Decentralised clinical training in optometry: Student perspectives

Abstract

Background: Decentralised clinical training (DCT) allows for training outside of central academic sites to within district-based ones with the expectation of enhanced exposure translating into improved competency of students. Aim: To determine student perspectives and experiences with the DCT model in clinical training for optometry.Setting: Data were collected using an online survey created with Google Forms.Methods: An exploratory, descriptive, case-based design using an online questionnaire consisting of a five-category Likert scale was applied in this study. Saturated sampling was utilised to select participants.Results: Most respondents agreed on the acceptability of accommodation (83%) and amenities (85%), but some dissatisfaction with safety (22%), cleanliness (39%) and particularly Internet access (68%) was noted. Onsite equipment was found to be adequate (67%) and in good working order (78%), including general agreement that these aspects enhanced clinical training (72%). A positive impact was also agreed upon by the respondents on important critical crossfield outcomes including confidence (89%), empathy (80%) and teamwork (78%). Clinical training in ocular pathology was found to be better than training in other specialist skills possibly because of lack of appropriate resources (equipment and management devices). Respondents agreed that supervisors were professional (87%), approachable (87%) and key to the learning experience (86%). Conclusion:It can be concluded that DCT placements facilitated overall positive experiences with respect to accommodation, facilities, transport and clinical training, especially in ocular pathology. Supervisors play an important role in the learning during DCT placements.

Implementation of a decentralised clinical training programme (DCTP) at a university of technology in South Africa: Implications for health science education and clinical practice

“…[12] It is suggested that DCTP provides broader student exposure to a range of patients in terms of the ecology of healthcare, thereby improving the students' competencies. [13] A review of the current practices of universities that provide teaching and learning through DCTP has revealed that this has typically occurred in the rural context, in primary level facilities, community-based centres and district hospitals. [14,15] Research studies further show that undergraduate medical students, to a large extent, have been at the centre of the implementation and roll-out of DCTP.…”

The Durban University of Technology Faculty of Health Sciences Decentralized Clinical Training Project: Protocol for an Implementation Study in KwaZulu-Natal, South Africa

“…In recent years, students taught through DCTPs have been expanded beyond medicine to include undergraduate students in the multidisciplinary biomedical system of health care, which encompasses nursing, occupational therapy, physiotherapy, and optometry, to name a few. Anecdotal evidence regarding students’ experiences of and perspectives about DCTPs indicates overall positive learning experiences reported by students who are taught using this approach [ 14 , 15 ]. Moreover, students have perceived education through DCTPs as strengthening their responsiveness, preparedness, and relevance as graduates.…”