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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

Fighting the tuberculosis battle as a collective
2015-09-28



The team hard at work making South Africa a
healthier place

Tuberculosis (TB) is second only to HIV/AIDS as the greatest killer worldwide due to a single infectious agent. More than 95% of TB deaths occur in low- and middle-income countries. Despite being more prevalent among men than women, TB remains one of the top five causes of death amongst women between the ages of 15 and 44 years. While everyone is at risk for contracting TB, those most at risk include children under the age of five and the elderly. In addition, research indicates that individuals with compromised immune systems, household contacts with pulmonary TB patients, and healthcare workers are also at increased risk for contracting TB.

According to the Deputy Director of the Centre for Health Systems Research and Development (CHSR&D) at the UFS, Dr Michelle Engelbrecht, research has found that healthcare workers may be three times more likely to be infected by TB than the general population.

The unsettling fact

“Research done in health facilities in South Africa has found that nurses do not often participate in basic prevention acts, such as opening windows and wearing respirators when attending to infectious TB patients,” she explained. 

In response to this concern, CHSR&D, which operates within the Faculty of Humanities at the the University of the Free State (UFS) Bloemfontein Campus has developed a research project to investigate TB prevention and infection control in primary healthcare facilities and households in Mangaung Metropolitan.

Action to counter the statistics

A team of four researchers and eight field workers from CHSR&D are in the process of gathering baseline data from the 41 primary healthcare facilities in Mangaung. The baseline comprises a facility assessment conducted with the TB nurse, and observations at each of the facilities. Individual interviews are also conducted with community caregivers, as well as TB and general patients. Self-administered questionnaires on knowledge, attitudes, and practices about TB infection control are completed by all nurses and facility-based community caregivers.

Healthcare workers are the main focus of this research, given their increased risk of acquiring TB in healthcare settings. At clinics, interventions will be developed to improve infection control practices by both healthcare workers and patients. TB patients’ households are also visited to screen household contacts for TB. Those found to have symptoms suggesting TB infection are referred to the clinics for further assessment and treatment.

The findings of this study will serve to inform the development of an intervention to address TB prevention and infection control in primary healthcare facilities. Further funding will be sought to implement and evaluate the intervention.

Curbing future infections and subsequent deaths as a result of TB is the priority for the UFS. The cooperation and collaboration of the community, government, and sponsors will ensure that this project is a success, hence prolonging life expectancy.


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