BACKGROUND : During recent years, a shortage of medical practitioners has been reported in rural underserved areas of South Africa (SA). The Division of
Family Medicine, Faculty of Health Sciences, University of Cape Town (UCT), SA, implemented a voluntary 4-week rural rotation in Vredenburg, West
Coast District, in 2011 in response to the need for rural training to be included in the medical curriculum. The reason for the decline in the number
of students making use of this opportunity, is unknown; therefore, a compulsory 1-week rural rotation, as part of the final-year 4-week clerkship, was
implemented in 2015. The rationale for this intervention was to ensure a sustainable rural learning environment and to highlight the need to explore
students’ expectations and experiences with regard to the rural rotation.
OBJECTIVES : To explore the expectations and experiences of 6th-year medical students regarding the family medicine rural rotation, and to identify factors
that may influence return to a rural setting after graduation.
METHODS : A qualitative study design was used. Sixth-year medical students (n=31) participated in the pre-rural focus group discussions (FGDs), and 28
in the post-rural FDGs. A content analysis method was used to identify key themes.
RESULTS : Key themes for student expectations included programme content, clinical experiences, language barriers and physical environment. Themes for
student experiences related to environment and resources, programme content and clinical experience, language barriers and logistics. Positive experiences
included good mentorship, autonomy to perform procedures and improved preparedness for internship. Negative experiences included inadequate clinical
exposure and time allocation. Most students expressed an intention to enter rural practice; reasons included effective teamwork and making a difference.
CONCLUSIONS : Student expectations of the rural rotation varied from feelings of apprehension about language barriers to programme content and clinical
experience. However, the majority were excited about the potential clinical exposure in a rural setting. Positive experiences related to student expectations
being met and working independently while supervised by good mentors. Based on these findings, it can be concluded that all medical students,
irrespective of geographical background, should be exposed to rural medicine in the undergraduate curriculum.
Paper presented at the 25th Annual Southern African Transport Conference 10 - 13 July 2006 "2010: Will transport infrastructure and systems be ready?", CSIR International Convention Centre, Pretoria, South Africa.
This paper evaluates a South African rural telecentre that may serve as a ‘best practice’ model. The
paper first provides a brief literature review of telecentres and the role of information and
communication technology ...
Nhemachena, Charles; Chakwizira, James; Dube, Sipho; Maponya, Goodhope; Rashopola, Remina; Mayindi, Daphney Hellen; Southern African Transport Conference (30th : 2011 : Pretoria, South Africa); Transportation Research Board of the National Academies (TRB); Minister of Transport, South Africa(Document Transformation Technologies, 2011-07)
Paper presented at the 30th Annual Southern African Transport Conference 11-14 July 2011 "Africa on the Move", CSIR International Convention Centre, Pretoria, South Africa.