South African Family Practice - Volume 50, Issue 6, 2008
Volume 50, Issue 6, 2008
Author W.M. PolitzerSource: South African Family Practice 50 (2008)More Less
Primary Health Care Services : are we walking the walk? An audit of the clinics in the Middelburg subdistrict of Mpumalanga Province : letter : correspondenceAuthor L. NkombuaSource: South African Family Practice 50 (2008)More Less
Primary health care is defined as affordable, sustainable, and universally essential health care for all individuals, families and communities in the district, rendered in accordance with the people's health needs, acceptance and their full participation. If we have to attain health for all in the 21st century, we have to make our primary health care effective and accessible to all our populations. Success can only be measured in terms of our people receiving decent, quality health care. This report is an abridged version of the comprehensive audit the author conducted in order to familiarise himself with the existing primary healthcare services in the Middelburg sub district of Mpumalanga.
Conn's Current Therapy, Robert E Rakel (MD) and Edward T Bope (MD) (Eds.) : book review : correspondenceAuthor M. PatherSource: South African Family Practice 50 (2008)More Less
This is a comprehensive standard reference text for all involved in family medicine and primary care.
It focuses on a wide area with detail where needed, covers the wide spectrum of family medicine and is an excellent source for all levels of primary care, as well as level one and rural hospitals. In addition, the family physician in training will find this standard text invaluable and a good resource to consult.
Author Marlene WesselsSource: South African Family Practice 50 (2008)More Less
Source: South African Family Practice 50 (2008)More Less
This is the second edition of what has become an invaluable handbook for doctors, medical students and primary health care workers. It presents an updated approach to critical issues for quick reference in urban and rural clinics and hospital wards. The Handbook is targeted specifically at the needs of the developing world and contains guidelines an antiretroviral therapy, HIV emergencies, and adult and paediatric HIV medicine. An important new feature is a section that provides a systematic approach to HIV medicine in adults and children.
Author Chris EllisSource: South African Family Practice 50 (2008)More Less
Almost all general practitioners and their patients have some form of religious belief although a few may feel it plays little part in their lives or the doctor-patient relationship. Most patients and their doctors, on the other hand, do share a common religiously based belief system which is not usually overtly referred to in a normal consultation. Most patients choose their doctor because they belong to the same community as themselves and this community usually shares the same religious belief.
Source: South African Family Practice 50, pp 69 –73 (2008)More Less
Background : Specialist registrar training in family medicine became a requirement in South Africa in August 2007. As part of the process of developing consensus on the content of training, heads of departments of family medicine agreed to a process for seeking national consensus on the skills required of a graduating family physician. A previously reported research project produced a set of skills lists that were used as the basis for this process.
Methods : The skills lists derived from the previous research were sent to all eight departments of family medicine in South Africa. The lists detailed (1) skills that should be performed independently at the end of training, (2) elective skills, (3) skills on which no consensus could be reached and (4) skills that should be performed under supervision during training. The departments were asked to discuss these skills and give consensus feedback on them, with the aim of narrowing down the lists to either (1) core or (2) elective skills.
Results : Seven of the eight departments participated. Good consensus (greater than 70%) was obtained on most skills, with confirmation of the lists of skills to be performed independently (core skills) and those that should be elective skills. Because consensus could not be obtained on reallocating many of the skills to be performed under supervision during training to either core or elective lists, it was decided to retain these as a third list of skills. The skills on which no consensus could be obtained in the prior research study were all allocated to the elective list as a result of this process.
Conclusions : The final skills lists represent the consensus of family medicine educators in South Africa and provide a basis for family medicine registrar training. They form one component of the outcomes required of graduating family physicians. A review of the lists will be required in time, as training programmes develop.