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18 October 2023 | Story André Damons | Photo André Damons
Prof Mathys Labuschagne
Prof Chris Viljoen, Head of the School of Biomedical Sciences; Prof Gert van Zyl, Dean of the Faculty of Health Sciences; Prof Francis Petersen, UFS Vice-Chancellor and Principal; and Prof Mathys Labuschagne, Head of the Clinical Simulation and Skills Unit (CSSU), during the unit’s 10-year anniversary celebration.

In just 10 years, the Clinical Simulation and Skills Unit (CSSU) at the University of the Free State (UFS) went from being just a dream to becoming a national and international leader in medical simulation training.

The CSSU forms part of the School of Biomedical Sciences and was officially opened on 21 February 2013. The CSSU celebrated its 10-year anniversary on Thursday, 12 October 2023.

Prof Mathys Labuschagne, Head of the CSSU, said at the evening’s celebration that the vision and dream came true 10 years ago. “I think the requirement for the successful integration of simulation into a curriculum is first and foremost that it is based on research evidence. It is not a thumb-sucking exercise”.

“It is really seated in research and then you need passion and dedication. You cannot be successful without that, and for that I need to thank my staff – without your passion and dedication it would not be possible to excel,” said Prof Labuschagne.

Simulation important for patient safety

According to the professor, good networking is also important – between departments, professions and companies outside the university and hospital. He said simulation is important for improving patient safety and expanding the training platform.

“By doing simulation, we can train students who cannot always be accommodated on the training platform. There are also a lot of educational advantages to using simulation. Our training activities in the past 10 years grew tremendously. At the moment we have about 4000 undergraduate and postgraduate student contacts a year. Then we do a lot of certification and Continuing Professional Development (CPD) courses. During COVID-19 we did PPE training and ICU training for hospital and clinical staff in a safe environment.

“I am really proud of our research output. In the past 10 years we published 34 articles, and have another six articles currently in press. We have successfully completed eight master’s and seven PhD dissertations and there are now five students who are enrolled and all of them are simulation-associated. I cannot believe it has already been 10 years. I am very proud of the unit, and we strive for excellence in simulation education and training.”

Highlights of unit

Prof Gert van Zyl, Dean of the UFS Faculty of Health Sciences, congratulated the unit on achieving this milestone. Taking a trip down memory lane, he mentioned the names of colleagues who played a role in establishing the unit and said their contributions might not be visible in name in the unit, but they are recognised by them in achieving this milestone.

“It is an excellent achievement to have seven PhDs in 10 years. Well done. Another highlight is supporting the establishing of other simulation units at Nelson Mandela University who came to learn from us. They didn’t have to go the US. The training of staff and students during COVID-19, we had the facility. Let us not forget our simulation role at undergraduate and postgraduate training.

Cutting edge of simulation-based education and training

Prof Francis Petersen, UFS Vice-Chancellor and Principal, who gave a toast at the celebration, said the occasion is an opportunity to reflect on the excellent work done over the past decade and to consider how the unit is ideally placed to meet the aspirations that the UFS has for Vision 130 and the strategy of the university.

“The work of this unit has put the University of the Free State at the cutting edge of simulation-based education and training and the ongoing efforts of all of our staff in the unit who assist with the planning, the development, the setup, and the running of scenarios are acknowledged and greatly appreciated. I want to congratulate the leadership and the staff of the unit for the excellent work you are doing,” said Prof Petersen.

According to him, simulation education has numerous advantages such as improved patient safety, skills development, learning without involving real patients and the transfer of knowledge to the clinical environment. It creates a well-structured teaching and learning framework where simulation can be used as an educational tool assist in grasping the practical aspects of learning.

The training of specialised skills and deliberate practice are the key drivers behind clinical simulation as a training technique. It can also be applied as a tool to prepare students for a crisis situation, which requires high levels of preparedness and that is a very important aspect, said Prof Petersen.

“All these aspects of simulation-based education are something that relates very much to our vision and strategy. We want to be a research-led university, which means that it is not only doing research, but we try to focus on evidence and the research also helps us in the undergraduate programme to make it much more competitive.

“It also brings to the fore some qualities of our values, value of quality, value of impact and value of care. In addition, clinical simulation creates a vibrant learning experience for students and contributes towards our goal to meet the highest standards of excellence and impact in our teaching, learning and research.”

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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