Practice choices of clinical associates : policy realisation or practical reality?

Show simple item record Monareng, V.L. Wolvaardt, Jacqueline Elizabeth (Liz) Bac, Martin Webb, Elizabeth M. 2020-01-23T12:51:37Z 2020-01-23T12:51:37Z 2019-10
dc.description.abstract BACKGROUND. The Bachelor of Clinical Medical Practice (BCMP) programme was introduced in South Africa as a strategy to fill human resource gaps in both the public sector and rural communities. A previous study explored the practice intentions of BCMP students from one university prior to graduation. OBJECTIVES. To determine whether the actual practice choices of these BCMP graduates reflect their practice intentions. METHODS. A cross-sectional analytical study invited all graduates from the four cohorts of BCMP graduates (N=250) who graduated during the period 2011 - 2014 to complete an online survey. Data were exported and analysed using Stata 13. Chi-square tests of independence were done to explore associations in the data. RESULTS. More than 80% of participants were currently employed in the public sector, with over 50% in rural settings. Factors such as where clinical associates spent most of their lives (i.e. where they were born and raised) and bursary obligations influenced their current practice choices. There was no association between gender and rural practice choice. Intention to emigrate was not associated with origin, gender or race. Almost 90% of participants indicated an interest in furthering their studies; 46% of these intended a change in career, with 65% interested in studying medicine. CONCLUSIONS. The practice choices of the first four cohorts of this degree were similar to their intended practice choices. Although the policy intentions of public sector employment and rural practice have been met, it is not clear what will happen once bursary obligations are fulfilled. The reasons for increased intentions to change career need further research, as a change of career would countermand gains achieved in implementing the policy. en_ZA
dc.description.department Family Medicine en_ZA
dc.description.department School of Health Systems and Public Health (SHSPH) en_ZA
dc.description.librarian am2020 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Monareng, V.L., Wolvaardt, J.E., Bac, M. et al. 2019, 'Practice choices of clinical associates : policy realisation or practical reality?', South African Medical Journal, vol. 109, no. 10, pp. 761-764. en_ZA
dc.identifier.issn 0256-9574 (print)
dc.identifier.issn 2078-5135 (online)
dc.identifier.other 10.7196/SAMJ.2019.v109i10.14052
dc.language.iso en en_ZA
dc.publisher Health and Medical Publishing Group en_ZA
dc.rights © 2019, South African Medical Association. This open-access article is distributed under Creative Commons licence CC-BY-NC 4.0. en_ZA
dc.subject Public sector en_ZA
dc.subject Rural communities en_ZA
dc.subject South Africa (SA) en_ZA
dc.subject Bachelor of Clinical Medical Practice (BCMP) en_ZA
dc.subject Human resource gaps en_ZA
dc.title Practice choices of clinical associates : policy realisation or practical reality? en_ZA
dc.type Article en_ZA

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