Ras Tasleem, Daitz Emma, Jenkins Louis S, van Rendsburg Jacques Janse, Muller Madeleine, Singaram Veena, Cooke Richard, Adam Sumaiya, Mawela Dini, Botha Gerda, Mamashela Thakadu, Harris Tashneem, Buch Eric, Green-Thompson Lionel, Burch Vanessa
Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Department of Family Medicine, Faculty of Health Sciences, Stellenbosch University, Stellenbosch, South Africa.
J Coll Med S Afr. 2024 Nov 21;2(1):88. doi: 10.4102/jcmsa.v2i1.88. eCollection 2024.
In line with international best practices, the South African Committee of Medical Deans, supported by the Colleges of Medicine of South Africa, has called for institutions educating medical specialists to start integrating workplace-based assessment (WBA) in 2025. Workplace-based assessment requires that clinical supervisors observe trainees in the real world of clinical practice, provide feedback and foster reflective practice, while foregrounding patient safety. Despite a large literature on WBA in the global north and an emerging literature in South Africa, a framework for WBA implementation, grounded in South African realities, does not exist. The study aimed to determine current WBA-related knowledge and practices among registrar educators.
A cross-sectional observational study, using an online 5-point Likert scale questionnaire, explored current knowledge and practices of WBA-related activities. The questionnaire variables were categorical, and the data were analysed descriptively. Frequencies, proportions and appropriate graphics were used to present the data.
The key findings relate to relatively high levels of knowledge of what constitutes WBA (82.5% agreed that they had knowledge of WBA), juxtaposed against large variability in the levels of implementation of WBA practices.
The study surveyed postgraduate supervisors in a low- and middle-income country (LMIC) context regarding their understanding and current practices of WBA. Self-reported knowledge levels were high while practices were variable.
The study provides insights into areas to focus on, with the future development and implementation of a comprehensive WBA strategy in South Africa.
按照国际最佳实践，在南非医学学院的支持下，南非医学院院长委员会呼吁培养医学专科医生的机构在2025年开始整合基于工作场所的评估（WBA）。基于工作场所的评估要求临床督导员在临床实践的真实环境中观察实习生，提供反馈并促进反思性实践，同时将患者安全作为重点。尽管在全球北方有大量关于WBA的文献，在南非也有新出现的相关文献，但尚未存在一个基于南非实际情况的WBA实施框架。该研究旨在确定注册主任教育工作者目前与WBA相关的知识和实践情况。
一项横断面观察性研究，使用在线5点李克特量表问卷，探索与WBA相关活动的当前知识和实践情况。问卷变量为分类变量，对数据进行描述性分析。使用频率、比例和适当的图表来呈现数据。
主要发现是，对于构成WBA的内容有相对较高的知识水平（82.5%的人同意他们了解WBA），但WBA实践的实施水平差异很大。
该研究在低收入和中等收入国家（LMIC）背景下，对研究生督导员关于WBA的理解和当前实践进行了调查。自我报告的知识水平较高，但实践情况各不相同。
该研究为南非未来全面WBA战略的制定和实施提供了需要关注的领域的见解。
