Obtaining Consensus on Core Clinical Skills for Family Medicine Training

Background: Family medicine specialist registrar training 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...

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Main Authors: Ian D. Couper, Bob Mash
Format: Article
Language:English
Published: AOSIS 2008-12-01
Series:South African Family Practice
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Online Access:https://safpj.co.za/index.php/safpj/article/view/1242
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author Ian D. Couper
Bob Mash
author_facet Ian D. Couper
Bob Mash
author_sort Ian D. Couper
collection DOAJ
description Background: Family medicine specialist registrar training 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 which 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 skills that should be (1) 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. Departments were asked to discuss these 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 of the elective skills. Because consensus could not be obtained on re-allocating 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 was previously obtained in the prior research study, were all allocated to the elective list as a result of this process. Conclusion: The final skills lists represent a 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. Review of the lists will be required over time, as training programmes develop.
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spelling doaj-art-8b51e7d0085d4bfabc8462f13b91b0bd2025-08-20T03:43:46ZengAOSISSouth African Family Practice2078-61902078-62042008-12-0150610.1080/20786204.2008.10873796986Obtaining Consensus on Core Clinical Skills for Family Medicine TrainingIan D. Couper0Bob Mash1Department of Family Medicine, University of the WitwatersrandDivision of Family Medicine and Family Care, Stellenbosch UniversityBackground: Family medicine specialist registrar training 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 which 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 skills that should be (1) 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. Departments were asked to discuss these 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 of the elective skills. Because consensus could not be obtained on re-allocating 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 was previously obtained in the prior research study, were all allocated to the elective list as a result of this process. Conclusion: The final skills lists represent a 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. Review of the lists will be required over time, as training programmes develop.https://safpj.co.za/index.php/safpj/article/view/1242core clinical skillfamily medicine training
spellingShingle Ian D. Couper
Bob Mash
Obtaining Consensus on Core Clinical Skills for Family Medicine Training
South African Family Practice
core clinical skill
family medicine training
title Obtaining Consensus on Core Clinical Skills for Family Medicine Training
title_full Obtaining Consensus on Core Clinical Skills for Family Medicine Training
title_fullStr Obtaining Consensus on Core Clinical Skills for Family Medicine Training
title_full_unstemmed Obtaining Consensus on Core Clinical Skills for Family Medicine Training
title_short Obtaining Consensus on Core Clinical Skills for Family Medicine Training
title_sort obtaining consensus on core clinical skills for family medicine training
topic core clinical skill
family medicine training
url https://safpj.co.za/index.php/safpj/article/view/1242
work_keys_str_mv AT iandcouper obtainingconsensusoncoreclinicalskillsforfamilymedicinetraining
AT bobmash obtainingconsensusoncoreclinicalskillsforfamilymedicinetraining