Family Medicine & Primary Care
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Division of Family Medicine and Health Care

​​​Teaching sites - Cape Winelands District Training Complex​

The Cape Winelands District (CWD) has a population of 826 439 and is a 22 000 km2 semi-rural area outside Cape Town. The district was established in 2008 and incorporates five sub-districts. The district is managed by a single health authority, which is the custodian of four district hospitals, a specialised TB hospital and 53 fixed PHC facilities. In three of the sub-districts there are district hospitals, where the Family Physician (FP) is the lead clinician, whilst in two of the sub-districts there is a regional hospital (Worcester and Paarl), where there are general specialists in the major clinical disciplines as well as a FP who is responsible for the PHC services. The management of each sub-district includes a medical manager, PHC manager and FP.

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Dr Colette Gunst is the Family Physician at the Cape Winelands District (CWD) office  and is the academic coordinator of the CWD Training Complex. She may be contacted at or 0233488106 or 082668 4581.

The Training Complex

The CWD consists of five sub-districts: the registrar will be allocated to a sub-district where learning will occur in the district hospital, surrounding PHC facilities, community, as well as access to the TB Specialist hospital (Brewelskloof) in Worcester. Support from the regional hospitals (Worcester and Paarl) allows the registrar to obtain any skills which are not acquired within the district health system.

The following training facilities are included in the Cape Winelands District Complex.

  • Langeberg sub district – including Robertson District Hospital and the surrounding PHC facilities
  • Stellenbosch sub district – including Stellenbosch District Hospital and the surrounding PHC facilities
  • At present (November 2015), Breede Valley and Drakenstein sub-districts do not have registrar posts.

Facilities within the CWD (as at November 2015): 

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Photo of Family Physicians from CWD, Overberg and West Coast districts

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Clinical academic program

Within the sub-district to which the registrar is allocated, registrars will be mentored and supervised by the resident Family Physician (FP) and supported by the FP at the District hospital. At Worcester Hospital there is a Family Medicine department; at both Paarl and Worcester hospitals there are the following specialist services surgery, anaesthetics, obstetrics and gynaecology, paediatrics, internal medicine, orthopaedics, psychiatry, ENT and ophthalmology.

The program will be developed based on the previous experience and specific learning needs (clinical skills needed and those required by the online family medicine modules) of the individual registrar. It is expected that the registrar will give patient reports, seek advice, receive feedback and have skills demonstrated on a daily basis with their supervisor as the need arises. In addition registrars will have more formal meetings with their supervisors on a regular basis to establish their learning agenda, monitor progress, present patients and reflect on their communication skills. A monthly meeting for all registrars in the CWD complex is arranged by the district FP.

District office

The registrar is employed at the Sub-District Office and not at a single facility. Due to operational requirements and service delivery needs it may be possible that you be placed at, or rotated to, other Hospitals/Facilities within the Cape Winelands Health District during your registrarship.  You will be consulted prior to any decision being implemented. Registrars sign a 4-year contract under the agreed terms and conditions of the Province.

Cape Winelands District: Dr Lizette Phillips. Tel: 023 3488101 ; Email:

Placements of the registrars in the complex will be coordinated between the academic coordinator of the training complex, and the district manager of the Cape Winelands district.


​CWD West Coast registrar and FP meeting - celebrating Dr Lawson Eksteen's successful completion of FCFP exam, June 2017

For more information and regular CWD Updates, join Facebook and search: Western Cape Government Health or visit CWD on​

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