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Clinical training in South Africa
Claire Penn• CAPCSD Global Summit 2012
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Doctors Working in the World
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HIV Prevalence
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Communication challenges
• 11 official languages• Diversity of cultures and traditions• majority of health care interactions take place
across cultural and linguistic boundaries• bilingualism or multilingualism is the norm • Issues of poverty, access, poor literacy and
historical inequity
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Some new features of our society
• Child-headed households• Grandparent headed households• Orphanages and residential care• Resurgence of other diseases – TB • High incidence of violence, TBI, Stroke
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Training
• 4 training programs• 4 year professional degree, Masters and
doctoral programs• 100 graduates a year• Dual qualification option at 2 universities• Introduction of community service for ST/A
since 2003• Public vs. private health care service
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Number of speech-language pathologists & audiologists in South Africa (HPCSA, 2010)
Students Professionals
SLP & Audio
440 1334
Audiologist 211 225
SLPs 444 403
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Challenges
Lack of appropriate assessment tools & materials
Alternative models of causation and treatment seeking paths
Large gap between private and public sector
Ethical distress Emigration
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Solutions
Community service Expanded role of professional in
training other health care workers Community based models for
rehabilitation and narrative centered approaches
Universal coverage for health care
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Roles of interpreter
• Linguist• Cultural broker• Patient advocate• Co-therapist• Team member• Institutional gatekeeper
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• “Education is the most powerful weapon which you can use to change the world”
• Nelson Mandela
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• www.poverty.com
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University of the WitwatersrandJohannesburg, South Africa
Tel +2711 717 4585
Thanks to Caitlin Longman