Exploring the influence of rural longitudinal multidisciplinary student placements on interprofessional education and collaborative practice in South Africa

Main Article Content

J Muller
E Archer
I Couper

Abstract





Background. Training health professions students along the continuum of care on the distributed training platform (DTP) is increasingly being adopted by universities across Africa to promote the development of responsive healthcare professionals. Interprofessional collaboration to meet patient needs is an integral part of this ideal. Multidisciplinary student placement on the DTP (MDTP) provides opportunities for interprofessional education (IPE). Stellenbosch University offers longitudinal undergraduate student placement at two rural MDTPs in South Africa.


Objective. The objective of this study was to explore the perceived IPE opportunities in Worcester and Upington in South Africa.


Methods. Sixteen purposively selected undergraduate students from five-degree programmes who trained in Upington or Worcester were individually interviewed in 2022 using a qualitative case study research design. Inductive thematic analysis was conducted in reflection with an independent researcher, after which data were deductively analysed using the definition of IPE to guide data coding and theme development.


Results. The value of curricular IPE activities and the need for co-curricular IPE activities focused on holistic patient care were noted. Extracurricular themes related to purposive co-ordination of accommodation, transport and social activities to promote interprofessional interaction were noted.


Conclusion. It is not always possible to purposively design IPE activities on rural MDTPs owing to financial and human resource constraints. This study offers insight into curricular, co-curricular and extracurricular facilitators for IPE in the design of learning opportunities and logistics on rural MDTPs. Recommendations for the development of future MDTPs are presented.





Downloads

Download data is not yet available.

Article Details

How to Cite
Exploring the influence of rural longitudinal multidisciplinary student placements on interprofessional education and collaborative practice in South Africa. (2024). African Journal of Health Professions Education, 16(2b), e1690. https://doi.org/10.7196/AJHPE.2024.v16i2b.1690
Section
Research Articles
Author Biographies

J Muller, Ukwanda Centre for Rural Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

Lecturer in Rural Health
Ukwanda Centre for Rural Health
Department of Global Health

Stellenbosch University
South Africa

E Archer, Centre for Health Professions Education, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

Professor Elize Archer is the Acting Director for the Centre for Health Professions Education and Head of the Simulation and Clinical Skills Laboratory at the Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa.  

I Couper, Ukwanda Centre for Rural Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa

Professor Ian Couper is the Director for the Ukwanda Centre for Rural Health, Department of Global Health and the Faculty of Medicine and Health Sciences, Stellenbosch University, South Africa

How to Cite

Exploring the influence of rural longitudinal multidisciplinary student placements on interprofessional education and collaborative practice in South Africa. (2024). African Journal of Health Professions Education, 16(2b), e1690. https://doi.org/10.7196/AJHPE.2024.v16i2b.1690

References

World Health Organization (WHO). Framework for Action on Interprofessional Education & Collaborative Practice [Internet]. Geneva, Switzerland; 2010. http://apps.who.int/iris/bitstream/10665/70185/1/WHO_HRH_ HPN_10.3_eng.pdf

Frenk J, Chen L, Bhutta ZA, et al.Health professionals for a new century : Transforming education to strengthen health systems in an interdependent world. Lancet 2010;376:1923-1958.

Volmink J, Bruce J, de Holanda Campos H, et al.Reconceptualising Health Professions Education in South Africa [Internet]. Academy of Science: Pretoria; 2018. https://interprofessional.global/wp-content/uploads/2019/11/ Academy-of-Science-South-Africa-2018-Reconceptualising-of-health-professions-in-south-africa.pdf

Talib Z, van Schalkwyk S, Couper I, et al.Medical education in decentralized settings: How medical students contribute to health care in 10 sub-Saharan African countries. Acad Med 2017;92(12):1723-1732.

Walker L, Cross M, Barnett T. Mapping the interprofessional education landscape for students on rural clinical placements: An integrative literature review. Rural Remote Health 2018;18(2):4336.

South African Association of Health Educationalists (SAAHE). Consensus statement: Decentralised Training in the Health Professions. 2017 (accessed 2 June 2018). https://saahe.org.za/wp-content/uploads/2017/07/SAAHE- 2017-Consensus-statement-DCT-adopted.pdf

Muller J, Reardon C, Hanekom S, et al.Training for transformation: Opportunities and challenges for health workforce sustainability in developing a remote clinical training platform. Front Public Heal 2021;9(April):1-14.

Govender P, Chetty V, Naidoo D, Pefile N. Integrated decentralized training for health professions education at

the University of KwaZulu-Natal, South Africa: Protocol for the i-dect project. JMIR Res Protoc 2018;7(1):1-7.

Roberts C, Daly M, Held F, Lyle D. Social learning in a longitudinal integrated clinical placement. Adv Heal Sci

Educ 2017;22(4):1011-1029.

Perron D, Parent K, Gaboury I, Bergeron DA. Characteristics, barriers and facilitators of initiatives to develop

interprofessional collaboration in rural and remote primary healthcare facilities: A scoping review. Rural Remote

Health 2022;22(4):7566.

Martin P, Hill A, Ford M, Barnett T, Graham N, Argus G. A novel interprofessional education and supervision

student placement model: Student and clinical educator perspectives and experiences. Int J Environ Res Public

Health 2022;19(10734).

van Schalkwyk S, Blitz J, Muller J, Couper ID, de Villiers MR. Breaking new ground: Lessons learnt from the

development of Stellenbosch University’s Rural Clinical School. South African Heal Rev 2017;(20):71-76.

Khalili H, Orchard C, Laschinger HKS, Farah R. An interprofessional socialization framework for developing an

interprofessional identity among health professions students. J Interprof Care 2013;27(6):448-453.

Stake RE. Multiple Case Study Analysis. New York: The Guilford Press; 2006.

Tellis W. Introduction to case study. Qual Rep 1997;3(2).

Scholz R, Tietje O. Types of Case Studies. In: Scholz R, Tietje O, editors. Embedded Case Study Methods.

Thousand Oaks: SAGE Publications, 2002; p. 9-15.

Atlas Ti. https://atlasti.com

Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Heal 2019;11(4):589-597.

Morse JM, Barrett M, Mayan M, Olson K, Spiers J. Verification strategies for establishing reliability and validity

in qualitative research. Int J Qual Methods 2002;1(2):13-22.

Jaffer L, Hons B, Africa L, Waggie F. Creating a space for interprofessional engagement in a clinical setting.

African J Heal Prof Educ 2021;13(1):12-13.

Jackson D, Bridgstock R. What actually works to enhance graduate employability? The relative value of curricular,

co-curricular, and extra-curricular learning and paid work. High Educ 2021;81(4):723-739.

Filies GC, Müller J. The International Classification of Functioning, Disability and Health framework as a strategy to promote interprofessional collaboration during rural training in South Africa. In: Erntzen D, Jacobs-Nzuzi Khuabi L-A, Bardien F, editors. Transformation of learning and teaching in rehabilitation sciences: A case study from South Africa. Durbanville: AOSIS Scholarly Books, 2022. p. 169-190. https://books.aosis.co.za/index.php/

ob/catalog/book/357

Moran M, Bickford J, Barradell S, Scholten I. Embedding the International Classification of Functioning, Disability and Health in health professions curricula to enable interprofessional education and collaborative practice. J Med Educ Curric Dev 2020;7:238212052093385.

Ford M, Martin P, Sy M. Twelve tips to support healthcare teams to incorporate interprofessional education and collaborative practice into day-today workplace practices. J Pract Teach Learn 2022;19(3):67-84.

Moran A, Nancarrow S, Cosgrave C, Griffith A, Memery R. What works, why and how? A scoping review and logic model of rural clinical placements for allied health students. BMC Health Serv Res 2020;20(1):1-18.

Khalili H, Orchard C. The effects of an IPS-based IPE program on interprofessional socialization and dual identity development. J Interprof Care 2020;4 Feb: 1-11.

Stellenbosch University Teaching-Learning Policy 1. 2023.

Olson RE, Klupp N, Astell-Burt T. Reimagining health professional socialisation: An interactionist study of

interprofessional education. Heal Sociol Rev 2016;25(1):92-107.

Martin P, Argus G, Ford M, et al.The rural and interprofessional education and collaborative practice interface:

Findings from a qualitative study. J Interprof Care 2023;1-4.

P, Moran M, Graham N, Hill A. The integral role of organisational governance in promoting interprofessional

education in rural settings. Int J Environ Res Public Health 2021;18(6):1-8.

King G, Orchard C, Khalili H, Avery L. Refinement of the Interprofessional Socialization and Valuing Scale

(ISVS-21) and development of 9-item equivalent versions. J Contin Educ Health Prof 2016;36(3):171-177.

Similar Articles

You may also start an advanced similarity search for this article.