Publications by authors named "Lune Smith"
Introduction: To ensure that pre-final year medical students at Stellenbosch University were able to resume clinical training during the COVID-19 pandemic, a 12-week integrated rotation was introduced, during which students were distributed across a widespread training platform in two provinces of South Africa, utilizing a range of health care facilities in both rural and urban areas, rather than the central academic hospital (CAH) in which they would have been doing clerkships. Called the Integrated Distributed Engagement to Advance Learning (IDEAL) rotation, this clerkship was based on supervised engagement in healthcare services, focusing on patient-based clinical training, self-regulated learning and student participation as integral members of clinical teams. The success of this emergency intervention has led to its formal incorporation into the medical curriculum.
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- Surgical healthcare in South Africa faces significant inequities, particularly in the public health sector, necessitating the identification of barriers to access and prioritizing research for improvement.
- A workshop in Cape Town utilized the Four Delays Framework to systematically identify barriers linked to seeking, reaching, receiving, and remaining in surgical care, leading to the discovery of 34 specific barriers.
- The findings indicate that these barriers are interconnected, highlighting the need for a multifaceted approach to improve access to surgical care and ultimately promote equity in healthcare services across the country.