Transformation of medical education through decentralised training platforms : a scoping review

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dc.contributor.authorMlambo, Motlatsoen_ZA
dc.contributor.authorDreyer, Abigailen_ZA
dc.contributor.authorDube, Rainyen_ZA
dc.contributor.authorMapukata, Nontsikeleloen_ZA
dc.contributor.authorCouper, Ianen_ZA
dc.contributor.authorCooke, Richarden_ZA
dc.date.accessioned2020-02-03T13:37:59Z
dc.date.available2020-02-03T13:37:59Z
dc.date.issued2018
dc.descriptionCITATION: Mlambo, M., et al. 2018. Transformation of medical education through Decentralised Training Platforms : a scoping review. Rural and remote health, 18(1):4337, doi:10.22605/RRH4337.
dc.descriptionThe original publication is available at https://www.rrh.org.au
dc.description.abstractIntroduction: Medical education in South Africa is facing a major paradigm shift. The urgency to increase the number of suitable, qualified and socially accountable health sciences graduates has brought to the fore the need to identify alternative training platforms and learning environments, often in rural areas. Subsequently, the focus has now shifted towards strengthening primary health care and community based health services. This scoping review presents a synopsis of the existing literature on decentralized training platform (DTP) strategies for medical education internationally, outlining existing models within it and its impact. Methods: This scoping review followed Arksey and O’Malley’s framework outlining five stages: (i) identification of a research question, (ii) identification of relevant studies, (iii) study selection criteria, (iv) data charting, and (v) collating, summarizing and reporting results. The literature for the scoping review was found using online databases, reference lists and hand searched journals. Data were charted and sorted inductively according to key themes. Results: A final review included 59 articles ranging over the years 1987–2015 with the largest group of studies falling in the period 2011–2015 (47.5%). Studies mostly employed quantitative (32.2%), qualitative (20.3%), systematic/literature review (18.6%) and mixed methods research approaches (11.9%). The scoping review highlighted a range of DTP strategies for transforming medical education. These include training for rural workforce, addressing context specific competencies to promote social accountability, promoting community engagement, and medical education partnerships. Viable models of DTP include community based education, distributed community engaged learning, discipline based clinical rotations, longitudinal clerkships and dedicated tracks focusing on rural issues. Shorter rural placements and supplemental rural tracks are also described. Conclusions: This scoping review showed a considerable amount of literature on decentralized training platforms that highlight the necessary adaptations needed for transforming medical education. The rural context is critical for many of these. Further studies are required to address the impact of DTPs on health service outcomes and human resource outcomes.en_ZA
dc.description.urihttps://www.rrh.org.au/journal/article/4337
dc.description.versionPublisher's version
dc.format.extent16 pages ; illustrations
dc.identifier.citationMlambo, M., et al. 2018. Transformation of medical education through Decentralised Training Platforms : a scoping review. Rural and remote health, 18(1):4337, doi:10.22605/RRH4337
dc.identifier.issn1445-6354 (online)
dc.identifier.otherdoi:10.22605/RRH4337
dc.identifier.urihttp://hdl.handle.net/10019.1/107421
dc.language.isoen_ZAen_ZA
dc.publisherJames Cook University
dc.rights.holderAuthors retain copyright
dc.subjectCommunity based educationen_ZA
dc.subjectPrimary health care -- Study and teaching -- South Africaen_ZA
dc.subjectMedicine -- Study and teaching -- South Africaen_ZA
dc.titleTransformation of medical education through decentralised training platforms : a scoping reviewen_ZA
dc.typeArticleen_ZA
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