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PHC Approach

Teaching the PHC Approach

Integrating principles into the MBChB & Allied Health Sciences curriculum

The key principles of the PHC Approach are integrated into various courses that make up the MBChB as well as Allied Health Sciences curriculum within the Communication Sciences, Physiotherapy and Occupational Therapy modalities.

Plenaries and lectures, tutorials and seminars, case studies, service learning, and community surveys are used as methods of teaching and learning. In addition textbooks, readings, lecture notes, exercises, worksheets and survey forms are used as learning resources. Students are assessed by means of examinations, assignments, portfolios, research projects, oral presentations, and reflective journals.

The key PHC principles of equity and patient rights also feature prominently in lectures, multimedia, and class exercises on the District Health System, on PHC and equity in health, and on advocating for the rights of patients.

The PHC Principles Portfolio module allows students to apply primary health care principals that have been learnt in preceding years to clinical practice. They are required to develop a portfolio of these cases for submission focused on doing the interview and observations of positionality; building patient-centred practice; stable eco-systems as a prerequisite for health; and applying Primary Health Care Principles. The module additionally promotes an understanding of the bio-psychosocial and cultural context of the patient; the patient care team approach; health promotion by means of information, education, communication, advocacy, mediation and enabling; inter-sectoral collaboration in healthcare; involving communities in asserting their rights and interests; and equity in healthcare & services for the poor and underserved.

The 6th-year Primary Health Care Electives provide the student with an opportunity to enhance their competence in clinical skills, public health practice, and / or research and to deepen their understanding of health systems, the social context of disease and health, and the application of the Primary Health Care Approach in a variety of health care settings both locally and abroad - which is an equity-driven lead theme in the health sciences curricula. Students are able to do a clinical, research, public health or other elective in a country, province or health care setting of their choice and are responsible for planning, undertaking, reporting and finding an on-site clinical supervisor for their electives placement. Two electives are held annually including a long elective (4 weeks) which is graded on the basis of a report as well as a short elective (2 weeks clinical work only) which is assessed by means of a non-graded formatted report for DP purposes.

A 6th-year Longitudinal Integrated Model of clinical learning has been established in the Eden District aimed at producing well-rounded, compassionate and skilled doctors who are committed to service. Students become versed in teamwork, communication, patient advocacy and empathy, and are encouraged to make rural career choices. They follow a panel of patients in each speciality throughout the year, with the emphasis on follow-up and tracking of patients and their illnesses over time. The model allows for continuity of students with their teachers and mentors, as well as continuity of students with a particular community. The academic programme for those students who are selected for the programme is equivalent to that in Cape Town and the same learning objectives, rotations, formal teaching and assessments are provided in a slightly different format.

Mapping the PHC Lead Theme

UNDERGRADUATE DEGREES

Name of Degree & Course

Degree

Course Code

Lecturers / Convenors

1st Year (Semester 1 & 2)

 

 

 

Bachelor of Medicine and Bachelor of Surgery

Becoming a Health Professional (BHP)

Overview of primary health care; key principles of the PHC approach; different levels of the PHC system; PHC and comprehensive care; the NHI health systems framework; transformative education & social accountability.

MBChB

PPH1002S

Prof Steve Reid

Dr Ishaaq Datay

2nd Year (Semester 3 & 4)

 

 

 

Bachelor of Medicine and Bachelor of Surgery

Becoming a Doctor Part IA

Orientation for becoming a doctor; intro to health promotion and approaches; principles of health communication and development of mass media; intro to behaviour change theories to address cultural beliefs and practices; health promotion ethics; health rights; principles of PHC.

MBChB

PPH2000W

Dr Ishaaq Datay

Prof Steve Reid

Bachelor of Medicine and Bachelor of Surgery

Integrated Health Systems (IHS): Critical Health Humanities (CHH) Course

Critical Health Humanities is a thread that draws on the emerging field of Medical and Health Humanities to facilitate dialogue between humanities and science disciplines and pedagogies. Semester 3 explores Power, Privilege, and Intersecting Identities that shape current socio-political contexts. Semester 4 explores Contextualizing Health and Illness and how intersecting identities influence health, health care provision, access to health care, and the complex impact of the SA context on health and illness.

MBChB

HUB2017H

Dr Carla Tsampiras

Sarah Crawford-Browne

3rd Year (Semester 5 & 6)

 

 

 

Bachelor of Medicine and Bachelor of Surgery

Integrated Health Systems (IHS): Semester 5a and Semester 5 b/Neuroblock: Critical Health Humanities (CHH) Course

Critical Health Humanities is a thread that draws on the emerging field of Medical and Health Humanities to facilitate dialogue between humanities and science disciplines and pedagogies. Semester 5a explores experiencing health & illness including subjective experiences, psychological & mental health factors, and intersecting social & cultural identities influencing health and illness. Semester 5b/Neuroblock explores understanding mental health and illness by examining the complex health practice choices in plural health systems and the impact of the SA context on health and illness.

MBChB

LAB3009F

Sarah Crawford-Browne

Dr Carla Tsampiras

Bachelor of Science Physiotherapy

Physiotherapy: Critical Health Humanities (CHH) Course: Intersecting Identities ‘Power, Privilege & Violence’

Race and sciences; histories of health in SA; gender and health; climate change; globalization and health; victim empowerment; structural & cycles of violence; embodiment of identities.

BSc (Phys)

AHS3070H

Dr Carla Tsampiras

Sarah Crawford-Browne

 

Bachelor of Medicine and Bachelor of Surgery

Introduction to Evidence Based Medicine

Introduction to Evidence Based Practice.

MBChB

MDN3001H

James Irlam

 

4th Year (Semester 7 & 8)

 

 

 

Bachelor of Medicine and Bachelor of Surgery

MBChB 4th Year ‘Health in Context’

Health promotion ethics and health rights; community participation and partnerships; behaviour change theories and health promotion approaches; Ottawa Charter actions; planning cycle process and health communication; rural health; poverty and inequality; access to services; nutrition; maternal and child health challenges facing rural doctors; equity in health; health for all; principled health care; PHC lead theme; patient rights; role of doctors; advocacy; communities; right to health; putting PHC principles into practice; PHC approach; district health systems; Alma Ata Declaration; millennium development goals; environmental health and climate change; location and movement of people and effect on health; development of action plans and HP interventions; community diagnosis reflection; home visits.

MBChB

PPH4056W

Dr Ishaaq Datay

(co-convenor)

Prof Steve Reid

James Irlam

Dr Ben Gaunt

Dr Karl le Roux

 

Bachelor of Medicine and Bachelor of Surgery

MBChB 4th Year Medicine: Evidence Based Medicine

Critical appraisal of systematic reviews.

MBChB

MDN4011W

James Irlam

Bachelor of Medicine and Bachelor of Surgery

MBChB 4th Year Medicine: PHC Principles (at the Bedside)

Teaching PHC at the patient’s bedside at Groote Schuur Hospital; integrating the PHC approach into clinical rotations in medicine; applying PHC principals that have been learnt in preceding years to clinical practice. Promoting understanding of  the bio-psychosocial and cultural context of the patient; patient care team approach; health promotion by means of information, education, communication, advocacy, mediation and enabling; promoting inter-sectoral collaboration in healthcare; involving communities in asserting their rights and interests; promoting equity in healthcare, services for the poor and underserved.

MBChB

MDN4011W

Dr Carla Tsampiras

(convenor)

James Irlam

Prof Steve Reid

Sarah Crawford-Browne

Dr Ishaaq Datay

 

5th Year

 

 

 

Bachelor of Science Occupational Therapy

Occupational Therapy in Primary Health Care

Review PHC: basic concepts, policies and current debates.

BSc (OT)

AHS5044S

 

Prof Steve Reid

6th Year

 

 

 

Bachelor of Medicine and Bachelor of Surgery

Primary Health Care Elective - 6th Year

The MBChB curriculum makes provision for a 4-week plus 2-week elective based at any placement of choice. Elective students write reflective reports on their clinical activities and their observations of the application of the principles of the PHC Approach, which is an equity-driven lead theme in the health sciences curricula. They are assessed by an on-site clinical supervisor.

MBChB

PPH6005W

(2 weeks)

PPH6001W

(4 weeks)

James Irlam (convenor)

Dr Hermann Reuter

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year Medicine: Evidence Based Medicine

Emphasizes the clinical application of evidence from a valid and up-to-date study to a specific patient who is familiar to the student. It builds on the teaching of EBM in earlier years and will require students to understand and use EBM resources for searching the literature and critically appraising a study.

MBChB

MDN6000W

James Irlam

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year Longitudinal Placements Eden District

Community-based educational component and Longitudinal Integrated Model in the Eden District.

MBChB

 

Dr Hermann Reuter

Dr Francois Marais

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year: Family Medicine

Family medicine.

MBChB

 

Dr Hermann Reuter

Dr Francois Marais

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year Internal Medicine:  Ambulatory Care

Ambulatory care.

MBChB

CHM6030S

 

Dr Francois Marais

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year Internal Medicine: Acute Care

Acute care skills training.

MBChB

 

Dr Francois Marais

Bachelor of Medicine and Bachelor of Surgery

MBChB 6th Year Paediatrics:  PALS Training Course

PALS training course.

MBChB

 

Dr Francois Marais

POSTGRADUATE DEGREES (HONOURS & MASTERS)

Medicine and the Arts

Humanities: Social Anthropology & Health Sciences

Interdisciplinary course examining the production of knowledge of and about the body from multiple perspectives; the ways in which the arts can constructively engage with medical pedagogy and practice; and engaging in key debates relating medicine, the arts and medical anthropology.

Humanities (Soc Anthro

& Health Sciences)

AXL5412F

Prof Steve Reid

(Co-Convenor)

(Ass Prof Susan Levine)

POSTGRADUATE DEGREES (MASTERS)

Masters Public Health

Evidence Based Health Care

Evidence based health care.

MPH

PPH7022S

James Irlam

Masters Public Health

Public Health & Society

Introduction to primary health care.

MPH

PPH7016F

Prof Steve Reid

Dr Ishaaq Datay

Masters Public Health

Climate Change, Pollution and Health

Climate change, pollution and health.

MPH

PPH7097S

James Irlam

(Co-convenor)

Masters Family Medicine (Part 1)

Community Oriented Primary Care (COPC), Health and Culture & Evidence Based Medicine

Community oriented primary care; health and culture; Evidence based medicine.

MMed FamMed

PPH7072W &PPH4005S

Prof Steve Reid

James Irlam

(Co-convenor)

 

Masters Occupational Therapy

Evidence Based Health Care & Health Promotion

Evidence based health care; health promotion.

MSc (OT)

AHS5018F

James Irlam

Dr Ishaaq Datay

Masters Occupational Therapy

Primary Health Care

Review of PHC: basic concepts, policies and current debates; politics of advocacy and strategic leadership.

MSc (OT)

AHS5044S

Prof Steve Reid

Dr Ishaaq Datay

 

Masters Nutrition Management

Community Nutrition 1: Primary Health Care

Primary health care and the NHI.

MSc (Dietetics)

HUB4049H

Prof Steve Reid

Masters Development Paediatrics

Health and Development

Health Promotion.

MPhil

(Dev Paeds)

 

PED7029W

Dr Ishaaq Datay

POSTGRADUATE DIPLOMAS

Diploma Family Medicine

Evidence Based Health Care

Evidence based health care.

FamMed

PPH4005S

James Irlam

(Co-convenor)

Diploma Community Eye Health

Health systems strengthening and eye care.

Community Eye Health

CHM4001F

Prof Steve Reid

Diploma Health Professions Education

Teaching and Learning Theory in Health Prof Ed

Learning and Teaching Practice

Assessment in Health Profession Education

Curriculum Development & Course Design

Integrated Assessment

Health Prof Ed

 

PPH4044F

PPH4045F

PPH4046F

PPH4047S

PPH4055S

Prof Steve Reid (Convenor)

Diploma Disability Studies

Critical Priorities in Disability and Development Neoliberalism, globalization and health; development theories - modernization and underdevelopment.

Disability Studies

AHS4117S

Dr Carla Tsampiras

Sarah Crawford-Browne

 

MOOC (MASSIVE ONLINE OPEN LEARNING COURSE)

Medicine and the Arts: Humanizing Health Care

Humanities: Social Anthropology & Health Sciences

This course is offered to the general public, undergrad & postgrad students, medical doctors, health practitioners, and academics in Humanities, Social Sciences and Health Sciences. The educators aim to expand interest in the emerging field of medical humanities, particularly with content and perspectives from the developing world. The intention is to expose participants to the different perspectives of the various disciplines and build an appreciation for different disciplinary perspectives on topics within medical humanities.

Humanities (Soc Anthro

& Health Sciences)

 

Prof Steve Reid

(Co-Convenor)

(Ass Prof Susan Levine)