Dladla Samantha, Von Pressentin Klaus B, Ras Tasleem
Division of Family Medicine, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town.
Afr J Prim Health Care Fam Med. 2025 Aug 27;17(1):e1-e10. doi: 10.4102/phcfm.v17i1.4954.
Family physicians (FPs) play a crucial role in clinical governance within South Africa's District Health System, necessitating strong leadership skills.
To understand how the postgraduate Leadership and Governance module at the University of Cape Town (UCT) helped prepare qualified FPs working in the Western Cape province public sector for their leadership role.
The UCT offers a 4-month Leadership and Governance module as part of its 4-year Master of Medicine in Family Medicine programme, aiming to prepare registrars for leadership roles.
An exploratory qualitative study design was used. A total of 10 UCT alumni working in senior public sector roles were purposively sampled for online semi-structured interviews. Interviews were recorded, transcribed and analysed using the framework method. Data were coded deductively into themes, with new themes created for cohesive uncategorised data.
Findings revealed that FPs shared similar early experiences as clinical leaders and faced a transitional phase after completing their registrarship. While key leadership qualities aligned with existing literature, participants emphasised the importance of context-specific training and the value of community practice resources.
The module itself was not considered particularly helpful in preparing FPs for real-world leadership and governance challenges.Contribution: The study highlights gaps between theoretical training and practical leadership demands, indicating that the module must better address the realities faced by newly qualified FPs. This research contributes to understanding the limitations of current leadership training and underscores the need for more practical, contextually relevant education for FPs in leadership roles.
家庭医生在南非地区卫生系统的临床治理中发挥着关键作用，因此需要具备强大的领导技能。
了解开普敦大学（UCT）的研究生领导力与治理模块如何帮助在西开普省公共部门工作的合格家庭医生为其领导角色做好准备。
UCT提供一个为期4个月的领导力与治理模块，作为其4年制家庭医学医学硕士课程的一部分，旨在让住院医生为担任领导角色做好准备。
采用探索性定性研究设计。共有10名担任公共部门高级职位的UCT校友被有目的地抽样进行在线半结构化访谈。访谈进行录音、转录并使用框架方法进行分析。数据被演绎编码为主题，并为连贯的未分类数据创建新主题。
研究结果显示，家庭医生作为临床领导者有着相似的早期经历，并且在完成住院医生培训后面临一个过渡阶段。虽然关键领导素质与现有文献一致，但参与者强调了针对具体情况的培训的重要性以及社区实践资源的价值。
该模块本身在帮助家庭医生应对现实世界的领导力和治理挑战方面并未被认为特别有帮助。
该研究突出了理论培训与实际领导需求之间的差距，表明该模块必须更好地应对新获得资格的家庭医生所面临的现实情况。这项研究有助于理解当前领导力培训的局限性，并强调需要为担任领导角色的家庭医生提供更实用、与具体情况相关的教育。
