Teaching Sites - Metro East Training Complex
So, you are interested in building a career in Family Medicine in the Metro East training complex, but have no idea where it is and how it functions? Then you definitely need a bit of an orientation before heading off to attempt one of the interviews for a registrar post in Metro East.
A good place to start is to familiarize yourself with a map of the Western Cape, how the regions and districts hug each other, and what each area has to offer you and your family. Have a look at the website of Cape Town Tourism here http://www.capetown.travel/ or a nice interactive map showing all districts herehttp://level5.co.za/newshout/index.php?section=accommodation®ion=capetown to help you understand why location is everything.
The Metro East training complex is conveniently situated to the east of Cape Town with all training complexes within a 45 km radius from the city center. Tygerberg Hospital and the Medical School campus of the University of Stellenbosch are both easily accessible from the training facilities within the region. This allows easy access to the Medical School for meetings, library, skills laboratory and internet facilities.
The following training facilities are included in the Metro East Training Complex:
- Tygerberg Hospital
- Karl Bremer Hospital
- Helderberg Hospital
- Khayelitsha Hospital
- Eerste River Hospital
- Khayelitsha Community Health Centre
- Kraaifontein Community Health Centre
- Delft Community Health Centre
- Elsies River Community Health Centre
- Various smaller primary healthcare clinics
During the 4 year training period registrars will spend 4 years doing clinical rotations at one of these district hospitals. This is the base camp or hub around which training revolves. Ten clinical domains will include Obstetrics/Gynaecology, General Surgery, Orthopaedics, Emergency Medicine, Internal Medicine, Paediatrics, Mental Health, Anaesthetics, HIV/AIDS, STI, TB and malaria and lastly ENT, Ophthalmology and Dermatology. Rotations will be planned over the 4-years and take into account previous experience and the achievement of specific learning outcomes. Learning plans and outcomes will be discussed with various supervisors and formalized within a portfolio of learning structure.
The focus of training in the complex is to bring knowledge, expertise, and a generalist approach to wellness to the place where it is most needed – the primary healthcare platform. This involves taking ownership of a primary healthcare clinic, the patients who access healthcare at this clinic, and the surrounding community - at least once a week. Problem identification through clinical audits, research and quality improvement cycles, health promotion and community education, resource management, training and teaching of the principles of family medicine, and community relationship/partnership building will be some of the goals to be achieved with this weekly outreach.
The registrar will be exposed to an appropriate spectrum of patients and will be supervised and assessed in clinical practice, decision making and management – all during actual service delivery. The practical on-site training will also be complemented by the academic on-line learning that targets clinical knowledge, decision making and application of core family medicine principles including communication skills, patient centered consultation skills, ethics and evidence based medicine.
Short rotations or attendance by registrars can be organized at specialist clinics in regional or academic hospitals to fill knowledge gaps when needed, and deemed appropriate, to improve healthcare delivery at the primary healthcare clinic.
Registrars in the Metro East Training Complex are encouraged to meet together every second week. This afternoon is used for case presentations, clinical discussions and communication skills. It is a time to reflect and discuss the challenges registrars face every day.
Some names you may come across in the Metro East Training Complex:
Dr Werner Viljoen is the Clinical Training Complex Coordinator for the Metro East Training Complex and can be contacted at Helderberg Hospital in Somerset West.
Please contact Dr Viljoen by email with any questions regarding family medicine training in the Metro East Training Complex. You can also get an idea of the services at a typical district family medicine hospital by visiting www.helderberghospital.co.za
Dr Zandy Rosochacki: Family Physician, Helderberg Hospital
Dr Srini Govender: Family Physician, Khayelitsha Community Health Centre
Dr Arina Schlemmer: Family Physician, Kraaifontein Community Health Centre
Dr Muideen Bello: Family Physician, Elsies River Community Health Centre
Dr Vanessa Lomas: Family Physician, Helderberg Hospital
Dr Annie Botes: Family Physician, Helderberg Hospital
Dr Fanie Serfontein: Family Physician, Khayelitsha Hospital
Dr Hoosain Lalkhen: Family Physician, Khayelitsha Hospital
The registrar is employed at the district office and not at the training complex/facility.
Director for Metro District Health Services
Dr Keith Cloete
2nd floor Southern Life Building,
Administrative assistant to Dr Cloete:
Ms Linda Isaacs
Phone 021 4832518
Human resource administrative officer:
Mr Glynn Barry