We know but we hope : a qualitative study of the opinions and experiences on the inclusion of management, health economics and research in the medical curriculum

dc.contributor.authorTurner, Astrid Chrisilda
dc.contributor.authorRyan, Mandy
dc.contributor.authorWolvaardt, Jacqueline Elizabeth (Liz)
dc.contributor.emailastrid.turner@up.ac.zaen_US
dc.date.accessioned2022-11-08T06:52:17Z
dc.date.available2022-11-08T06:52:17Z
dc.date.issued2022-10
dc.descriptionDATA AVAILABITY STATEMENT : Data cannot be shared publicly because of the sensitive nature of the research and concerns about potential loss of confidentiality and violating the terms of informed consent. The data underlying the results presented in the study (number 277/2020) are available upon request to the Faculty of Health Sciences Research Ethics Committee, University of Pretoria (contact via +27 (0)12 356 3084 / deepeka.behari@up.ac. za).en_US
dc.descriptionSUPPLEMENTARY MATERIAL : S1 Checklist.en_US
dc.description.abstractThe achievement of global and national health goals requires a health workforce that is sufficient and trained. Despite considerable steps in medical education, the teaching of management, health economics and research skills for medical doctors are often neglected in medical curricula. This study explored the opinions and experiences of medical doctors and academic educationalists on the inclusion of management, health economics and research in the medical curriculum. A qualitative study was undertaken at four medical schools in Southern Africa (February to April 2021). The study population was medical doctors and academic educationalists. Semi-structured interviews with purposively sampled participants were conducted. All interviews were recorded and professionally transcribed. Constructivist grounded theory guided the analysis with the use of ATLAS.ti version 9.1.7.0 software. In total, 21 academic educationalists and 28 medical doctors were interviewed. In the first theme We know, participants acknowledged the constraints of medical schools but were adamant that management needed to be taught intentionally and explicitly. The teaching and assessment of management and health economics was generally reported to be ad hoc and unstructured. There was a desire that graduates are able to use, but not necessarily do research. In comparison to management and research, support for the inclusion of health economics in the curriculum was insignificant. Under We hope, educationalists hoped that the formal clinical teaching will somehow instil values and best practices of management and that medical doctors would become health advocates. Most participants wished that research training could be optimised, especially in relation to the duration of allocated time; the timing in the curriculum and the learning outcomes. Despite acknowledgement that management and research are topics that need to be taught, educationalists appeared to rely on chance to teach and assess management in particular. These qualitative study findings will be used to develop a discrete choice experiment to inform optimal curricula design.en_US
dc.description.departmentSchool of Health Systems and Public Health (SHSPH)en_US
dc.description.sponsorshipThe Department of Research and Innovation, University of Pretoria Research Development Programme and the University Capacity Development Programme for the University of Pretoria.en_US
dc.description.urihttp://www.plosone.orgen_US
dc.identifier.citationTurner A, Ryan M, Wolvaardt J (2022) We know but we hope: A qualitative study of the opinions and experiences on the inclusion of management, health economics and research in the medical curriculum. PLoS ONE 17(10): e0276512. https://doi.org/10.1371/journal.pone.0276512.en_US
dc.identifier.issn1932-6203 (online)
dc.identifier.urihttps://repository.up.ac.za/handle/2263/88181
dc.language.isoenen_US
dc.publisherPublic Library of Scienceen_US
dc.rights© 2022 Turner et al. This is an open access article distributed under the terms of the Creative Commons Attribution License.en_US
dc.subjectHealth professionalsen_US
dc.subjectHealth managementen_US
dc.subjectHealth economicsen_US
dc.subjectMedical curriculumen_US
dc.titleWe know but we hope : a qualitative study of the opinions and experiences on the inclusion of management, health economics and research in the medical curriculumen_US
dc.typeArticleen_US

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