The national portfolio of learning for postgraduate family medicine training in South Africa: Experiences of registrars and supervisors in clinical practice

BMC Medical Education

Volumn 13, Issue 1, 2013, Pages

  Jenkins, Louis ^a   Mash, Bob ^a   Derese, Anselme ^b  

^a STELLENBOSCH UNIVERSITY   (South Africa)

^b GHENT UNIVERSITY   (Belgium)

Author keywords

Adult learning; Family medicine; Portfolio; Postgraduate; Service pressure; Supervision; Work based

Indexed keywords

ARTICLE; CLINICAL COMPETENCE; EDUCATION; GENERAL PRACTICE; HUMAN; MEDICAL EDUCATION; METHODOLOGY; ORGANIZATION AND MANAGEMENT; SOUTH AFRICA; STANDARD; TEACHING;

CLINICAL COMPETENCE; EDUCATIONAL MEASUREMENT; FAMILY PRACTICE; HUMANS; INTERNSHIP AND RESIDENCY; SOUTH AFRICA; TEACHING;

EID: 84887851696     PISSN: None     EISSN: 14726920     Source Type: Journal    
DOI: 10.1186/1472-6920-13-149     Document Type: Article

References (70)

1. Health in South Africa: changes and challenges since 2009. Mayosi BM, Lawn JE, van Niekerk A, Bradshaw D, Abdool Karim SS, Coovadia HM, Lancet 2012 380 2029 2043 10.1016/S0140-6736(12)61814-5 23201214
2. How times have changed-HIV and AIDS in South Africa in 2011. Pillay Y, White C, McCormick N, SAMJ: South Afr Med J 2012 102 2 77 78
3. NHI consensus: fix the existing system or risk failure. Bateman C, SAMJ: South Afr Med J 2010 100 12 791 793
4. Fit for purpose? The appropriate education of health professionals in South Africa. Burch V, Reid S, S Afr Med J 2011 101 1 25 26 21626976
5. Global healthcare professional migration: a blessing or a curse?: editorial. Ogunbanjo GA, SA Fam Pract 2012 54 6 467
6. Effectively addressing the health needs of South Africa's population: the role of health professions education in the 21st century. Van Heerden B, S Afr Med J 2013 103 1 21 22
7. Scaling up family medicine and primary health care in Africa: statement of the primafamed network, Victoria Falls, Zimbabwe. De Maeseneer J, Afr J Prim Health Care Fam Med 2013 5 1 3
8. Exploring the key principles of family medicine in Sub-Saharan Africa: International Delphi consensus process. Mash R, Downing R, Moosa S, De Maeseneer J, SA Fam Pract 2008 50 3 60 65
9. Obtaining consensus on core clinical skills for training in family medicine. Couper ID, Mash B, SA Fam Pract 2008 50 6 69 73
10. Outcomes for family medicine postgraduate training in South Africa. Couper ID, Mash B, Smith S, Schweitzer B, SA Fam Pract 2012 54 6 501 506
11. Reflections on the development of family medicine in the Western Cape: a 15-year review. Mash B, SA Fam Pract 2011 53 6 557 562
12. The National Qualifications Framework in South Africa and" out-of-School Youth": problems and possibilities. Kgobe M, Int Rev Educ 1997 43 4 317 330 10.1023/A:1003023822453 (Pubitemid 127575206)
13. Young M, Educational reform in South Africa (1990-2000): An international perspective Education in retrospect: Policy and implementation since. 1990 17 39
14. Implementing workplacebased assessment across the medical specialties in the United Kingdom. Wilkinson JR, Crossley JGM, Wragg A, Mills P, Cowan G, Wade W, Med Educ 2008 42 4 364 373 10.1111/j.1365-2923.2008.03010.x 18338989 (Pubitemid 351388738)
15. The relationship between competence and performance: implications for assessing practice performance. Rethans JJ, Norcini J, Barón-Maldonado M, Blackmore D, Jolly B, LaDuca T, Lew S, Page G, Southgate L, Med Educ 2002 36 10 901 909 10.1046/j.1365-2923.2002.01316.x 12390456 (Pubitemid 35286311)
16. Current perspectives in assessment: the assessment of performance at work. Norcini JJ, Med Educ 2005 39 9 880 889 10.1111/j.1365-2929.2005.02182.x 16150027 (Pubitemid 41297587)
17. The mini-CEX: a method for assessing clinical skills. Norcini JJ, Blank LL, Duffy FD, Fortna GS, Ann Intern Med 2003 138 6 476 481 10.7326/0003-4819- 138-6-200303180-00012 12639081 (Pubitemid 38129026)
18. AMEE medical education guide No. 11 (revised): portfolio-based learning and assessment in medical education. Challis M, Med Teach 1999 21 4 370 386 10.1080/01421599979310 (Pubitemid 29387107)
19. Professional development portfolios for teachers and lecturers. Hall D, J In-Service Educ 1992 18 2 81 86 10.1080/0305763920180203
20. Factors influencing the introduction of portfolios. Van Tartwijk J, Driessen E, Van der Vleuten C, Stokking K, Qual High Educ 2007 13 1 69 79 10.1080/13538320701272813
21. Factors confounding the assessment of reflection: a critical review. Koole S, Dornan T, Aper L, Scherpbier A, Valcke M, Cohen-Schotanus J, Derese A, BMC Med Educ 2011 11 1 104 10.1186/1472-6920-11-104 22204704
22. The use of reflection in medical education: AMEE guide no. 44. Sandars J, Med Teach 2009 31 8 685 695 10.1080/01421590903050374 19811204
23. Schon DA, The reflective practitioner-How professionals think in action United States of America: Basic Books 1983
24. Self-monitoring in clinical practice: a challenge for medical educators. Epstein RM, Siegel DJ, Silberman J, J Contin Educ Health Prof 2008 28 1 5 13 10.1002/chp.149 18366128
25. Mindful practice. Epstein RM, JAMA 1999 282 833 839 10.1001/jama.282.9. 833 10478689 (Pubitemid 29408934)
26. Knowles MSS, Holton EFF III, Swanson RAA, The adult learner USA: Routledge 7 2012
27. Kolb DA, Experiential learning: Experience as the source of learning and development NJ: Prentice-Hall Englewood Cliffs 1984
28. Gibbs G, Improving the quality of student learning through course design Learning to effect. 1992 149 165
29. Approaches to learning. Marton F, Säljö R, Ex Lear 1984 2 39 58
30. Relations between teachers' approaches to teaching and students' approaches to learning. Trigwell K, Prosser M, Waterhouse F, High Educ 1999 37 1 57 70 10.1023/A:1003548313194
31. Boud D, Reflection: Turning experience into learning London: Routledge 1985
32. Assessing professional competence: from methods to programmes. Van Der Vleuten CPM, Schuwirth LWT, Med Educ 2005 39 3 309 317 10.1111/j.1365-2929.2005. 02094.x 15733167 (Pubitemid 40388958)
33. Inconvenient truths about effective clinical teaching. Reilly BM, Lancet 2007 370 9588 705 711 10.1016/S0140-6736(07)61347-6 17720022 (Pubitemid 47285320)
34. Enhancing the educational interaction in family medicine registrar training in the clinical context. Mash R, Goedhuys J, D'Argent F, SA Fam Pract 2010 52 1 51 54
35. Twelve tips for successful e-tutoring using electronic portfolios. Deketelaere A, Degryse J, De Munter A, Leyn PD, Med Teach 2009 31 6 497 501 10.1080/01421590802572734 19140059
36. The Colleges of Medicine of South Africa http://www.collegemedsa.ac.za/ view-exam.aspx?examid=102. Last accessed 1 November 2013
37. Portfolios in medical education: why do they meet with mixed success? A systematic review. Driessen E, van Tartwijk J, van DV, Wass V, Med Educ 2007 41 12 1224 1233 10.1111/j.1365-2923.2007.02944.x 18045373 (Pubitemid 350197080)
38. Development of a portfolio of learning for postgraduate family medicine training in South Africa: a Delphi study. Jenkins L, Mash B, Derese A, BMC Fam Pract 2012 13 1 11 10.1186/1471-2296-13-11 22385468
39. The national portfolio for postgraduate family medicine training in South Africa: a descriptive study of acceptability, educational impact, and usefulness for assessment. Jenkins L, Mash B, Derese A, BMC Med Educ 2013 13 1 101 10.1186/1472-6920-13-101 23885806
40. Confession, catharsis, or cure? Rethinking the uses of reflexivity as methodological power in qualitative research. Pillow W, Int J Qual Stud Educ 2003 16 2 175 196 10.1080/0951839032000060635
41. Community-based training in Family Medicine-a different paradigm. Mash B, De Villiers M, Med Educ 1999 33 10 725 729 10.1046/j.1365-2923.1999.00531.x 10583762 (Pubitemid 29465676)
42. The value of small group learning: an evaluation of an innovative CPD programme for primary care medical practitioners. De Villiers M, Bresick G, Mash B, Med Educ 2003 37 9 815 821 10.1046/j.1365-2923.2003.01595.x 12950946 (Pubitemid 37083005)
43. Assessment of the quality of interaction in distance learning programmes utilizing the Internet or interactive television: perceptions of students and lecturers. Mash B, Marais D, Van Der Walt S, Van Deventer I, Steyn M, Labadarios D, Med Teach 2006 28 1 1 e9 10.1080/01421590600568439 16627311
44. How to manage organisational change and create practice teams: experiences of a South African primary care health centre. Mash B, Mayers P, Conradie H, Orayn A, Kuiper M, Marais J, Educ Health 2008 21 2 132
45. The effects of a language barrier in a South African district hospital. Schlemmer A, Mash B, S Afr Med J 2008 96 10 1084
46. Belgian lessons for FaMEC. Moosa S, South Afr Fam Pract 2005 47 10 3
47. Moosa S, FaMEC strategy into the future: editorial 2005
48. Ritchie J, Spencer L, Qualitative data analysis for applied policy research The qualitative researcher's companion. 2002 305 329
49. Miles MB, Huberman AM, Qualitative data analysis: An expanded sourcebook USA: Sage 1994
50. Qualitative research in health care: analysing qualitative data. Pope C, Ziebland S, Mays N, BMJ: Br Med J 2000 320 7227 114 10.1136/bmj.320.7227.114
51. Are learning portfolios worth the effort? Yes. Driessen E, BMJ 2008 337 513
52. The role of assessment in competency-based medical education. Holmboe ES, Sherbino J, Long DM, Swing SR, Frank JR, Med Teach 2010 32 8 676 682 10.3109/0142159X.2010.500704 20662580
53. Contextual learning to improve health care and patient safety. Mikkelsen J, Holm H, Educ Health 2007 20 3 124 127
54. Disentangling clinical learning experiences: an exploratory study on the dynamic tensions in internship. Deketelaere A, Kelchtermans G, Struyf E, De Leyn P, Med Educ 2006 40 9 908 915 10.1111/j.1365-2929.2006.02551.x 16925642 (Pubitemid 44272766)
55. The educational effects of portfolios on undergraduate student learning: a Best Evidence Medical Education (BEME) systematic review. BEME Guide No. 11. Buckley S, Coleman J, Davison I, Khan K, Zamora J, Malick S, Morley D, Pollard D, Ashcroft T, Popovic C, Med Teach 2010 31 4 340
56. Wenger E, Communities of practice: Learning as a social system Systems thinker. 1998
57. Twelve tips for teaching expertise in clinical reasoning. Rencic J, Med Teach 2011 33 11 887 892 10.3109/0142159X.2011.558142 21711217
58. Warner R, April K, Building personal resilience at work 2012
59. Kline N, Time to think: Cassell Illustrated 1999
60. Developing a sustainable electronic portfolio (ePortfolio) program that fosters reflective practice and incorporates CanMEDS competencies into the undergraduate medical curriculum. Hall P, Byszewski A, Sutherland S, Stodel EJ, Acad Med 2012 87 6 744 751 10.1097/ACM.0b013e318253dacd 22534601
61. Rethinking the purposes and processes for designing digital portfolios. Hicks T, Russo A, Autrey T, Gardner R, Kabodian A, Edington C, J Adolesc Adult Literacy 2007 50 6 450 458 10.1598/JAAL.50.6.3
62. Holmboe ES, Hawkins R, Direct observation by faculty. Practical Guide to the Evaluation of Clinical Competence Philadelphia, Pa: Mosby-Elsevier 2008 110 129
63. Medical education: trust, competence, and the supervisor's role in postgraduate training. Ten Cate O, BMJ 2006 333 7571 748 751 10.1136/bmj.38938.407569.94 17023469 (Pubitemid 44555175)
64. Entrustability of professional activities and competency-bases training. Ten Cate O, Med Educ 2005 39 1176 1177 10.1111/j.1365-2929.2005.02341.x 16313574 (Pubitemid 41752330)
65. Viewpoint: competency-based postgraduate training: can we bridge the gap between theory and clinical practice? Ten Cate O, Scheele F, Acad Med 2007 82 6 542 547 10.1097/ACM.0b013e31805559c7 17525536 (Pubitemid 46828201)
66. Impact of workplace based assessment on doctors' education and performance: a systematic review. Miller A, Archer J, BMJ: Br Med J 2010 341 5064 10.1136/bmj.c5064
67. Gawande A, Better: a surgeon's notes on performance: Profile 2007
68. The prevalence of burnout and depression among medical doctors working in the Cape Town metropole community health care clinics and district hospitals of the Provincial Government of the Western Cape: a cross-sectional study. Rossouw L, Afr J Prim Health Care Fam Med 2011 3 1 abstract
69. The role of feedback in improving the effectiveness of workplace based assessments: a systematic review. Saedon H, Salleh S, Balakrishnan A, Imray CH, Saedon M, BMC Med Educ 2012 12 1 25 10.1186/1472-6920-12-25 22551353
70. Students' attitudes towards the introduction of a personal and professional development portfolio: potential barriers and facilitators. Ross S, Maclachlan A, Cleland J, BMC Med Educ 2009 9 1 69 10.1186/1472-6920-9-69 19951406