow the life course of a person, examining what it means to be well in the different life phases and how health can be<br />
maintained and protected in each phase.<br />
Central outcomes<br />
1. Understand what it means to be “healthy” and “well” both in terms of the individual, as well as the community.<br />
2. Understand the principles of health promotion, as well as of preventing disease and illness.<br />
3. Describe a health care system that promotes health and wellness of the individual and the community.<br />
4. Describe normal development and change across the human life span.<br />
RIP<br />
Topic 2: Determinants of<br />
health<br />
THEME 3<br />
• Which variables influence the health and<br />
wellness of people?<br />
• Which factors impact on the health and<br />
wellness of communities?<br />
• How do we assess communities in terms<br />
of health and wellness?<br />
• How do we study these variables?<br />
THEME 1<br />
Topic 1: Perceptions on<br />
Health and Wellness<br />
• What is “Health”?<br />
• What is “Wellness”?<br />
• Are there cultural interpretations of this?<br />
• What does this mean for you as a<br />
student?<br />
• What does it mean in the context of<br />
communities?<br />
THEME 1<br />
Making Health and Wellness happen<br />
THEME 2<br />
• How can we promote health and wellness?<br />
• Can disease be prevented?<br />
• What is health advocacy?<br />
• How can we use screening approaches to promote health and wellness?<br />
• How can we connect with people and with communities to accomplish all<br />
of this?<br />
Topic 3: The Health Care<br />
system<br />
• How does the health care system look<br />
like in South Africa?<br />
• Who is part of the health care team?<br />
• What are the indigenous health systems?<br />
• What is the impact of the health care<br />
system on the wellness of health care<br />
workers functioning in the system?<br />
THEME 1<br />
Longitudinal Primary Health Care Experience<br />
The pregnant<br />
mother<br />
The neonate<br />
and infant<br />
Childhood Adolescence Adulthood Growing old End of life<br />
• Normal pregnancy<br />
and labour<br />
• Maternal physiology<br />
and adaptations<br />
• Nutritional needs<br />
during pregnancy<br />
and breastfeeding<br />
• The use of drugs<br />
during pregnancy<br />
• Basic antenatal<br />
care<br />
• Prenatal risk factors<br />
• Initial infant<br />
assessment<br />
• Breastfeeding<br />
• Growth and<br />
development<br />
• The most common<br />
neonatal problems<br />
• Maternal attachment<br />
• Post-partum<br />
depression<br />
• The microbiome and<br />
“new hygiene<br />
hypothesis”<br />
• The road to health<br />
booklet<br />
• Immunization<br />
• Growth, development<br />
and nutrition<br />
• Neuro-developmental<br />
milestones<br />
• Communicating with<br />
a family<br />
• The importance of<br />
play<br />
• The normal<br />
development of the<br />
musculoskeletal<br />
system<br />
• The normal gait cycle<br />
• Child safety<br />
• Growth, development<br />
and nutrition<br />
• Sexual maturation<br />
• Sexual health and<br />
contraception<br />
• Termination of<br />
pregnancy<br />
• High risk behaviour<br />
• Suicide prevention<br />
• Prevention of<br />
substance abuse<br />
• Nutrition<br />
• Screening and<br />
disease prevention<br />
• Stress, coping and<br />
resilience<br />
• Lifestyle and health<br />
o Sleep<br />
o Exercise<br />
o Diet<br />
• The work place and<br />
health.<br />
• The physiology of<br />
menopause and<br />
andropause<br />
• Nutrition of the<br />
elderly<br />
• The causes and<br />
effects of aging<br />
• The psychosocial<br />
and emotional<br />
challenges of aging<br />
• Normal dying<br />
process<br />
• Palliative care<br />
• The patient and<br />
family as unit of care<br />
• Communication<br />
• Patient autonomy<br />
• Self-care of the<br />
involved health<br />
workers<br />
Contributors<br />
Cardiology; Centre for Medical Ethics and Law; Simulation and Clinical Skills Unit; Emergency Medicine; Evidence Based Health<br />
Care; Family Medicine and Primary Care; Global Health; Human Nutrition; Immunology; Infectious Diseases; Institute for Life<br />
Course Health Research; Institute of Sport and Exercise; Medicine; Obstetrics and Gynaecology; Occupational Health;<br />
Occupational Therapy; Oncology; Orthopaedics; Paediatrics and Child Health; Pharmacology; Physiology; Psychiatry
Dysfunction<br />
Module co-leads: Hans Strijdom (jgstr@sun.ac.za)<br />
Year 2 Semester 2<br />
Danny de Wet (drdewet@sun.ac.za)<br />
‘abnormality or impairment in the operation of a specified bodily<br />
organ or system’<br />
In the Dysfunction Module, the student will gain an understanding of the<br />
underlying causes, factors and mechanisms that lead to a transition from normal<br />
(functional) to abnormal (dysfunctional).<br />
The majority of the module content will focus on the patient (in a systems<br />
based approach), although the community, health system and self pillars will also<br />
enjoy a critical presence in the module.<br />
PATIENT<br />
COMMUNITY<br />
HEALTH<br />
SYSTEM<br />
THE SELF<br />
Outcomes:<br />
Identify and describe<br />
mechanisms<br />
underlying<br />
dysfunction and<br />
disease.<br />
Explain how the above-mentioned<br />
mechanisms translate to<br />
dysfunction and common disease<br />
entities, as well as specific<br />
conditions affecting the child and<br />
adolescent, woman and newborn,<br />
man and elderly patient.<br />
Analyze<br />
community-related<br />
factors contributing<br />
to dysfunction and<br />
disease.<br />
Evaluate the<br />
impact of the<br />
health system on<br />
dysfunction and<br />
disease.<br />
CLINICAL CURIOSITY<br />
Identify and recognize strengths and<br />
weaknesses of different research designs,<br />
focusing on qualitative studies (in the<br />
context of patients' experience of<br />
dysfunction).<br />
Reflect on personal<br />
health and wellbeing by<br />
focusing on factors that<br />
may result in<br />
dysfunction and disease<br />
of the self.<br />
LONGITUDINAL PRIMARY HEALTH CARE EXPERIENCE<br />
To facilitate a smooth transition<br />
to the next Module<br />
(Medical Detective),<br />
the student will learn how<br />
underlying pathological<br />
mechanisms translate into<br />
symptoms and signs observed in<br />
specific diseases and disease<br />
conditions.
Medical Detective<br />
Year 3 Semester 1<br />
Module co-leads: Ian Couper (icouper@sun.ac.za)<br />
Ulla Botha (ulla@sun.ac.za)<br />
Introduction<br />
Module focus<br />
This module focuses on the clinical reasoning process as a fundamental component of<br />
medical practice<br />
Module content<br />
The module covers the knowledge of common problems that patients present with as well<br />
as the clinical skills required to assess patients in order to develop a differential diagnosis.<br />
Student learning experience<br />
‣ Students will develop their understanding of the diagnostic process and clinical<br />
reasoning<br />
‣ Students will learn to recognize symptoms & signs, apply critical reasoning to tease out<br />
relevant aspects of the history, undertake appropriate examination and identify<br />
appropriate special investigations needed to refine the differential diagnosis<br />
Assessment<br />
‣ Students will have a portfolio with specific theme-based assignments (fixed number per<br />
theme) and a skills “checklist" (logbook) which will facilitate mastering of theme-based<br />
skills. Modified SNAPPS* patient presentations will be included. An integrated end of<br />
module assessment will take place in week 20.<br />
(*Modified SNAPPS = SNAPS: Summarize history and findings/comprehensive assessment; Narrow the differential diagnosis; Analyse the differential diagnosis; Present uncertainties; Select case-related issues for self-study)<br />
Module format<br />
The module incorporates a range of simulated, multi-media and patient-centered practical<br />
exposures to facilitate learning. To optimize clinical exposure, after a 3-week introduction, the<br />
students will be divided into four groups (approximately 75 students/ groups), which makes<br />
experiential learning, small-group discussions and OPD exposure more feasible. Each group<br />
will pursue one of four parallel themes that occur concurrently, for 4 weeks, and then will<br />
rotate until each theme has been covered.<br />
The themes are:<br />
A. Family Medicine, Psychiatry, Dermatology, ENT, Ophthalmology<br />
B. Internal Medicine (including cardiology, neurology, pulmonology, etc.), Haematology, Radiology,<br />
Chemical Pathology<br />
C. Obstetrics & Gynaecology, Paediatrics<br />
D. Surgery, Orthopaedics, Emergency Medicine, Urology<br />
Theme-based activities will mainly apply to practical exposures; whole-group sessions will<br />
continue three times a week throughout the module. Longitudinal primary care experience<br />
placements will take place across four days a week, with each student going once per week.<br />
Diagram 1: Module format<br />
~<br />
The successful student will be able to:<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
Expected outcomes<br />
Demonstrate an understanding of the<br />
clinical reasoning process by utilizing<br />
critical thinking, applying knowledge and<br />
clinical skills, as well as diagnostic<br />
investigations, to integrate the data<br />
gathered and make a differential/final<br />
diagnosis.<br />
Demonstrate the ability to obtain a goaldirected,<br />
person-centred history, using a<br />
biopsychosocial approach.<br />
Demonstrate the ability to elicit appropriate<br />
clinical signs, using a systematic approach<br />
as guided by the history, while<br />
safeguarding the patient’s dignity and<br />
offering special consideration to vulnerable<br />
groups.<br />
Demonstrate the ability to perform/acquire<br />
and interpret appropriate bedside and/or<br />
other investigations, based on the best<br />
available evidence and resources.<br />
Demonstrate the ability to synthesize<br />
critically the relevant clinical findings in<br />
order to formulate a differential diagnosis,<br />
prioritised according to likelihood, with a<br />
focus on common presenting problems.<br />
Demonstrate the ability to identify common<br />
life-threatening emergencies and<br />
understanding of the appropriate urgent<br />
actions required.<br />
Demonstrate an understanding of how the<br />
self, patient, community and health system<br />
has an impact on the diagnostic process,<br />
and apply a diagnostic process to<br />
problems in the community and in the<br />
health care system.<br />
Poster template by ResearchPosters.co.za
INTERVENTIONS<br />
Year 3 Semester 2<br />
The Team: Theresa Louw, Jeanne Lubbe, Braam Viljoen, Andrew Redfern, Eric DeCloedt, Shani Dames, Maria van Zyl<br />
Contact: t_louw@sun.ac.za or jeannelubbe@gmail.com<br />
What the module wants to achieve<br />
Mission<br />
Address the interventions to be implemented after making a diagnosis<br />
(at the level of self, the patient, the community and the health care system)<br />
This module will include aspects such as pharmacotherapy, surgery, radiotherapy, etc., but also counselling, acting<br />
as change agents, working in teams to address health and health system issues, etc.<br />
After completing this module the student will be able to:<br />
To equip students to confidently effect<br />
change (intervention)<br />
within the core curriculum<br />
for self, patient, community and system<br />
Self, Patient and Community<br />
Describe /Analyse available interventions<br />
Demonstrate competence in basic interventions<br />
Participate in holistic, interprofessional ethical intervention management<br />
Integrate relevant intervention modalities<br />
Design prevention and health promotion interventions<br />
Longitudinal Primary Health Care Experience<br />
Themes<br />
Learning activities<br />
Assessment<br />
Health Care System<br />
Continuous in module assessment (60% clas<br />
s mark):<br />
Written examinations<br />
Assignments<br />
E-portfolio & logbooks<br />
Oral<br />
OSPE, OSCE<br />
End of module assessment (40% class mark):<br />
Written<br />
OSCE / OSPE<br />
Class mark > 60% - promote<br />
Time table example<br />
Poster template by ResearchPosters.co.za
CLINICAL CURIOSITY<br />
Year 4 and 5<br />
Doing and using research as healthcare professionals<br />
The Clinical Curiosity module builds on foundational knowledge that is integrated into the teaching and learning activities of the modules<br />
in the first three years, by teaching students critical appraisal skills. Students get to apply these skills in the remaining three modules<br />
in years 4-6. The module also aims to equip students with the knowledge and skills to identify and apply all the components of a research<br />
project, including reviewing the literature, phrasing clear questions, research methodology, and ethical considerations in research<br />
Distributed Apprenticeship Yr 6<br />
Critically appraise diagnostic accuracy studies<br />
in relation to questions arising in clinical<br />
practice, and apply the steps of evidenceinformed<br />
decision-making<br />
Core Clinical Rotations Yr 5<br />
Critically appraise systematic reviews in<br />
relation to questions arising in clinical practice,<br />
and apply the steps of evidence-informed<br />
decision-making<br />
After reviewing foundation phase<br />
content on accessing and assessing<br />
different kinds of evidence, the focus of<br />
this week is on teaching students the approach<br />
for critical appraisal and applying<br />
this to RCTs. Students will also learn how<br />
to identify research questions and write<br />
a literature review. Students will begin to<br />
work on their protocols in groups.<br />
Students will learn how to apply the<br />
critical appraisal approach to systematic<br />
reviews. The focus of this week will<br />
be on understanding and applying<br />
quantitative and qualitative methodologies.<br />
Students will select an appropriate<br />
research design for their research<br />
question and write the methods<br />
section of their protocols.<br />
Core Clinical Rotations Yr 4<br />
Critically appraise randomised controlled<br />
trials in relation to questions arising in clinical<br />
practice, and apply the steps of evidenceinformed<br />
decision-making<br />
Clinical Curiosity Yrs 4 & 5<br />
During this week, students will continue to<br />
develop their research protocols. They will<br />
learn about managing the data collection<br />
process and key ethical considerations in<br />
research. Students will be taught about<br />
quantitative and qualitative data analysis<br />
and will have the opportunity to apply this<br />
knowledge in practical sessions.<br />
WEEK 1 WEEK 2<br />
WEEK 3 WEEK 4<br />
Students learn how to apply the critical<br />
appraisal approach to diagnostic studies.<br />
The focus of the week will be on interpreting<br />
and writing up results, with practical<br />
academic writing skills sessions and<br />
opportunities to finalise their research<br />
protocols. An overview of the next steps<br />
in the research process will be followed<br />
by sessions on the translation of<br />
research into policy and practice.<br />
Learn how to use and do<br />
health-related research<br />
Interventions Yr 3, Sem 2<br />
Understand randomised controlled trial (RCT) and systematic review study designs<br />
Medical Detective Yr 3, Sem 1<br />
Learn about principles and study designs relating to screening. Understand diagnostic study designs<br />
Dysfunction Yr 2, Sem 2<br />
Understand qualitative study designs. Describe how quantitative and qualitative studies complement one another<br />
Health and Wellness Yr 2, Sem 1<br />
Learn about risk factors and burden of disease. Understand cohort, case-control, and cross-sectional studies<br />
Form and Function Yr 1, Sem 2<br />
Learn how to search for and identify different kinds of evidence sources. Apply descriptive statistics<br />
Being and Becoming in Healthcare Yr 1, Sem 1<br />
Learn principles and steps of evidence-informed decision-making. Identify different kinds of questions and data<br />
CONTACT:<br />
debbiem@sun.ac.za<br />
021 938 9181<br />
OUR MODULE TEAM<br />
Prof Taryn Young Dr Debbie Marais Ms Anel Schoonees Dr Wentzel Dowling Prof Lana van Niekerk Prof Andre van der Prof Dana Niehaus Prof David Hall Mr Rudolf Boshoff<br />
Merwe<br />
& Q Tygerberg<br />
Undergraduate<br />
Research Society
Clinical Rotations<br />
Year 4 and 5<br />
Module co-leads: Hennie Botha (mhbotha@sun.ac.za) Liezl Koen (liezlk@sun.ac.za) Liezl Smit (ls@sun.ac.za)<br />
LEARNING OBJECTIVES OF THIS MODULE<br />
1. Establish rapport with patients to appropriately gather information on history taking<br />
2. Apply and improve on previously acquired skills in the clinical environment (both physical examination and other such as hand-washing)<br />
3. Document and interpret information gathered on history and with physical examination in order to generate a reasonable range of diagnostic possibilities<br />
4. Identify clinically and resource appropriate investigations to elucidate differential diagnosis<br />
5. Recognize and initiate management of life-threatening conditions<br />
6. Construct, document and present a feasible management plan that includes illness specific as well as rehabilitative and preventative approaches.<br />
7. Critically reflect on feedback and revise or modify management plan<br />
8. Document, implement and discuss management plan, including handover care, with the patient, family, colleagues and allied team members as<br />
appropriate<br />
9. Display professional conduct and practice self-reflection<br />
Year Plan (Y4 EXAMPLE)<br />
T<br />
W<br />
O<br />
W<br />
E<br />
E<br />
K<br />
S<br />
H<br />
O<br />
L<br />
I<br />
D<br />
A<br />
Y<br />
B<br />
E<br />
I<br />
N<br />
G<br />
&<br />
B<br />
E<br />
C<br />
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S<br />
CLINICAL ROTATIONS SUMMARY<br />
SELECTIVES<br />
YEAR 4 vs YEAR 5<br />
• Orthopaedics: 5 weeks<br />
• Anaesthesiology: 5 weeks<br />
• Obstetrics and Gynaecology: 10 weeks (5 x 2)<br />
• Internal Medicine: 12 weeks (6 x 2)<br />
• Surgery: 8 weeks (4 x 2) + 2 weeks Urology Y4 + 2 weeks<br />
Trauma/Ophthalmology Y4<br />
• ENT: 2 weeks Y5<br />
• Emergency Medicine: 2 weeks Y5<br />
• Paediatrics & Neonatology [including paediatric surgery]: 12<br />
weeks (6 x 2)<br />
• Psychiatry: 8 weeks (4 x 2)<br />
ASSESSMENT<br />
• Promotion from Y4 to Y5 dependant on meeting minimum<br />
standards across all assessments as well as e-portfolio<br />
• Integrated Examination at end of Year 5<br />
• Entry into exam based on ability to meet a predetermined set<br />
of criteria<br />
• All rotations as well as e-portfolio will contribute to aforementioned<br />
criteria<br />
• Examination will have to be passed in order for student to<br />
start Distributed Apprenticeship<br />
A<br />
B<br />
Individual students will have different but equivalent<br />
rotations<br />
Main focus will not be knowledge transfer but rather on<br />
professional development in team context<br />
Less students per environment but with more<br />
connection<br />
Develop professionalism and application<br />
The module will allow some level of choice for individual<br />
placements but at least 50% should be in clinical<br />
environments and the rest in related environments.<br />
4 PERIODS OF 2 WEEKS EACH OVER 2 YEARS<br />
• Microbiology/Immunology<br />
• Forensic medicine<br />
• Rural<br />
• Community Paediatrics<br />
• Community Psychiatry<br />
• Oncology<br />
• Obstetric critical Care<br />
• Fetal Medicine<br />
• Obstetrics special care<br />
• Reproductive Medicine<br />
• Family Planning<br />
• Radiology<br />
• Clinical pharmacology<br />
• Dermatology<br />
• Palliative care<br />
• Plastic Surgery…<br />
…and counting<br />
• Largely similar except Orthopaedics and Anaesthesiology<br />
only in Y 4 or 5 as well as outlined below:<br />
• Ophthalmology/Trauma 2 weeks Y4<br />
• Urology 2 weeks Y4<br />
• Ethics Week Y4<br />
• Being and Becoming and Research 3 weeks Y4<br />
• ENT: 2 weeks Y5<br />
• Emergency Medicine: 2 weeks Y5<br />
• Being and Becoming and Research 1 week Y5<br />
• Study Week and Integrated Assessment Week Y5<br />
• Preparation for Distributed Apprenticeship 1 week y5<br />
“The student experience during the clinical training will be an exciting<br />
and transformative period of being, and becoming, a health<br />
professional for and in the South African context.”
The Distributed Apprenticeship<br />
Year 6<br />
Work-based learning , Integration of theory into practice & competency based outcomes<br />
The focus of this module<br />
The transition from being a student to a<br />
competent doctor who practices evidence<br />
based medicine cost-effectively and ethically<br />
with sensitivity to person and context.<br />
• Integration and refining of clinical reasoning<br />
• Applying of knowledge and skills<br />
• Clerking undifferentiated patients<br />
• Work-based learning and development<br />
• Forming good relationships with patients, tutors,<br />
health care teams and communities<br />
SELF<br />
Competence<br />
Clinical Skills<br />
PATIENT<br />
Evidence Based<br />
Practice<br />
Solving Ethical<br />
Dilemmas<br />
Maintaining Selfwellness<br />
COM -<br />
MUNITY<br />
Learning Objectives:<br />
• Diagnose core clinical conditions<br />
• Perform core procedures<br />
• Develop comprehensive and<br />
appropriate management plans<br />
• Refer patients appropriately<br />
• Stabilize critically ill patients.<br />
• Use guidelines and other resources to<br />
improve patient outcomes<br />
• Assimilate the graduate attributes<br />
into daily practice<br />
• Assessment of own wellness<br />
• Recognize when to seek help<br />
SYSTEM<br />
THE YEAR IN OVERVIEW<br />
Clinical environments for learning<br />
Clinics<br />
District Hospitals<br />
Secondary Hospital departments<br />
Community day/health Centres<br />
GP practices<br />
Emergency Medical Services<br />
Community Based Services<br />
Private hospitals<br />
Maternities<br />
Infectious diseases hospitals<br />
Learning Activities & Resources<br />
Working in clinical teams<br />
Activities & procedures as specified in logbook<br />
Own reading and reviewing of resources<br />
Actual & mock referrals<br />
Clinical simulations<br />
ATLS & ACLS training<br />
SunLearn based assignments<br />
Near-peer learning activities<br />
Electronic reflections<br />
QI project<br />
Administrative<br />
Skills<br />
Communication<br />
Skills<br />
Engaging with<br />
Systems and<br />
Communities<br />
Research<br />
(elective theme)<br />
• Completion of medico legal<br />
documents<br />
• Write appropriate referrals and<br />
discharges<br />
• Make appropriate clinical notes and<br />
use of ICD10 codes.<br />
B<br />
• Write legal medication scripts and<br />
clinical instructions<br />
• Communicate effectively with<br />
patients<br />
• Communicate effectively with team<br />
members<br />
Text Sizes<br />
• Communicate effectively with<br />
community members and health<br />
care role players<br />
• Develop and implement a quality<br />
improvement project<br />
• Use guidelines and other resources to<br />
improve systems<br />
• Apply Community Oriented Primary<br />
Care principles and skills<br />
• Perform a research project during the<br />
year.<br />
• Attempt to have a publication<br />
accepted by the end of the year.<br />
A<br />
Supervision & Support<br />
Students will be placed in learning hubs<br />
• 1-2 Regional Supervisors per learning hub<br />
• Quality assurance<br />
• Regional training events<br />
• Site Coordinator & student support<br />
• 1-2 site coordinators per facility<br />
• Local rosters, logistics & admin<br />
• Coordination of assessments<br />
• Supervisor & Student support<br />
• 1 Apprentice supervisor per student<br />
• Mentoring<br />
• Clinical supervision<br />
Assessment of Competencies<br />
Contact Information<br />
Coordinator: Francois Coetzee - franna@sun.ac.za<br />
UCRH website - Ukwanda blog@sun.ac.za<br />
- Ukwanda Centre for Rural Health<br />
- @Ukwanda_ Worc<br />
Please Scan The QR Code And Give Feedback
For more information contact:<br />
Mariette Volschenk<br />
mvolschenk@sun.ac.za