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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

UFS researcher selected as emerging voice
2016-11-03

Description: Andre Janse van Rensburg  Tags: Andre Janse van Rensburg

André Janse van Rensburg, researcher at the
Centre for Health Systems Research and Development
at the University of the Free State, will be spending
almost three weeks in Vancouver, Canada. He will be
attending the Emerging Voices for Global Health programme
and Global Symposium on Health Systems Research.
Photo: Jóhann Thormählen

His research on the implementation of the Integrated School Health Programme (ISHP) in rural South Africa led to André Janse van Rensburg being selected to become part of the Emerging Voices for Global Health (EV4GH) group.

It is a collection of young, promising health policy and systems researchers, decision-makers and other health system professionals. A total of 222 applications from 50 countries were received for this programme, from 3-19 November 2016 in Vancouver, Canada.

The EV4GH is linked to the fourth Global Symposium on Health Systems Research (HSR2016), from 14-18 November 2016. It also taking place in Vancouver and Janse van Rensburg will be taking part, thanks to his research on the ISHP in the Maluti-a-Phofung area. He is a researcher at the Centre for Health Systems Research & Development (CHSR&D) at the University of the Free State (UFS).

The theme of the HSR2016 is Resilient and Responsive Health Systems for a Changing World. It is organised every two years by Health Systems Global to bring together roleplayers involved in health systems and policy research and practice.

Janse van Rensburg also part of Health Systems Global network
The EV4GH goals relate to the strengthening of global health systems and policies, particularly from the Global South (low-to-middle income countries with chronic health system challenges). The initiative involves workshops, presentations, and interactive discussions related to global health problems and solutions.

As an EV4GH alumni, Janse van Rensburg will become part of the Health Systems Global network. Partnering institutions include public health institutes from China, India, South Africa, Belgium, and the UK.

“The EV4GH is for young, promising health
policy and systems researchers, decision-makers
and other health system professionals.”

Research aims to explore implementation of schools health programme
In 2012, the ISHP was introduced in South Africa. This policy forms part of the government's Primary Health Care Re-engineering Programme and is designed to offer a comprehensive and integrated package of health services to all pupils across all educational phases.

Janse van Rensburg, along with Dr Asta Rau, Director of the CHSR&D, aimed to explore and describe implementation of the ISHP. The goals were to assess the capacity and resources available for implementation, identify barriers that hamper implementation, detect enabling factors and successful aspects of implementation and disseminate best practices in, and barriers to, ISPH implementation with recommendations to policymakers, managers and practitioners.

“A lot of people were saying they don’t
have enough resources to adequately
implement the policy as it is supposed to
be implemented.”

Findings of project in Maluti-a-Phofung area
Janse van Rensburg said the ISHP had various strengths. “People were impressed with the integrated nature of the policy and the way people collaborated across disciplines and departments. The school team were found to work very well with the schools and gel well with the educators and principles.”

He said the main weakness of the implementation was resources. “A lot of people were saying they don’t have enough resources to adequately implement the policy as it is supposed to be implemented.

“Another drawback is the referral, because once you identify a problem with a child, the child needs to be referred to a hospital or clinic.” He means once a child gets referred, there is no way of knowing whether the child has been helped and in many cases there is no specialist at the hospital.

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