Journal of the European Society for Gynaecological Endoscopy

esge_logo

A trial model for medical subspecialty training in South Africa

P. Dalmeyer1, M. Struwig1, T. Kruger2

1Dept. of Business Management, Nelson Mandela Metropolitan University, Port Elizabeth South Africa.

2Dept. Obstetrics & Gynaecology, University of Stellenbosch, South Africa.

Correspondence at: paul@dalmeyer.co.za

Keywords:

Gynaecology, obstetrics, South Africa, subspecialist training, training model, trial programme


Published online: Mar 31 2016

Abstract

This article outlines the trial model in reproductive medicine that was created as a first step in the development of a business model for medical subspecialty training to complement the current academic subspecialty training in South Africa. A two-tiered training model was developed over time. The hurdles that had to be overcome were the development of a curriculum and academic capacity, acquisition of appropriate funding, acceptance and accreditation of the decentralised training facility, and lastly, registration of the fellowship with the Health Professions Council of South Africa. The end result of the trial programme was a two-year full-time training with supportive funding, or a four-year programme, where the subspecialists would spend three weeks of the month in their home practice environment, attached to an accredited unit, and the last week in an academic institution. Due to the trial program’s success for the South African context and the potential of such model for the developing world, it was evident that the trial programme had to be tested to determine whether and how it can be implemented on a wider basis.