Teaching Sites - Eden Training Complex
The Eden Training Complex consists of the Eden and Central Karoo Districts and all the health facilities within them. The complex is situated in the southern and central parts of the Western Cape about 440km from Cape Town and 330km from Port Elizabeth. The complex stretches along the magnificent Garden Route and inland over the Outeniqua and Swartberg mountains and into the Central Karoo. George is close to the Wilderness lakes, indigenous forests and the warm Indian Ocean. Mossel Bay is famous for its hospitality, summer beaches, boating, fishing, and warm climate. Knysna is a major tourist attraction due to its lagoon, oysters, arts and crafts and water sports. George is a major town with all the usual shopping malls, cinemas and restaurants. To live and work in this area is a wonderful experience.
Family physicians and registrars meet regularly, such as here in the Knysna learning centre
Prof Louis Jenkins is the Head of Family Medicine at George Hospital and is in charge of the Training Complex. You can contact him on firstname.lastname@example.org or 0837951065 or 044 8024528. Drs Elmari de Klerk and Rachel Schaefer complete the team of family physicians at George regional hospital, working, teaching registrars, undergraduate students and reaching out to district hospitals and PHC clinics. Dr Bernice Booysen is the family physician and Dr Tertius Ackerman is the clinical manager in the George sub-district, working in the PHC clinics and TB hospital in George. Drs Paul Kapp and Laurel Giddy are the family physicians, and Dr Andries Brink is the clinical manager at Knysna district hospital. Dr Klaus von Pressentin is the family physician and Dr Jaco Bothma is the clinical manager
at Mossel Bay district hospital. Dr Herman Kruger is the family physician and
Dr Piet Loubser is the clinical manager in Oudtshoorn hospital.
Surgical skills appropriate for the district hospital are honed to perfection in the local context, as seen here in Knysna hospital.
The following training facilities are included in the Complex. Seven registrars work and learn at health centres and clinics associated with these hospitals.
- George Provincial Hospital (including Department of Family Medicine)
- Knysna District Hospital
- Mossel Bay District Hospital
- Oudtshoorn District Hospital
- Beaufort West District Hospital (once a family physician is resident)
Service learning environment
Registrars usually spend 3-4 years at one of the district hospitals as part of the local health team, where they grow into the 6 nationally identified roles of the family physician, while keeping the 5 National Unit Standards in mind, via their portfolio of learning, and also work and learn in a primary health care clinic. They also spend short periods of a few weeks at George Provincial Hospital in various departments, including family medicine, surgery, anaesthetics, obstetrics and gynaecology, paediatrics, internal medicine, orthopaedics and psychiatry, to acquire competencies not offered in the health sub-district.
The 6 roles of the family physician
Local academic programme
In the Regional Hospital registrars are mentored and supervised by consultants in the relevant department. In the District Hospital registrars are mentored and supervised by the Family Physician. The registrar keeps a learning portfolio, with learning plans, reports on rotations, case-based discussions, direct observations of procedural skills and consultations, and receives feedback from skills demonstrated on a daily basis as the need arises. Registrars are expected to have weekly formal meetings (learning conversations) with their supervisors to establish their learning agenda, monitor progress, present patients and reflect on their communication skills. The group of 7 registrars meet 1-2 monthly, with some of the family physicians and the complex coordinator, to discuss health topics. There are well established and resourced learning centres at Knysna, Mossel Bay and Oudtshoorn district hospitals. The registrars are expected to conduct a research project, relevant to the local district health plan, and publish this as a scientific paper. Please ensure that you are familiar with the district health plan. There is also a Divisional list of research topics available.
Eden District office
The registrars are employed at the District Office and not at the facility. This allows them freedom to rotate throughout the complex. Registrars sign a 4-year contract under the agreed terms and conditions of the Province. The following people can be consulted: District manager. District Health Offices, 3rd floor, York Park Building, St John Street, George 6530. The secretary is Ms Sharné Maritz, PA to: Dr H Schumann, who is the District Manager – Eden/Central Karoo; Tel. (044) 803-2708, Fax (044) 874-7552, E-mail: Alsharnett.Maritz@westerncape.gov.za.
Here are some highlights from the activities of this training complex. The latest additions appear first.
The electronic portfolio of learning in postgraduate workplace-based training and assessment:
The Division of Family Medicine and Health Care held a workshop on 16 February 2016 in George in the Eden district, with the topic of developing and piloting an electronic portfolio of learning for postgraduate family medicine registrar training in the Eden regional and district hospitals. We are partnering with Intaka Learning, an educational company that works with Maastricht university in the Netherlands, and the health service. Fourteen registrars and family physicians from George, Knysna, Oudtshoorn, and Mossel Bay hospitals, and Prof Bob Mash, HOD, Family Medicine, Stellenbosch University, with Intaka facilitators, attended the workshop in George Hospital.
The e-portfolio is used to assess clinical learning in the workplace. The portfolio comprises of evidence of learning over the 4 year registrar period, and consists of learning plans, educational meetings, registrar reflections, supervisors' feedback and assessments, a logbook of procedural skills, and a number of direct observations of consultations, procedures, and teaching events. This is in line with international practice of assessing registrars in the workplace, to increase validity and train doctors more appropriately.
Another first for family medicine: a mini-CEX assessment for the College of Family Physicians was done under College exam conditions with two examiners and the local FP supervisor in a rural district hospital, Knysna, in Eden district (February 2016). Proffs Bob Mash and Louis Jenkins with Dr Paul Kapp were examining the registrar, Dr Francois Potgieter, in Knysna district hospital OPD. Needless to say, the registrar performed well!
Bedside patient-centred care and teaching, with family physicians and nurses, are a daily routine, as seen here in the Knysna maternity ward.
Teaching practical skills in Knysna, together with the Orthopaedic medical officer and another medical officer, and the Knysna medical manager, having a go on a family physician.
The nurses form a vital part of our health service, seen here with 2 family physicians
Dr Mekebeb, a family medicine registrar, with the Quality improvement team of nurses, medical officers, and the clinical manager, Dr Bothma, in Alma clinic in Mossel Bay, as part of her COPC project.
Registrars learn through being observed by a family physician during consultations and receiving feedback, as seen here in a PHC clinic in Mossel Bay
Hutton, a family medicine registrar, consulting a patient in Knysna CDC.
Ntyintyane, a family medicine registrar, consulting a patient in Mossel Bay
sub-district, in Alma clinic.
Our registrars are passionate about helping patients with chronic diseases of lifestyle.
Dr Afrika, a family medicine registrar in Knysna, doing daily ward rounds in Female Ward.