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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

Research eradicates bacteria from avocado facility
2017-01-17

 Description: Listeria monocytogenes Tags: Listeria monocytogenes

Listeria monocytogenes as seen under an electron
microscope. The photo was taken with a transmission
electron microscope at the microscopy unit of the UFS.
Bacteriophages (lollipop-like structures) can be seen
next to the bacterial cells.
Photo: Supplied

“The aim of my project was to identify and characterise the contamination problem in an avocado-processing facility and then to find a solution,” said Dr Amy Strydom, postdoctoral fellow in the Department of Microbial Biochemical and Food Biotechnology at the University of the Free State (UFS).

Her PhD, “Control of Listeria monocytogenes in an Avocado-processing Facility”, aimed to identify and characterise the contamination problem in a facility where avocados were processed into guacamole. Dr Strydom completed her MSc in food science in 2009 at Stellenbosch University and this was the catalyst for her starting her PhD in microbiology in 2012 at the UFS. The research was conducted over a period of four years and she graduated in 2016. The research project was funded by the National Research Foundation.

The opportunity to work closely with the food industry further motivated Dr Strydom to conduct her research. The research has made a significant contribution to a food producer (avocado facility) that will sell products that are not contaminated with any pathogens. The public will then buy food that is safe for human consumption.


What is Listeria monocytogenes?

Listeria monocytogenes is a food-borne pathogenic bacterium. When a food product is contaminated with L. monocytogenes, it will not be altered in ways that are obvious to the consumer, such as taste and smell. When ingested, however, it can cause a wide range of illnesses in people with impaired immune systems. “Risk groups include newborn babies, the elderly, and people suffering from diseases that weaken their immune systems,” Dr Strydom said. The processing adjustments based on her findings resulted in decreased numbers of Listeria in the facility.

The bacteria can also survive and grow at refrigeration temperatures, making them dangerous food pathogens, organisms which can cause illnesses [in humans]. Dr Strydom worked closely with the facility and developed an in-house monitoring system by means of which the facility could test their products and the processing environment. She also evaluated bacteriophages as a biological control agent in the processing facility. Bacteriophages are viruses that can only infect specific strains of bacteria. Despite bacteriophage products specifically intended for the use of controlling L. monocytogenes being commercially available in the food industry, Dr Strydom found that only 26% of the L. monocytogenes population in the facility was destroyed by the ListexP100TM product. “I concluded that the genetic diversity of the bacteria in the facility was too high and that the bacteriophages could not be used as a control measure. However, there is much we do not understand about bacteriophages, and with a few adjustments, we might be able to use them in the food industry.”

Microbiological and molecular characterisation of L. monocytogenes

The bacteria were isolated and purified using basic microbiological culturing. Characterisation was done based on specific genes present in the bacterial genome. “I amplified these genes with polymerase chain reaction (PCR), using various primers targeting these specific genes,” Dr Strydom said. Some amplification results were analysed with a subsequent restriction digestion where the genes were cut in specific areas with enzymes to create fragments. The lengths of these fragments can be used to differentiate between strains. “I also compared the whole genomes of some of the bacterial strains.” The bacteriophages were then isolated from waste water samples at the facility using the isolated bacterial strains. “However, I was not able to isolate a bacteriophage that could infect the bacteria in the facility.

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