Position paper on undergraduate Palliative Medicine education for doctors in South Africa

Background: Basic palliative care teaching should be included in training curricula for health care providers (HCPs) at all levels of the health service to ensure that the goal set by the South African (SA) National Policy Framework and Strategy for Palliative Care, to have an adequate number of app...

Full description

Bibliographic Details
Main Authors: Henriette Burger, Rene Krause, Charmaine Blanchard, Julia Ambler, Linda Ganca, Alan Barnard, Michelle Meiring, Mpho Ratshikana-Moloko, Hanneke Brits, Tracey Brand, Mitchell Scott, Langalibalele Mabuza, Martin Bac, Nozuko Zele-Mqonci, Parimalaranie Yogeswaran, Liz Gwyther
Format: Article
Language:English
Published: AOSIS 2022-07-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/3202
_version_ 1811314105835847680
author Henriette Burger
Rene Krause
Charmaine Blanchard
Julia Ambler
Linda Ganca
Alan Barnard
Michelle Meiring
Mpho Ratshikana-Moloko
Hanneke Brits
Tracey Brand
Mitchell Scott
Langalibalele Mabuza
Martin Bac
Nozuko Zele-Mqonci
Parimalaranie Yogeswaran
Liz Gwyther
author_facet Henriette Burger
Rene Krause
Charmaine Blanchard
Julia Ambler
Linda Ganca
Alan Barnard
Michelle Meiring
Mpho Ratshikana-Moloko
Hanneke Brits
Tracey Brand
Mitchell Scott
Langalibalele Mabuza
Martin Bac
Nozuko Zele-Mqonci
Parimalaranie Yogeswaran
Liz Gwyther
author_sort Henriette Burger
collection DOAJ
description Background: Basic palliative care teaching should be included in training curricula for health care providers (HCPs) at all levels of the health service to ensure that the goal set by the South African (SA) National Policy Framework and Strategy for Palliative Care, to have an adequate number of appropriately trained HCPs in South Africa, is achieved. Furthermore, palliative learning objectives for nurses and doctors should be standardised. Many SA medical schools have integrated elements of Palliative Medicine (PM) teaching into undergraduate medical training programmes for doctors; however, the degree of integration varies widely, and consensus and standardisation of the content, structure and delivery of such PM training programmes are not yet a reality. Aim: This joint position paper aims to describe the current state of undergraduate medical PM teaching in South Africa and define the PM competencies required for an SA generalist doctor. Setting: Palliative Medicine programme leads and teachers from eight medical schools in South Africa. Methods: A survey exploring the structure, organisation and content of the respective medical undergraduate PM programmes was distributed to PM programme leads and teachers. Results: Responses were received from seven medical schools. Through a process of iterative review, competencies were defined and further grouped according to suitability for the pre-clinical and clinical components of the curriculum. Conclusion: Through mapping out these competencies in a spiralled medical curriculum, the authors hope to provide guidance to medical curriculum designers to effectively integrate PM teaching and learning into current curricula in line with the goals of the SA National Policy Framework and Strategy on Palliative Care (NPFSPC).
first_indexed 2024-04-13T11:06:02Z
format Article
id doaj.art-cf0ff0d1856a4c6e87a0615bd4ec0340
institution Directory Open Access Journal
issn 2071-2928
2071-2936
language English
last_indexed 2024-04-13T11:06:02Z
publishDate 2022-07-01
publisher AOSIS
record_format Article
series African Journal of Primary Health Care & Family Medicine
spelling doaj.art-cf0ff0d1856a4c6e87a0615bd4ec03402022-12-22T02:49:16ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362022-07-01141e1e710.4102/phcfm.v14i1.3202944Position paper on undergraduate Palliative Medicine education for doctors in South AfricaHenriette Burger0Rene Krause1Charmaine Blanchard2Julia Ambler3Linda Ganca4Alan Barnard5Michelle Meiring6Mpho Ratshikana-Moloko7Hanneke Brits8Tracey Brand9Mitchell Scott10Langalibalele Mabuza11Martin Bac12Nozuko Zele-Mqonci13Parimalaranie Yogeswaran14Liz Gwyther15Division of Radiation Oncology, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Division of Radiation Oncology, Tygerberg Academic Hospital, Cape TownDivision of Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownCentre for Palliative Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and, Non-Communicable Diseases Research Unit, WITS Health Consortium, JohannesburgDepartment of Paediatrics, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa; and, Umduduzi Hospice Care for Children, PietermaritzburgDivision of Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownDivision of Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownDepartment of Paediatrics and Child Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and, Paedspal, Cape TownCentre for Palliative Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa; and, Non-Communicable Diseases Research Unit, WITS Health ConsortiumDivision of Family Medicine, Faculty of Health Sciences, University of the Free State, BloemfonteinUmduduzi Hospice Care for Children, PietermaritzburgDepartment of Family Medicine, School of Clinical Medicine, University of KwaZulu-Natal, DurbanDepartment of Family Medicine and Primary Health Care, Faculty of Health Sciences, Sefako Makgatho Health Sciences University, Ga-RankuwaDepartment of Family Medicine, Faculty of Health Sciences, University of Pretoria, PretoriaDepartment of Family Medicine, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; and, Department of Family Medicine, Faculty of Health Sciences, Steve Biko Academic Hospital, TshwaneDepartment of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, MthathaDivision of Family Medicine, Faculty of Health Sciences, University of Cape Town, Cape TownBackground: Basic palliative care teaching should be included in training curricula for health care providers (HCPs) at all levels of the health service to ensure that the goal set by the South African (SA) National Policy Framework and Strategy for Palliative Care, to have an adequate number of appropriately trained HCPs in South Africa, is achieved. Furthermore, palliative learning objectives for nurses and doctors should be standardised. Many SA medical schools have integrated elements of Palliative Medicine (PM) teaching into undergraduate medical training programmes for doctors; however, the degree of integration varies widely, and consensus and standardisation of the content, structure and delivery of such PM training programmes are not yet a reality. Aim: This joint position paper aims to describe the current state of undergraduate medical PM teaching in South Africa and define the PM competencies required for an SA generalist doctor. Setting: Palliative Medicine programme leads and teachers from eight medical schools in South Africa. Methods: A survey exploring the structure, organisation and content of the respective medical undergraduate PM programmes was distributed to PM programme leads and teachers. Results: Responses were received from seven medical schools. Through a process of iterative review, competencies were defined and further grouped according to suitability for the pre-clinical and clinical components of the curriculum. Conclusion: Through mapping out these competencies in a spiralled medical curriculum, the authors hope to provide guidance to medical curriculum designers to effectively integrate PM teaching and learning into current curricula in line with the goals of the SA National Policy Framework and Strategy on Palliative Care (NPFSPC).https://phcfm.org/index.php/phcfm/article/view/3202palliative medicinepalliative carecurriculum designeducationhealth professions educationlearning outcomecompetencies
spellingShingle Henriette Burger
Rene Krause
Charmaine Blanchard
Julia Ambler
Linda Ganca
Alan Barnard
Michelle Meiring
Mpho Ratshikana-Moloko
Hanneke Brits
Tracey Brand
Mitchell Scott
Langalibalele Mabuza
Martin Bac
Nozuko Zele-Mqonci
Parimalaranie Yogeswaran
Liz Gwyther
Position paper on undergraduate Palliative Medicine education for doctors in South Africa
African Journal of Primary Health Care & Family Medicine
palliative medicine
palliative care
curriculum design
education
health professions education
learning outcome
competencies
title Position paper on undergraduate Palliative Medicine education for doctors in South Africa
title_full Position paper on undergraduate Palliative Medicine education for doctors in South Africa
title_fullStr Position paper on undergraduate Palliative Medicine education for doctors in South Africa
title_full_unstemmed Position paper on undergraduate Palliative Medicine education for doctors in South Africa
title_short Position paper on undergraduate Palliative Medicine education for doctors in South Africa
title_sort position paper on undergraduate palliative medicine education for doctors in south africa
topic palliative medicine
palliative care
curriculum design
education
health professions education
learning outcome
competencies
url https://phcfm.org/index.php/phcfm/article/view/3202
work_keys_str_mv AT henrietteburger positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT renekrause positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT charmaineblanchard positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT juliaambler positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT lindaganca positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT alanbarnard positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT michellemeiring positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT mphoratshikanamoloko positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT hannekebrits positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT traceybrand positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT mitchellscott positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT langalibalelemabuza positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT martinbac positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT nozukozelemqonci positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT parimalaranieyogeswaran positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica
AT lizgwyther positionpaperonundergraduatepalliativemedicineeducationfordoctorsinsouthafrica