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02 October 2019 | Story Anneri Meintjes | Photo Charl Devenish
Anneri Meintjes
Anneri Meintjes from the Centre for Teaching and Learning at the UFS.

The #FeesMustFall student-led movement started in 2015 to protest against increasing student fees and to call for increased government funding of universities. At the end of 2016, the protests led to mass disruption of academic activities in higher-education institutions countrywide. Some universities, including the University of the Free State (UFS), suspended academic activities for extended periods which necessitated online and blended learning approaches (the combination of face-to-face and online learning) to complete the academic year. In most cases, these methods were unplanned and unstructured, and knowledge gaps in good blended learning practice were identified.

The Carnegie Corporation of New York funded a two-year research project in collaboration with the University of Pretoria, UFS, University of Cape Town and University of Johannesburg to investigate the use of blended learning at the end of 2016, during the campus disruptions, as well as how these respective institutions used blended learning in 2017.

The prohibitive cost of data in South Africa means few of our students have access to the internet off-campus. The most recent data on UFS student digital identity shows that only 21% have consistent, reliable access to the internet at home. This is a challenge not only for the UFS but for all universities in the country.

“For technology to be used in a way that contributes to learning and teaching, we needed to investigate what works well and what does not, considering our contextual challenges” says Anneri Meintjes from the Centre for Teaching and Learning, who was the principal researcher for the UFS on this project. In the first phase of the research, she wrote a case study on the UFS’ approach to blended learning during and after the protests in 2016. The findings of this phase of the research were presented at a national convening of higher-education institutions across South Africa.

In the second phase of the research, the four participating universities produced open educational resources on good, blended learning practice to share with universities countrywide. The UFS was responsible for the development of online assessment resources and general best-practice guidelines for the use of blended learning. Anneri says: “While we had laid solid foundations for the effective use of online assessment at the UFS prior to 2016 through the investment in online assessment software and staff development in online assessment design, we learnt many valuable lessons during that time. It provided momentum for the establishment of formal online assessment procedures and refinement of best-practice guidelines. This research project gave us an opportunity to share our work on a national platform.” The number of lecturers that use online assessment in their modules has grown considerably at the UFS since 2016. In 2016, 211 online assessments were completed on Questionmark (UFS online assessment programme) and in 2018, this number had grown to 743. Institutional Blackboard use data shows that at least one online assessment tool is used in 47% of all modules on Blackboard.

Resources developed by the other participating institutions include a self-evaluation app that academics can use to reflect on their existing blended learning practices, and an online utility that assists lectures and course designers to plan blended learning modules.

Anneri also coordinated the development of the national website, which was launched at the Flexible Futures conference hosted by the University of Pretoria on 9-10 September 2019. The website and resources were praised at the conference for being a timely response to a critical need in the higher education community in South Africa.

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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