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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 />

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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

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