CBE

• What is CBE?

  • It is education
  • Where there is interaction
  • Between students and the community
  • The community is used as a source of education
  • Community service is performed at the same time
• The use of CBE?

  • Gives practical exposure to the community
  • Helps to integrate theory and practice
  • Part of education that takes place outside the hospital
• Visits to 3 different clinics/hospitals at UFS

  • National district hospital- and clinic
  • MUCPP (Community health clinic)
  • Pelonomi polyclinic (local clinic)
• Primary (only study once) Health Care:

  • Only nurses man smaller clinics or they have a doctor who comes once a week (Batho, Langehovenpark, and Bainsvlei)
  • Bigger clinics have doctors every day BUT NO specialist (MUCPP)
  • NO specialist - only primary care doctors and nurses
• Secondary healthcare:

  • Healthcare by specialists- surgeons, gynaecologists
  • Pelonomi hospital is secondary, but they do have components of PRIMARY care to help local community
  • Pelonomi polyclinic is part of primary care
  • Pelonomi Hospital also have parts of TERTIARY care - infectious disease
• Tertiary care (MBChB-> specialised- 2nd specialised)

  • "Super Specialist"
  • Like Internal specialist (secondary) that focused more studies on kidney disease - and became a Nephrologist (tertiary)
  • Paediatric surgeons, thoracic surgeons, pulmonologist , endocrinologist, haemotologist etc.}
  • Universitas hospital- but some are (for the lack of space) on the grounds of National Hospital and Pelonomi
• Referring up:

  • If Primary cannot help- because the disease requires expertise that healthcare workers at this level do not have (not trained for) or it requires treatment that is not on the primary level.
  • patient is referred UP to a level where they can be helped
  • UP can be to secondary or directly to tertiary
  • once referred up they can stay on that level or be referred down again