ArticleAfrican journal of primary health care & family medicine2019
A self-assessment study of procedural skills of doctors in peri-urban district hospitals of Gauteng, South Africa.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Evidence of learning in workplace-based assessments in a Family Medicine Training Programme.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- In search of a fix to the primary health care chasm in India: can institutionalizing a public health cadre and inducting family physicians be the answer?The Lancet regional health. Southeast Asia · 2023Review
- Retention of medical officers in district health services, South Africa: a descriptive survey.BJGP open · 2022Article
- The contribution of family physicians to district health services in South Africa: A national position paper by the South African Academy of Family Physicians.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2022Article
- Perceptions of postgraduate family medicine supervision at decentralised training sites, South Africa.African journal of primary health care & family medicine · 2022Article
- The contribution of family physicians to surgical capacity at district hospitals in South Africa.African journal of primary health care & family medicine · 2021Article
- Estimating the Specialist Surgical Workforce Density in South Africa.Annals of global health · 2021Article
- Investigating competencies needed by European-trained doctors in rural South African hospitals.African journal of primary health care & family medicine · 2020Article
- The role of family physicians in emergency and essential surgical care in the district health system in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2020Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSeveral studies have been carried out on procedural skills of doctors in district hospitals in rural South Africa. However, there is insufficient information about skills of doctors in peri-urban district hospitals. This paper attempts to supplement this vital information.
aimThe aim of the study was to determine self-reported levels of competence in procedural skills of doctors in peri-urban district hospitals and to assess factors influencing this.
settingThe study was undertaken in three district hospitals in two health districts of Gauteng Province.
methodsA cross-sectional descriptive study using a self-administered questionnaire was undertaken in three district hospitals in two health districts of Gauteng Province. The questionnaire assessed procedural skills based on district health service delivery requirements for doctors in district hospitals using a modified skill set developed for family medicine training in South Africa.
resultsThere was a wide range of self-reported competence and experience among doctors for various skill sets. Doctors were generally more competent for procedures in general surgery, medicine, orthopaedics, obstetrics and gynaecology and paediatrics than anaesthesia, ear, nose and throat and ophthalmology. There were statistically significant associations between age and overall anaesthetic competence (p = 0.03); gender and overall competence in surgery (p = 0.03), orthopaedics (p = 0.02) and urology (p = 0.005); years of experience and overall competence in dermatology skills; current hospital and overall competence in anaesthesia (p = 0.01), obstetrics and gynaecology (p = 0.015) and dermatology skills (p = 0.01).
conclusionThis was one of the first studies to look at self-reported procedural competence of doctors in a peri-urban setting in South Africa. The results highlight the need for regular skills audits, standardised training and updating of skills of doctors in district hospitals.
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