Perceived competency deficits and challenges of family medicine trainees in sub-Saharan Africa

Abstract

Background: A competency-based approach to family medicine (FM) post graduate (PG) training falls short of a holistic process if it focuses only on patients’ needs without eliciting those of trainees.Aim: To identify perceived competency deficits of trainees and challenges hindering achievement of learning outcomes.Setting: PG FM programmes in sub-Saharan Africa.Methods: We conducted a cross-sectional survey using a web-based questionnaire with a list of competency items and challenges. Common Factor Analysis was used to ascertain which competency items and challenges accounted for the highest shared variability. A perceived competency deficit was assumed for any item with a component loading of <0.5. For challenges, higher component loadings denoted higher levels of agreement with the annotated item. Data were analysed using SPSS (version 16).Results: A total of 150 trainees took the survey. Appraising and utilising scientific knowledge was the item with a perceived competency deficit, while poor mentor-mentee relationship was considered the foremost challenge that hindered learning outcomes.Conclusion: Critical appraisal and utilisation of scientific knowledge should be part of every stage of the African FM trainee’s learning experience. To achieve this and other learning outcomes, improving mentor-mentee relationships are essential.