Clinical registrars' perceptions of their specialist training on the University of Witwatersrand training circuit
Introduction: This study sought to determine perceptions of registrars of their training on the Wits circuit as regards hospital, specialist and university support and their opinions on improving registrar MMed research output. Future career plans of registrars were also investigated. Methods: This was a cross-sectional study using self-administered questionnaires consisting of Likert scales and open-ended questions. The study population comprised registrars in four clinical specialties on the Wits training circuit. Results: Chris Hani Baragwanath Hospital received the lowest proportion of satisfactory responses for nursing support. Hospital management was considered unsatisfactory at three of the four hospitals. Specialist supervision was considered satisfactory although 70% (115/164) of registrars reported coping with situations beyond their expertise, which they attributed to specialists being off-site. Registrars reported insufficient time and a lack of qualified supervisors as barriers to undertaking research. Only 32% of respondents felt adequately prepared for independent practice. Most registrars intended to continue working in the public sector. Conclusions: Problems and recommendations identified by registrars could be used by the university to improve the registrar training experience.
MMed (Community Health), Faculty of Health Sciences, University of the Witwatersrand, 2009