The Human Sciences Research Council (HSRC)

2146  Large

Many of the goals of South Africas new democracy depend on the production of professionals who have not only the knowledge and skills to make our country globally competitive, but also a commitment to working and living here. Despite numerous reforms, the South African health system, ten years into democracy, remains divided: first world private care that ranks with middle income countries internationally at the one end, and at the other extreme, in the rural public sector in particular, conditions that are superior only to the poorest of African countries. Much work has been done to change medical school curricula in line with the primary health-care focus of government policy, and international trends towards problem-based learning. The student profile in medical schools is now not only more representative of the demographics of South Africa, but also reveals a significant increase in female students. Whether these students will stay in the country after graduating, and serve where they are needed most, remains to be seen. 

This study on the medical profession and its related education programmes considers the multiple worlds of medical practice in South Africa ten years into democracy, from a number of perspectives.  First, it presents the major problem facing government - the skewed distribution of medical doctors across public/private, rural/urban divides - and consider its recent attempts to rectify the imbalances.  Secondly, it presents the universities responses to the equity and redress demands of government policy: changing profiles of medical students and graduates and new curricula to meet the profile of the basic doctor who is willing and able to serve the needs of a transformed South Africa.  

Finally, it focuses on two medical schools to explore these issues in greater depth.  At UCT, the authors explore the travails of transformation at a long-established medical school and discover some interesting implications in the field of gender. At the University of the Transkei  (now Walter Sisulu University), they explore what is arguably the most concerted attempt in the country to produce rural doctors and raise questions about the success of this initiative and the survival of the medical school.  The study concludes that there has been progress in the admission of black students to formerly white institutions although Africans are still underrepresented.  Gender transformation has been so significant that women students are generally in the majority, but whether the universities are managing to graduate more doctors who are prepared to work in the public and rural service, remains a moot point.

Product information

Format : 210mm x 280mm
Pages : 128
ISBN 10 : 0-7969-2153-9
ISBN 13 : 978-07969-2153-6
Publish Year : 2006
1.Towards an understanding of the profession and education of medical doctors
2.The professional labour market and professional milieu for medical doctors in South Africa
3.The changing face of medical education in South Africa
4.A case study of transformation: University of Cape Towns Medical School
5.A case study of transformation: The new MBChB curriculum at UCT
6.The training of rural doctors: The case of Walter Sisulu University Medical School
7.Conclusions
Appendices
References

Dr Mignonne Breier is a chief research specialist in the Education, Sciences and Skills Development Research Programme at the HSRC. She obtained an MPhil in Adult Education and a PhD in Education at the University of Cape Town. Before joining the HSRC she was a senior researcher at the Centre for the Study of Higher Education, formerly the Education Policy Unit, at the University of the Western Cape.

Ms Angelique Wildschut is a researcher in the Education, Science and Skills Development Research Programme at the HSRC. She obtained both a BA in Industrial Psychology, and an MPhil in Political Management from the University of Stellenbosch.

Share this

You might also consider these related books

2197  Large

HIV/AIDS, Stigma and Children
A literature review

HIV/AIDS-related stigma has been recognised as a key problem that needs to be addressed in HIV/AIDS interventions with adults. The literature on children and HIV/AIDS is extensive, as is the literature on HIV/AIDS related stigma, but specific research on HIV/AIDS-related stigma and children is relatively sparse. This title provides a review of the available literature in this regard.

Product information

Format : 280mm x 210mm
Pages : 88
ISBN 10 : 0-7969-2188-1
ISBN 13 : 978-07969-2188-8
Publish Year : 2007
Price R 115.00
2082  Large

The Health of Our Educators
A focus on HIV/AIDS in South African public schools

Education is an essential ingredient of the socio-economic development of any country, and educators are a vital part of any nation's educational system. If educators are sick, or absent from school, or leave the profession, the nation stands to lose. Yet the health status of our educators may go unknown. Prior to this report, there were no primary level South African national data assessing the ill-health and attrition of educators. Rumours about their ill-health and reasons for attrition abounded. It is for this reason that the Education Labour Relations Council (ELRC) decided to commission the HSRC-led consortium to conduct this nation-wide research assessing the health status and attrition of our educators, with a focus on HIV/AIDS and its determinants.

Product information

Format : 210mm x 280mm
Pages : 200
ISBN 10 : 0-7969-2101-6
ISBN 13 : 978-07969-2101-7
Publish Year : 2005
Price R 145.00
2038  Large

Sexual Abuse of Young Children in Southern Africa

In this volume, experts including service providers, therapists, childrens advocates, and the research community summarise and evaluate the problem of the sexual abuse of prepubescent children in southern Africa. It is the first attempt to synthesise southern African research, treatment and policy literature on the topic. The book confronts the realities of sexual abuse, and its representation in the press. It presents the main findings concerning the individual, socio-economic and sociocultural correlates of sexual abuse, and covers legal and policy responses to the problem. It also presents accounts of interventions drawn from South Africa, Mozambique and Zimbabwe.

Product information

Format : 148mm x 210mm
Pages : 494
ISBN 10 : 0-7969-2053-2
ISBN 13 : 978-07969-2053-9
Publish Year : 2004
Price R 265.00