To evaluate and make recommendations for improvement to the MBChB Rehabilitation Programme of the University of Stellenbosch

[摘要] ENGLISH ABSTRACT: The Centre for Rehabilitation Studies, Faculty Health Sciences, University of ENGLISH ABSTRACT: Stellenbosch, South Africa, delivers a rehabilitation training programme to its MBChB students. The aim of this programme is to equip graduates with the knowledge, skills and attitudes to manage persons with disabilities in the community which aligns with both the faculty mission and the National Department of Health's 2010 Plan. In line with rehabilitation philosophies a generic approach using the International Classification of Function, Disability and Health is used in this programme.Feedback has been received from the students at the end of each of the rehabilitation modules and the programme has been reviewed annually by the Module Chair Persons and Rehabilitation Programme Co-ordinator. It had however never been formally evaluated and hence the need for this study.In this study a cross-sectional description of the programme was made using the framework of the World Health Organisation approved World Federation for Medical Education's Global Standards for basic medical education. Sixty five themes were arranged according to the original nine areas of the standards. Interviews and questionnaires were designed and documentation was reviewed to obtain quantitative and qualitative data from direct and indirect stakeholders from nine population samples. Participants included faculty staff, students as well as rehabilitation experts and persons with disabilities.The analysis of the results of the data collected between March and September 2011 showed that the programme was compliant against 40 of the 65 indicators. The programme was compliant regarding the area pertaining to the mission and objectives and largely compliant regarding the content and delivery of the programme. Where there was non compliance or room for improvement regarding the content, delivery and assessment of the students, recommendations were made, reviewed by the programme committee in November 2011 and implementation was planned for January 2012. Shortcomings identified in the training and support of teaching staff, availability of training resources and in the administrative support of the programme were referred to the Head of the Centre for Rehabilitation Studies. Non-compliance regarding electives and enrolment of medical students with disabilities was considered beyond the immediate control of the programme and were to be referred to the Faculty Health Sciences management. The results showed non-compliance of monitoring and evaluation of the programme, supporting the original need for this study.The indicators were deemed comprehensive and relevant for this evaluation of the rehabilitation programme. It was recommended that four indicators be refined according to the results of this study and that the lists of heath conditions and bio psychosocial problems that persons with disability experience be further validated. Three changes to the tools were recommended should they be used for repeat evaluations of the programme. It was recommended that the methods used to monitor the programme be reviewed allowing for more specific feedback against selected indicators, with wider stakeholder input including lecturers. A final recommendation was that the post of the Rehabilitation Programme Co-ordinator be evaluated in order to effect these recommendations.

[发布机构] Stellenbosch University