ArticleAfrican journal of primary health care & family medicine2022
Perceptions of postgraduate family medicine supervision at decentralised training sites, South Africa.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The perceived impact of family medicine leadership training on practice: A qualitative study.African journal of primary health care & family medicine · 2025Article
- Optimizing Clinical Postgraduate Training: Perspectives of Postgraduate Alumni Regarding Their Residency Training at Mbarara University of Science and Technology, Uganda.Advances in medical education and practice · 2025Article
- The Durban University of Technology Faculty of Health Sciences Decentralized Clinical Training Project: Protocol for an Implementation Study in KwaZulu-Natal, South Africa.JMIR research protocols · 2024Article
- Postgraduate medical trainees at a Ugandan university perceive their clinical learning environment positively but differentially despite challenging circumstances: a cross-sectional study.BMC medical education · 2023Article
- Allopathic Medicine Practitioners' perspectives on facilitating disclosure of traditional medicine use in Gauteng, South Africa: a qualitative study.BMC complementary medicine and therapies · 2023Article
- Workplace-based learning opportunities in a South African family medicine training programme.African journal of primary health care & family medicine · 2023Article
- Perceptions of resources available for postgraduate family medicine training at a South African university.African journal of primary health care & family medicine · 2022Article
- Evaluating postgraduate family medicine supervisor feedback in registrars' learning portfolios.African journal of primary health care & family medicine · 2022Article
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSpecialist training in family medicine (FM) is growing rapidly in sub-Saharan Africa. The strong emphasis on workplace-based learning for speciality training makes it vital to gain in-depth insights into registrar supervision. Previous studies have explored aspects of supervision at decentralised sites in high-income countries, however, little is known about the benefits and constraints of decentralised postgraduate supervision in low- to middle-income countries, especially in Africa.
aimThis study aimed to explore family physicians' and registrars' perceptions of the strengths and challenges of clinical and educational supervision across decentralised training sites.
settingThe study was conducted across two provinces at five decentralised training sites affiliated with the University of the Witwatersrand, Johannesburg.
methodsThis qualitative study involved semi-structured interviews with a purposive sample of 11 FPs and 11 registrars. The data were thematically analysed.
resultsTwo of the four themes identified, 'supervision is context-specific and supervisor-dependent', and 'the nature of engagement matters', involved strengths and challenges. The other two, 'supervision is not ideal' and 'the training environment is challenging', focussed on challenges.
conclusionSupervisors and registrars described the postgraduate FM supervision as context-specific and supervisor-dependent. Supervisors displayed good clinical-teacher characteristics and supervisory relationships. However, several challenges, including registrars' workload, resource shortages and a lack of standardisation across training sites, need to be addressed. Regular faculty development is essential for supervisors to be aware of relevant aspects of, and current trends in, postgraduate training.
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