The self-reported learning needs of primary care doctors in South Africa: a descriptive survey

Background: Strengthening primary health care in South Africa is a prerequisite for the successful introduction of National Health Insurance. Primary care doctors from both the public and private sectors are an essential contributor to achieving this goal. In order to prepare these doctors for their...

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Main Authors: Zelra Malan, Richard Cooke, Robert Mash
Format: Article
Language:English
Published: AOSIS 2015-02-01
Series:South African Family Practice
Subjects:
Online Access:https://safpj.co.za/index.php/safpj/article/view/4182
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author Zelra Malan
Richard Cooke
Robert Mash
author_facet Zelra Malan
Richard Cooke
Robert Mash
author_sort Zelra Malan
collection DOAJ
description Background: Strengthening primary health care in South Africa is a prerequisite for the successful introduction of National Health Insurance. Primary care doctors from both the public and private sectors are an essential contributor to achieving this goal. In order to prepare these doctors for their future role, a national diploma training programme is being developed. This study aimed to evaluate the learning needs of primary care doctors and to assist with the design of the diploma. Methods: A descriptive survey of 170 primary care doctors (80 medical officers and 90 private practitioners), from eight provinces in South Africa, in terms of their use of 30 key guidelines, performance of 85 clinical skills and confidence in 12 different roles. Results: Doctors had read the majority of the guidelines (20/30), but few had been implemented in practice (6/30). All of the doctors had been trained in the clinical skills; however, none had taught these skills to others in the last year. Primary care doctors reported having performed the majority of the skills within the last year (70/85). Doctors had performed 7/12 roles in the last year, while 5/12 had not been engaged with. The weakest roles were those of change agent and community advocate, while the strongest roles were competent clinician, capability builder and collaborator. There were a number of significant differences (p 0.05) between the learning needs of medical officers and private practitioners. Conclusion: These findings will help guide the development of a new Diploma in Family Medicine programme for South Africa.
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spelling doaj-art-a6066009f5214bfe86135036078016ff2025-08-20T04:03:13ZengAOSISSouth African Family Practice2078-61902078-62042015-02-0157110.1080/20786190.2014.10026773439The self-reported learning needs of primary care doctors in South Africa: a descriptive surveyZelra Malan0Richard Cooke1Robert Mash2Stellenbosch UniversityUniversity of the WitwatersrandStellenbosch UniversityBackground: Strengthening primary health care in South Africa is a prerequisite for the successful introduction of National Health Insurance. Primary care doctors from both the public and private sectors are an essential contributor to achieving this goal. In order to prepare these doctors for their future role, a national diploma training programme is being developed. This study aimed to evaluate the learning needs of primary care doctors and to assist with the design of the diploma. Methods: A descriptive survey of 170 primary care doctors (80 medical officers and 90 private practitioners), from eight provinces in South Africa, in terms of their use of 30 key guidelines, performance of 85 clinical skills and confidence in 12 different roles. Results: Doctors had read the majority of the guidelines (20/30), but few had been implemented in practice (6/30). All of the doctors had been trained in the clinical skills; however, none had taught these skills to others in the last year. Primary care doctors reported having performed the majority of the skills within the last year (70/85). Doctors had performed 7/12 roles in the last year, while 5/12 had not been engaged with. The weakest roles were those of change agent and community advocate, while the strongest roles were competent clinician, capability builder and collaborator. There were a number of significant differences (p 0.05) between the learning needs of medical officers and private practitioners. Conclusion: These findings will help guide the development of a new Diploma in Family Medicine programme for South Africa.https://safpj.co.za/index.php/safpj/article/view/4182primary carelearning needsclinical guidelinesclinical skillsscope of practice
spellingShingle Zelra Malan
Richard Cooke
Robert Mash
The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
South African Family Practice
primary care
learning needs
clinical guidelines
clinical skills
scope of practice
title The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
title_full The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
title_fullStr The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
title_full_unstemmed The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
title_short The self-reported learning needs of primary care doctors in South Africa: a descriptive survey
title_sort self reported learning needs of primary care doctors in south africa a descriptive survey
topic primary care
learning needs
clinical guidelines
clinical skills
scope of practice
url https://safpj.co.za/index.php/safpj/article/view/4182
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