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22 October 2020 | Story Andre Damons | Photo Supplied
Dr Marankie Swinfen was awarded the Dean’s medal for achieving the best results in respect of a master’s degree in the Faculty of Health Sciences during the year 2019.

Dr Marankie Swinfen, who was awarded the Dean’s medal in the faculty of Health Sciences of the University of the Free State (UFS) at the recent virtual graduation (6-9 October 2020), says she was completely surprised by this award and was unaware that it existed. 

Dr Swinfen, who teaches Clinical Skills to second- and third-year medical students at the UFS and received a master’s degree in Health Professions Education, says the road to obtaining her qualification was quite a bumpy ride and difficult at times.

The Dean’s medal is awarded to the student who achieved the best results in respect of a master’s degree in the Faculty of Health Sciences during the year 2019. 

“Through God’s grace, the patience of my supervisors and an eleventh hour burst of energy I managed to reach the goal,” says Dr Swinfen. 

In her dissertation title; A Student Review of Doctor Patient Communication Skills Training in The UFS Undergraduate Medical Programme she asked medical students to review the training of doctor-patient communication skills during their undergraduate programme. 

Students gave valuable insights

Says Dr Swinfen: “I was pleasantly surprised at the response rate and the students’ level of engagement in the study. They gave valuable insights into the strengths of the communication skills training and highlighted areas where the training can be improved. For instance, they accentuated the need to have more practical training in breaking bad news and managing language and cultural differences in the consultation.” 

According to Dr Swinfen she undertook this study because as an undergraduate medical student, she never formally received training in doctor-patient communication. During her postgraduate diploma in Palliative Medicine, they had role-play sessions in breaking bad news, which opened her eyes to the importance of practical, interactive communication skills training. 

“I wanted to explore how useful students find aspects of doctor-patient communication skills training in the current UFS undergraduate medical training programme.”

Challenges on her journey 

Dr Swinfen says the biggest struggle for her during her studies, was self-discipline and setting aside enough time for research. She also had formal modules to complete and found that she would devote more time and energy to these modules than to research (Especially due to having inspirational teachers such as Dr Chantel van Wyk at HPE).  

“I also had become very rusty in terms of research methodology and had to start again with the ‘ABC’ of research. I was greatly helped by Postgraduate School courses such as using Microsoft Word in research. My supervisors, Prof Mathys Labuschagne and Prof Gina Joubert had immense patience with me and saw potential in my research that I could often not see myself.”


News Archive

Emotional health of vulnerable children needs urgent intervention
2014-02-04



In South Africa, thousands of children under the age of 18 are orphaned as a result of HIV/Aids. Experts are worried that these orphans and vulnerable children will experience serious socio-emotional problems and behaviour disorders, should urgent intervention programmes not be implemented urgently.

A study was undertaken by the Centre for Development Support at the UFS, in conjunction with Stellenbosch University and the Houston University in America. The research found that in the Free State province alone, about 15% of orphans and vulnerable children showed signs of psychiatric disorders. Almost half of the children in the study showed signs of abnormal or maladjusted behavioural functioning.

The research team believes that the South African government and the numerous non-governmental organisations put too much emphasis on the physical needs of orphaned and vulnerable children and that their socio-emotional or mental wellbeing receives very little attention.

The nominal financial grant is a welcome relief for some of the needs of this risk group. Researchers are worried, though, that the lack of reliable and culturally-sensitive diagnostic methods for the early detection of psychiatric disorders may pose a challenge when the children reach puberty.

The current study is focusing on the detection of emotional behavioural problems even before adolescence. Questionnaires were distributed across the Free State at clinics, schools and non-governmental organisations dealing with these children. The questionnaires enabled researchers to establish the children's socio-emotional needs.

"Overcrowding in houses where orphans and vulnerable children often live is directly linked to poor socio-emotional health in children," says Prof Lochner Marais from the Centre for Development Support. "The state institutions offering programmes for orphans and vulnerable children overemphasise the physical and/or financial needs of these children. The programme provides, for example, food for the children, grants for the [foster] parents, assistance with school clothes and ensures clinic visits for the children. Of these, only the supply of food has a direct impact on the improved mental health of children."

The study provides, for the first time, a profile of the state of mind of this group, as well as the emotional impact of HIV/Aids – an "urgent matter" according to Dr Carla Sharp from the University of Houston's Department of Psychology. According to Dr Sharp, much more could be done to assist foster parents in addressing the emotional needs of these children. The early detection of behavioural disorders should be the key in intervention programmes.

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