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Developing a CPD model for Eswatini-a participatory action research study.

Rodney Hudson Magwenya1, Andrew Ross2

  • 1Mankayane Gvt Hospital, Mankayane, M206, Eswatini, Swaziland. rodneyhmagwenya@gmail.com.

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|January 20, 2023
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Summary

A formalised continuing professional development (CPD) system is needed for medical practitioners in Eswatini. Recommendations include a compulsory model, recognising skill development, and ensuring workplace relevance for enhanced patient care.

Keywords:
Continuing medical educationContinuing professional developmentEntrustable Professional ActivitiesParticipatory action research

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Area of Science:

  • Medical Education
  • Healthcare Professional Development
  • Health Systems Strengthening

Background:

  • Continuing Professional Development (CPD) is crucial for medical and dental professionals to ensure patient health and clinical expertise.
  • Eswatini currently lacks formal CPD requirements, prompting the development of an accredited system.
  • The study addresses the need for structured lifelong learning for healthcare practitioners.

Purpose of the Study:

  • To investigate improvements for a formalised Continuing Professional Development (CPD) system in Eswatini.
  • To explore methods for enhancing clinical expertise and patient care through structured professional development.
  • To adapt CPD to the specific context of resource-constrained healthcare settings.

Main Methods:

  • A qualitative study employing participatory action research (PAR).
  • Utilised a cooperative inquiry group of 10 medical practitioners in Eswatini.
  • Employed a four-stage PAR process: observation, reflection, planning, and action, with semi-structured interviews.

Main Results:

  • Identification of three key areas for CPD improvement: a formal, compulsory CPD model; recognition of skill enhancement via Entrustable Professional Activities; and workplace-relevant CPD using Quality-Improvement CPD (QI-CPD) and reflective diaries.
  • Emphasis on involving local practitioners and applying adult learning principles.
  • Advocated for continuous evaluation and improvement of the CPD model.

Conclusions:

  • General consensus on the necessity of a formalised CPD system to elevate skill levels and improve patient care in resource-limited environments.
  • Findings offer a foundation for planning and implementing a formalised CPD system through stakeholder engagement.
  • Further research and ongoing evaluation are recommended for successful implementation and continuous improvement.