21st-Century Medical Education in South Africa


Moderator: Vanessa Carter
 4 June 2018
14:15 SAST | 8:15 EST
How to participate

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Start your answers with T1, T2, T3, T4 or CT for transcript purposes.
Answer only after the moderator prompts. Questions will be prompted every 10 minutes, but keep answers coming using the relevant T and number. Both panel experts and public attendees are encouraged to participate.
Use the #hcsmSA hashtag in all tweets so you are visible to others in the chat.

T1: What types of technologies are making an impact in medical education?
T2: What can students and educators do to stay current with rapidly evolving technology?

T3: How could technology impact medical education between developed and developing countries?
T4: How could teaching institutions integrate innovation into their curriculum?
T5: Why are digital divides among healthcare stakeholders important and how do we close them?
(e.g. CPD)
CT (Closing Thoughts): Is there anything you feel is important to add to this conversation?

Join us for a 60-minute Twitter chat with our panel experts. All stakeholders locally and globally are welcome.
Our public transcript will be recorded by Symplur.

Video Credit: Dr Rafael Grossmann

In a recent study conducted by The Medical Futurist Institute titled Digital Literacy in the Medical Curriculum, the authors write about the need for new approaches which must be applied in modern medical education in order to teach students new skills [1]. Some of these 21st-Century skills include the understanding of digital health technologies and the cultural changes which include e-Patients, design thinking, bioethics, advanced medical communication and working alongside patients in the learning environment to foster empathy and a deeper understanding of their experiences [2][3][4].

As our panel expert, Dr Rafael Grossmann explains in his video above, technology grows exponentially and impacts all of us on a global level. Especially when these innovations offer lifesaving solutions to the masses or opportunities to improve patient outcomes such as 3D-printing which is used in South Africa daily for various medical applications including surgical planning and prosthetic implants. Further to this, mobile applications, wearables and cloud platforms are being utilised by both providers and patients due to a growing number of internet and smartphone users, albeit there are still many divides to close, like the high cost of data and equipment, poor infrastructure and training to improve digital literacy. Regardless, Google’s 2017 Connected Consumer Survey found that 60% of South Africans now use a smartphone. This is an increase of 13% since 2014 and it is estimated the number of smartphone users in South Africa will expand to over 25 million by the year 2022.[5] Growth in the South African region is inevitable and medicine won’t be exempt.

At a time when some South African Universities have also started to discuss curriculums based on various issues like decolonisation, which will include programmes for medicine and law [6], it seems important to consider issues pertaining to digital transformation both from a local and global level. Join us for a 60-minute discussion to share your views with our panel experts.

1. Digital Literacy in the Medical Curriculum, The Medical Futurist Institute
2. Let medical students become 21st-Century physicians, The Medical Futurist Institute
3. Patient involvement in medical education, Oxford Medical Online, October 2013
4. The growing role of patients in medical education, StudentBMJ, June 2016
5. SA’s mobile phone evolution: what’s still to come, IT web, May 2018
6. Decolonising education: How one SA university is getting it done, May 2018

Trending healthcare hashtags and communities related to medical education: #MedEd, #FOAMed 

The chat session is open to everyone to participate, however, our panel experts bring a unique set of perspectives relating to the topic.

Dr Rafael Grossmann @ZGJR
Rafael J. Grossmann Zamora, MD, FACS, is originally from Caracas, Venezuela. After doing his surgery residency in Ann Arbor, MI, he has developed as a General, Trauma, Advanced Laparoscopic and Robotic surgeon and now practices in Maine, USA. Throughout his career, he has focused on tapping the paradoxical power of technology to coexist with a better, more humane medical care. As a healthcare futurist, being a full-time practising surgeon, gives him the rare skills, qualities and advantages that clinicians have but most technology innovators lack. That duality of expertise makes him a voice that definitely should be heard. A voice that impacts and addresses both ends of the spectrum, diversifying the target audience, feeding multiple interests and curiosities. As an Exponential Medicine  / Singularity University alumnus and faculty, his passion is about the intersection of Innovation Technology and Healthcare.

I know that the exponential development of technology and its smart use, will profoundly, positively impact the Healthcare system in ways that are difficult to even imagine”. After graduating from Singularity, “I have constantly worked to define myself as a Healthcare Futurist“.

Dr William Mapham – @vulamobile
Dr William Mapham is a specialist ophthalmologist and CEO of Vula Mobile. He has served as the Vice Chair of the Rural Doctors Association of South Africa (RuDASA) and previously spent time in New York and Washington designing mobile phone applications for healthcare. He has published academic articles on the role of innovation and technology in improving healthcare delivery and has extensive experience in rural health care. Vula is the brainchild of Mapham, who conceived the idea for the app while working at the Vula Emehlo Eye Clinic in rural Swaziland. He experienced first-hand the difficulties faced by rural health workers when they need specialist advice. The aim of the app is to give health workers – particularly those in remote rural areas – a tool that helps to get patients quick and efficient specialist care.

Dr Renier Coetzee @reniercoetzee
Dr Coetzee is a Senior Lecturer at the University of the Western Cape. He obtained a B.Pharm (2002) and M.Pharm (2005) in Pharmacy Practice from the North-West University in Potchefstroom, South Africa. After completing community service in Bloemfontein he worked in various areas of pharmacy, including retail pharmacy, distribution and hospital pharmacy. In 2013 Dr Coetzee completed the Pharm.D programme from Rhodes University in Grahamstown. He joined the School of Pharmacy as a Lecturer in 2013. Dr Coetzee has an interest in pharmacotherapeutics, specifically in the areas of internal medicine and critical care.

On an International level, he has been involved with the training of Pharm.D students from West Virginia University in Morgantown, USA. In 2013 he was awarded Preceptor of the Year by the West Virginia University School of Pharmacy.

Dr Stefanus Snyman @stefanussnyman 
Dr Stefanus Snyman (MB, Ch. B; M. Phil (HealthScEd); DOM) is project manager at the South African Medical Research Council, research associate at the Centre for Community Technologies at Nelson Mandela University and technology consultant to the Cancer Association of South Africa. He serves as facilitator of the African Interprofessional Education Network (AfrIPEN), with the remit to advocate for and implement policies relating to interprofessional education and collaborative practice.
He also serves as facilitator of the International ICanFunction (mICF) Partnership: an initiative of the WHO’s Functioning and Disability Reference Group to develop a state-of-the-art mobile solution to facilitate interprofessional collaborative practice.

Heike Geduld @HeikeGeduld
Heike is the Clinical Head of Education and Training for Emergency Medicine in Cape Town. She directs Emergency Medicine training at the University of Cape Town and Stellenbosch University. She is the President of the College of Emergency Medicine of South Africa; and a Director and Senator of the Colleges of Medicine of South Africa.
She completed the SAFRI: Sub-Saharan AfricaMedical Education and Leadership Fellowship in 2011. She is President of AFEM (African Federation for Emergency Medicine) where her particular interests are in Emergency Care Systems development and EM training across Africa.

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