Evidence map›Paper›PMID 37932732›Full record

ArticleBMC medical education2023

"We just don't have the resources": Supervisor perspectives on introducing workplace-based assessments into medical specialist training in South Africa.

Tasleem Ras, Louis Stander Jenkins, Colin Lazarus, Jacques Janse van Rensburg, Richard Cooke, Flavia Senkubuge, Abegail N Dlova, Veena Singaram, Emma Daitz, Eric Buch and 2 more

Abstract read
In one paragraph

Article in BMC medical education, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Life in the slow lane: reflective practice in postgraduate Emergency Medicine training in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Portfolio of learning in clinical training.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Tasleem RasUniversity of Cape Town, Cape Town, South Africa. Tasleem.ras@uct.ac.za.ORCID http://orcid.org/0000-0001-5411-9363
Louis Stander JenkinsStellenbosch University and University of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-3221-8683
Colin LazarusWalter Sisulu University, Mthatha, South Africa.ORCID http://orcid.org/0009-0004-9147-9789
Jacques Janse van RensburgUniversity of the Free State, Bloemfontein, South Africa.ORCID http://orcid.org/0000-0002-5045-8728
Richard CookeWitwatersrand University, Johannesburg, South Africa.ORCID http://orcid.org/0000-0003-0827-8720
Flavia SenkubugeUniversity of Pretoria, Pretoria, South Africa.ORCID http://orcid.org/0000-0002-0069-006X
Abegail N DlovaSefakho Makgatho University, Rankuwa, South Africa.ORCID http://orcid.org/0000-0003-2926-239X
Veena SingaramUniversity of KwaZulu Natal, Durban, South Africa.ORCID http://orcid.org/0000-0002-6974-7423
Emma DaitzUniversity of Cape Town, Cape Town, South Africa.ORCID http://orcid.org/0009-0003-8701-982X
Eric BuchColleges of Medicine of South Africa, Johannesburg, South Africa.
Lionel Green-ThompsonUniversity of Cape Town & South African Committee Of Medical Deans, Cape Town, South Africa.ORCID http://orcid.org/0000-0002-2950-9527
Vanessa BurchColleges of Medicine of South Africa, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSouth Africa (SA) is on the brink of implementing workplace-based assessments (WBA) in all medical specialist training programmes in the country. Despite the fact that competency-based medical education (CBME) has been in place for about two decades, WBA offers new and interesting challenges. The literature indicates that WBA has resource, regulatory, educational and social complexities. Implementing WBA would therefore require a careful approach to this complex challenge. To date, insufficient exploration of WBA practices, experiences, perceptions, and aspirations in healthcare have been undertaken in South Africa or Africa. The aim of this study was to identify factors that could impact WBA implementation from the perspectives of medical specialist educators. The outcomes being reported are themes derived from reported potential barriers and enablers to WBA implementation in the SA context.

methodsThis paper reports on the qualitative data generated from a mixed methods study that employed a parallel convergent design, utilising a self-administered online questionnaire to collect data from participants. Data was analysed thematically and inductively.

resultsThe themes that emerged were: Structural readiness for WBA; staff capacity to implement WBA; quality assurance; and the social dynamics of WBA.

conclusionsParticipants demonstrated impressive levels of insight into their respective working environments, producing an extensive list of barriers and enablers. Despite significant structural and social barriers, this cohort perceives the impending implementation of WBA to be a positive development in registrar training in South Africa. We make recommendations for future research, and to the medical specialist educational leaders in SA.

Indexed as

Educational MeasurementInternship and ResidencyClinical CompetenceEducation, Medical, GraduateHumansSouth AfricaWorkplaceBarriers and enablersEntrustable professional activitiesFeedbackLearning environmentResource-constrained settingSpecialist medical educationWorkplace-based assessment

Identifiers

PMID37932732
PMCPMC10629100

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.