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MASTER of MEDICINE in Family Medicine. MMed(FamMed

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MASTER of MEDICINE in Family Medicine. MMed(FamMed)
Information Brochure for 2015
Division of Family Medicine
Dept of Public Health and Family Medicine
University of Cape Town
HEAD OF DIVISION
A/Professor Derek Hellenberg
CONVENORS
Professor Derek Hellenberg (third and fourth years) Dr Beverley Schweitzer
(first and second years),
The MMed (Family Medicine) is the degree required to gain specialist status
in the discipline of Family Medicine. Registrars rotate through various
disciplines in hospitals and work in district level hospitals and community
health centres over 4 years. The UCT programme is associated with the
Metro West Training Complex in the Western Cape.
WHO SHOULD DO THE COURSE?
The course prepares doctors to practice as specialist family physicians at a
district level of care (primary and district hospital levels of care).
Besides comprehensive clinical patient care, the programme includes aspects
of management, teaching and research.
ENTRY REQUIREMENTS for MMed(FamMed)

Appointment as a registrar by the Metro District Health Service.

Registration with the Health Professions Council of SA as a medical
practitioner and a letter of good standing from the HPCSA.

Computer literacy – basic knowledge of a word processing package
and use of email and internet.

Proficiency in English at an academic level.

Basic clinical skills – these may be assessed at the interview or at a
practice visit, prior to acceptance onto the course

Completion of internship and community service requirements.
Registrar training: Registrars require the equivalent of a four year
rotation. At least 3 of the years need to be in approved registrar training
sites. Registrars are allowed a maximum of 4 years in a registrar post and
a maximum of 6 years to complete their coursework and dissertation.
The award of the MMed (Family Medicine) 1. Coursework/ modules. Each
end of module assessment needs to be passed.
2. Portfolio – Four annual portfolio assessments need to passed with 60%.
3. End of rotation assessments need to be passed at the end of each
rotation. In addition, a satisfactory report by the rotation supervisor is
required.
3. Pass part 1 and part 2 exams. (The FCFP exam is used as the part 2
exam)
4. Successful completion of Research
For the Fellow of the College of Family physicians requirements, look at
the website of the College of Family Physicians
(http://www.collegemedsa.ac.za/view_exam.aspx?examid=102)
FCFP Examination Structure
FCFP(SA) Final Part A - can only be taken after 3 years of registrar training.
FCFP(SA) Final Part B - the Research Component which has to be submitted
before or by the end of the 4th year of training. The FCFP(SA) is only
awarded once both parts are fulfilled.
Before the Final part A exam can be taken, the following are required:
Completion of three years fulltime in a numbered registrar post
Obtained a current CPR, ACLS or ATLS certificate of competence.
Portfolio - completed the CMSA approved portfolio successfully each year
over the past three years.
APPLICATIONS
You will need to apply to the Provincial Government of the Western Cape
Department of Health for a registrar position, AND to the University of Cape
Town for the MMed Academic programme.
Enquiries regarding the post and applications for the post, must be directed
to:
Mr AB Oor, Deputy Director: HRM, 8 Riebeek Street, Norton Rose House, 2nd
Floor, Cape Town, 8000.
Applications must be in by 30th September and interviews will take place in
October/November for the course starting the following year.
Please supply the following with your application form:

A recently updated curriculum vita

Academic transcripts from your basic medical degree and any other
university course that you have undertaken.
Selection will require an interview and an academic reading exercise.
Application forms to UCT, for the MMed (Family Medicine) degree are
available from Ms Salega Tape, Dean’s suite, Faculty of Health Sciences,
University of Cape Town, Anzio Rd, Observatory, 7925. Phone: 406 6340,
Email Salega.Tape@uct.ac.za
You may also apply online at:
https://srvslspsw001.uct.ac.za/psp/onapplic/EMPLOYEE/HRMS/c/UCT_PUBL
IC_MENU.UCT_SS_APPL.GBL?FolderPath=PORTAL_ROOT_OBJECT.UCT
_SS_APPL_GBL&IsFolder=false&IgnoreParamTempl=FolderPath%252cIsFol
der
For further information Please contact:
Ms Manisha Chavda (admin assistant) at Manisha.Chavda@uct.ac.za,
021 406 6421
Professor Derek Hellenberg at 406 6510, Derek.Hellenberg@uct.ac.za
Dr Bev Schweitzer at 406 6441 or email Beverley.Schweitzer@uct.ac.za
Dr Maryam Navsa at email navsa@telkomsa.net
REGISTRAR TRAINING
The 4 year rotation will include twelve months (divided into smaller blocks of
time) at a community health centre/s, 6 month rotations in surgery,
anaesthetics, obstetrics and gynaecology. Registrars will work for 3 months in
each of paediatrics, psychiatry, emergency medicine, internal medicine and a
step down facility. Registrars will work for 6 weeks in palliative medicine,
which includes 2 weeks of oncology. If circumstances allow, registrars can
apply to do a 6 week elective rotation. During your rotations you will have
opportunities to attend specialist outpatient clinics such as ENT, Dermatology,
Ophthalmology at hospitals.
ELECTIVE
Elective plans must be submitted in writing, six months before your planned
elective. You should include a motivation for your selection. You will need the
approval of Metro District Health Services (MDHS) for your elective.
If you fail an end of block assessment, you will need to use this time to do
more work in the discipline that you failed.
Please keep in mind the following 10 domains that must be covered.
1.
Child health
2.
Women’s health
3.
Emergencies
4.
Mental health
5.
Surgery
6.
Orthopaedics
7.
ENT, eyes and skin
8.
Infectious diseases - HIV/AIDS, TB, STIs and malaria
9.
Anaesthetics
10. General adult medicine
LEAVE
Registrars are required to organise annual and research leave a year in
advance. You also need to inform the Div of Fam Med and MDHS where you
would like to do your overtime during your palliative medicine rotation and
elective rotation. This is so that service delivery is disrupted as little as
possible and that locums are not used unnecessarily. Your elective needs to
be planned and submitted for approval a year ahead of time. You need to
apply to the department concerned and to Dr Abdul Isaacs who is the
complex co-ordinator for Metro West, and to the Div of Fam Med, for
approval.
You cannot be guaranteed vacation leave, or research leave at the time of
your choice, if you put in your application later than this.
Registrars are required to take two weeks leave in each half of the year. If you
obtain special permission to take leave for longer than 2 weeks at a time, you
may be expected to make up calls for that time.
STUDY LEAVE
Registrars may request study leave for working on their research for two
weeks at a time, on two occasions during the 4 years. A motivation needs
to be submitted 6-12 months in advance.
Registrars are required to do calls as usual when on research leave.
FORMAT of FORMAL LEARNING
First and second year registrars meet at the University on Wednesday
afternoons for seminars. There may be one or two workshops on weekends
during the year.
Third and Fourth year registrars will meet, or have time to work on
research, on Thursday afternoons.
The Research Methods module runs over two, week-long blocks in second
year.
CREDITS FOR MODULES
Registrars can apply for exemption of part or the whole of a clinical rotation if
they have done that rotation under suitable supervision, prior to entering the
registrar rotation. This refers to time spent as an MO or other more senior
position. It does not include time spent as a COSMO or intern.
MODULES
The degree requires the completion of a dissertation together with coursework
and clinical rotations during which the required skills are acquired.
2015 (first years)
Feb to May
June to August
Principles of Fam Med
Community-oriented
primary care
September to
November
Evidence-based
Medicine
Clinical medicine B (Bev Schweitzer)
Ethics
2016 (second years)
Feb to April
Research Methods
May to June
Child and Family Health
Clinical Medicine A
July to October
Chronic Diseases,
Prevention and
Promotion
November: Part 1 exam for second years
GRADUATES OF FOREIGN UNIVERSITIES
It is a university rule that all graduates of foreign universities who have
English as a second language must produce evidence of having passed an
accredited test of English as a foreign language. The definition of a "nonEnglish speaking country" is defined in the rulebook as is the list of tests
acceptable. Information for prospective international students can be obtained
from IAPO
COURSE RULES
ASSESSMENT
See under modules for specific assessments.
Where a module has more than one means of assessment, you need to attain
at least 48% for each aspect of the module in order to pass. That is, if your
total mark is a pass (50% or above) but you have attained less than 48% for
any of the aspects of the assessment, you will not pass the module.
Years 1 and 2
You will be assessed at the end of each module. You need to pass all the
year 1 and 2 modules in order to do the part 1 exam.
EXCLUSIONS
Candidates who fail three courses or end of block assessments, or the same
course or end of block assessment more than once, will not be allowed to
continue with the course.. Unprofessional conduct may also result in
exclusion.
CURRICULUM REQUIREMENTS AND ORGANISATION
The latest the research can be handed in is 2 years after completion of the
registrar time (See MMed dissertation rules). You cannot graduate until the
research has been successfully completed.
The maximum time allowed in which to complete the coursework is six years
and only then, with permission from the relevant Faculty structures.
The Registrar contract is for a limited period of 4 years and cannot be
extended.
Award of the MMed degree requires successful completion of coursework,
completed portfolio that records your clinical work over 4 years, successful
completed dissertation, successful completion of the part 1 and 2 (CMSA)
exams.
Please note criteria required to take the CMSA exam.
TIME COMMITMENT
It is estimated that preparation for the weekly modular sessions, self-study,
research and assignments will require 6 to 10 hours per week. This is in
addition to your time spent reading on your current clinical rotation.
ATTENDANCE
Registrars should inform one of the tutors or convenors if they are unable to
attend the afternoon modular sessions by leaving a message with the admin
assistant . ph 406 6421. Registras will need to make arrangements to obtain
the material missed.
ASSIGNMENTS
Assignments need to be handed in by the specified date. Under exceptional
circumstances a one week extension may be given. No further extension nor
mark will be given beyond that date.
APPLICATION FOR DEFERRED EXAMINATIONS
Applications for deferred examinations need to be sent to the Deferred
examinations office in Bremner Building. Applications need to be handed in
within one week of the missed exam. A doctor’s certificate is required if the
deferment is required on the grounds of ill health.
GENERAL INFORMATION
FEES
See Fees Booklet
FINANCIAL ASSISTANCE
Contact Postgraduate Scholarships Office,
CAREER OPPORTUNITIES
The public sector and Universities all over South Africa offer family physician
posts at specialist level for registered family physicians. Alternately the
specialist family physician may work in the private sector.
PRESCRIBED AND RECOMMENDED READING
Prescribed and Recommended reading lists will be provided
EXAMINATIONS
Examinations will be conducted at the end of year two (Part 1) and year 4
(Part 2 – FCFP exam of the CMSA). The Dissertation forms Part 3 of the
MMed.
Rules for the Part 1 Exam of the MMed
The exam consists of four components – two written and two practical:
1. Multiple choice and EMIs
2. Modified essay questions exam.
3. Clinical exam
4. OSCE (Objective Structured Clinical Examination) - including both
computer based exams and procedural exams.
Each component of the exam must be passed with a minimum of 50% in
order to pass. Subcomponents may compensate for each other. That is, your
average mark for the combined clinical exam subcomponents should be 50%
or more, the total for the OSCE should be 50% or more and similarly with the
written components. If you fail one component, you will be required to re-do
that component as well as any other component for which you obtained less
than 70%.
Registrars who fail the part 1 exam will be able to repeat the exam in October
/ November of the following year.
No more than one repeat exam will be allowed.
COURSES
1. PRINCIPLES OF FAMILY MEDICINE
Convenors: Maryam Navsa and Graham Bresick
Structure: Sessions will take place on Wednesday afternoons
Objectives: On successful completion of this module you should be able to:
 Understand and apply the principles of family medicine
 Understand the dynamics of the primary care consultation
 Be able form and maintain a therapeutic doctor – patient relationship
with a variety of patients
Content: This module will include the philosophical basis of Family Medicine
and the principles on which it is based. The consultation and the doctorpatient relationship will be addressed. Role play and video review will be used
to help integrate learning into practice
Assessment: Patient study
2. CHILD AND FAMILY HEALTH
Convenors: Dr B Schweitzer and Dr M Navsa
Structure: This is run by means of WebCT, but the group also meets for
patient presentations with a resource person. Discussion groups take place
on internet.
Objectives: On completion of this module you should be able to:



Identify and manage common conditions in childhood and adolescence
Institute key preventive and promotive activities in children and
adolescents
Describe key theories of human growth and development




Demonstrate an understanding of the human life-cycle and how this
can be applied in practice
Demonstrate a family-orientated approach to primary care
Develop awareness of your own developmental issues and their impact
on the doctor-patient relationship
Identify and manage emergencies in neonates and children
The study of human growth and development enables the learner to
understand the person in the context of his or her own stage of human
development in the life cycle. Focus is on the development of self-awareness
for the doctor and the development of sensitivity to the various life stages.
Content: This module aims to cover key topics in child health, clinical
paediatrics, family-orientated primary care, human growth and development.
Topics include the therapeutic relationship, theories of development,
developmental aspects of infancy, the toddler, the pre-school child, the
primary school child, the adolescent, adulthood, ageing and death and dying
Family-oriented care facilitates an understanding of how families function and
how illness impacts on the family and the family impacts on illness and the
management of illness. You will gain skills to conduct family interviews.
Topics will include family dynamics, genograms, understanding the effects of
one’s own family on you as a doctor, stages of the family life cycle, and a
family-oriented approach to specific problems. Role-plays will be used to
practice skills.
Child health and paediatrics is learned by means of self – assessments and
patient presentation with input from a paediatrician.
Assessment
Each aspect of the assessment must be passed in order to pass the module.
This includes:
Individual contributions to group discussions
One written assignment
3. PREVENTION, HEALTH PROMOTION AND CHRONIC ILLNESS
Convenors: Dr B. Schweitzer and Dr M Navsa
Structure: This is a 12 week web-based course. We will also have contact
sessions on clinical topics where you will be allocated to present patients.
Objectives This module includes key topics in chronic disorders, health
promotion and disease prevention.
At the end of this module you should be able to:

Describe current theories of disease prevention and health promotion









Implement a quality improvement cycle in your practice to improve the
quality of care, promote health and prevent complications for a chronic
condition
Diagnose and manage patients with common chronic medical
conditions (cardiovascular, respiratory, rheumatological, neoplastic)
according to the principles of family medicine
Describe the principles of palliative care and issues of death and dying
Manage common clinical problems in palliative care
Describe the principles of ageing and caring for the elderly
Manage common clinical problems in the elderly
Describe the principles of rehabilitation and perform a functional
assessment of a patient
Manage patients with common disabilities and impairments
Describe the importance of the doctor-patient relationship in chronic
care
Clinical and procedural skills related to the clinical topics will also be
addressed during the contact sessions.
Content
Introduction to principles of chronic care, health promotion, disease
prevention and the QI cycle
Chronic medical conditions: ischaemic heart disease, hypertension, diabetes,
obesityasthma, COPD, smoking, occupational lung disease
Rheumatology, the Elderley, Cancer, Pallliative Care, Rehab and the Doctorpatient relationship.
Requirements (as for degree)
Assessment
Formative self-assessment will be by means of weekly MCQ questions.
Summative Assessment
You will be required to pass (50% minimum) the end of module MCQ
examination, as well as both assignments in order to pass the module as a
whole.
Audit project – 40%
MCQ exam – 40%
Rehabilitation assignment – 20%
4. EVIDENCE BASED MEDICINE
Practicing medicine means that one is constantly faced with decisions
regarding diagnostic tests and treatment. This module helps one to ask clear
questions and then identify and evaluate the evidence from the literature in
order to come up with answers appropriate for one’s practice. It also teaches
a critical approach to reading journal articles.
Convenor: Mr James Irlam
Structure
Objectives:
 To understand what EBP is and why it is needed


To gain skills in searching for the evidence online
To be able to apply the rules of evidence for appraising the validity and
applicability of research into the effects of interventions.

To be able to apply the rules of evidence for appraising the validity and
applicability of research papers that summarise other research.

To be able to apply the rules of evidence for appraising the
performance of diagnostic and screening tests

To understand how to appraise the validity of prognostic information for
use in counselling patients
To be able to assess the validity and applicability of guidelines for
clinical practice

Content
 Definition of EBP
 Need for EBP
 Lessons from history
 Principles of EBP
 Cochrane Library
 PubMed Clinical Queries
 Search examples
 Review design features of Randomised Controlled Trials (RCTs)
 Review measures of outcome (RR, RRR, ARR, NNT)
 Critically appraise the validity of an RCT and its applicability to a given
clinical scenario
 Review systematic reviews vs. traditional reviews
 Review basic principles of meta-analysis
 Critically appraise the validity of a systematic review and its
applicability to a given clinical scenario
 Review purpose of diagnostic and screening tests
 Review measures of test performance (sensitivity, specificity, PPV,
NPV, likelihood ratios, nomogram)
 Critically appraise a cross-sectional validation study of a diagnostic test
and its applicability to a given clinical scenario
 Review understanding of prognosis and prognostic factors
 Critically appraise a cohort study of prognosis and its applicability to a
given clinical scenario

Critically appraise the validity and applicability of clinical guidelines
5. ETHICS
Convenor: Dr B Schweitzer, Tutored by Dr Maryam Navsa and staff from Div
of Ethics
Structure Weekly seminars
Objectives
Learners will gain an understanding of the theoretical background to ethical
analysis and develop the skills to identifying and solving ethical dilemmas in
primary care.
Assessment: Assignment
6. CLINICAL MEDICINE A
Convenor: Dr Bev Schweitzer
Objectives: To help gain clinical competence primary care approaches to
patients with problems related to surgery and surgical specialities such as
Orthopaedics, ENT, Eyes, Urology; acute medicine, rheumatology,
emergency medicine, occupational Health.
Structure: Learning is by discussion of patients seen during the course of
one’s work, with input from discipline specialists; self-study including the use
of MCQs.
7. CLINICAL MEDICINE B
Convenor: Dr Bev Schweitzer
Objectives: To help gain clinical competence in the primary care approach to
patients with issues related to Women’s Health, Mental Health, HIV, TB, STIs,
Pharmacology, Radiology, Medical specialities eg Geriatrics, Neurology,
Dermatology.
Structure: Learning is by discussion of patients seen during the course of
one’s work, with input from discipline specialists; self-study including the use
of MCQs.
RESEARCH METHODS
CONVENOR: Dr Liz Gwyther
8. COMMUNITY ORIENTED PRIMARY CARE
CONVENOR: Prof Steve Reid
OBJECTIVES: This module aims to cover the principles and some of the
practice of community-oriented primary care in your community.
At the end of this module you should be able to:




Describe the concept and steps of community-oriented primary care
Define and characterize a community within which your practice is
situated
Prioritize the major health issues of that community
Design an intervention that would address one of the high priority
health issues
YEAR 3 MODULES
ORGANIZATION AND MANAGEMENT
Convenor: Professor Derek Hellenberg
2. ADULT EDUCATION
DISSERTATION
You may apply for funding for your research via Carmen de Koker at
Carmen.deKoker@uct.ac.za. (R5000).
Registrars can apply for study leave to focus on their dissertation for two two
week periods over the year. You should apply for study leave which is given
on a 50:50 basis with vacation leave ie you can take two week’s vacation
leave and receive two weeks to give a total of a month for study.

The MMed dissertation is one of three examination components
towards the MMed degree.

Ethics approval application forms are available on the website:
http://www.health.uct.ac.za/research/humanethics/forms/ (click: Central
Forms Repository to download the forms and pointers for researchers).

For post-grad students the forms are available on the website:
http://www.publichealth.uct.ac.za/students/students_pg_forms.php
University of Cape Town
Faculty of health Sciences
MMed Part III / MPhil Part II (minor dissertation)
Guidelines for candidates, supervisors and examiners
The MMed minor dissertation is one of three examination components of the
MMed degree. This minor dissertation carries one third of the weight of a full
master’s dissertation in terms of its credit weighting, i.e. 60 credits which
approximate 600 hours of work. In order to register as a specialist (or subspecialist) in South Africa, the Health Professions Council of South Africa
(HPCSA) and the Colleges of Medicine of South Africa (CMSA) now require
all specialist trainees who register for training after 1 January 2011 to have
completed a relevant research study.
The dissertation must be the result of independent work of the candidate
conducted under the guidance and direction of a supervisor(s) and should
demonstrate evidence of an ability to undertake research, to interpret results
adequately and to review the relevant literature comprehensively and
critically. Although the research need not necessarily be original, the findings
must be seen to advance scientific understanding. A case report is not
acceptable for the dissertation, as it cannot meet these requirements. The
topic, study design and scope of research will depend on the particular
disciplines and must be agreed on in consultation with the
supervisor(s).
The dissertation may be presented in publication-ready format;
Research protocol
Candidates intending to register for the MMed Part III / MPhil Part II are
required to submit a full research protocol for approval to their respective
Departmental Research Committee (DRC). The candidate must then obtain
UCT Research Ethics Committee (REC) approval prior to conducting their
research; studies that involve the audit of clinical records or services also
require formal REC approval. Any primary research taking place in a
provincial or local authority health facility, such as public sector hospitals or
clinics, must also be submitted to the provincial government for approval, after
the UCT Research Ethics Committee approval has been obtained. Approval
to access public sector facilities for research is needed for all provincial
and local authority facilities. There are five points where approval for
research can be applied for - the three teaching hospitals, the local authorities
and "all other province". Teaching hospitals and the local authorities approve
research projects in-house. "All other province" approvals are done via the
Directorate: Health Impact Assessment (Sub-directorate: Research) at
provincial head office. If research crosses these boundaries, up to five
approvals may be needed. Further details can be found at
http://www.capegateway.gov.za/other/2011/3/phrc_approval_guidelines_nove
mber_2010.pdf. The Provincial Health Research Committee does not approve
research proposals itself, but oversees this approval process by reviewing
difficult applications on referral (Chair: Prof Rodney Ehrlich).
The research protocol should outline the scope and content of the dissertation
and must include the title of the proposed dissertation, name of the
supervisor(s) and their brief curriculum vitae(s). This full research protocol
together with a copy of the REC approval letter and completed Form D1 must
be submitted to the postgraduate administration office, for approval by the
Professional Masters Committee Chair and the Board of the Faculty of
Health Sciences, prior to commencement of the research.
Timelines
Submission of the research protocol for approval should generally be made
within the first 18 months of the registrar programme. Heads of Departments
or Divisions should meet with their registrars at least annually to review
progress towards their research project. Unless otherwise stipulated by your
Division / Department or constituent College of the CMSA, the research
project should generally be completed by the end of Year 2. For a number of
constituent Colleges, the dissertation must be submitted 6-months before
writing the Part II examination.
Supervisors
The importance of identifying a dissertation supervisor as early as possible
cannot be overemphasized. The supervisor should be an individual who can
relate to the candidate’s research project, be available for frequent and
regular discussion and advice, and someone with whom the candidate can
develop a good working relationship. Where specialised equipment and/or
laboratory work is required for the study, the supervisor should assist in
facilitating access to appropriate facilities.
The primary supervisor may be based outside the candidate’s home
department, faculty or university. In such a case, an internal (co-)supervisor
will also be required in addition to the primary supervisor, to serve as a guide
and link to UCT faculty and discipline-specific procedures. Primary
supervisors retain responsibilities to the candidate and the university until the
dissertation process is complete. The supervisor and student must complete
form D3, which describes the contractual agreement of supervision.
Please note: in order to assist a candidate with a master’s research topic the
supervisor should hold a master’s degree or equivalent (such as a Fellowship
of one of the constituent Colleges of the CMSA), and have relevant research
experience. If the primary supervisor does not hold such a higher qualification,
then a secondary supervisor who has a higher degree will need to be
appointed in addition to the primary supervisor.
The dissertation
Submission of the dissertation should include the following:
The title page should contain the candidate’s name, dissertation title and the
name of the university. It must also state the degree, e.g. Master of Medicine
(MMed) in Public Health Medicine, Occupational Medicine, Family Medicine,
Surgery, etc. The title page should also include a statement to the effect that
the research reported is based on independent work performed by the
candidate and that neither the whole work nor any part of it has been, is
being, or is to be submitted for another degree to any other university. It must
also state that this work has not been reported or published prior to
registration for the abovementioned degree.
The abstract should summarise the study rationale, methods, results,
discussion and conclusion in fewer than 500 words.
Publication-ready Format:
The body of the dissertation, which must be structured to include the
following:
Part A: The protocol as approved by the Departmental Research Committee
and UCT Faculty Research Ethics Committee (REC). The protocol should not
exceed 4000 words. Should the protocol approved by the REC exceed 4000
words, the candidate should provide a shortened version of this protocol in not
more than 4000 words.
Part B: A structured literature review appropriate to the subject matter and
methods of the dissertation. The literature review must, amongst other things,
show that the student is sufficiently acquainted with, and is able to conduct a
critical appraisal of the relevant literature. If appropriate for the topic,
candidates should demonstrate a good understanding of evidence-based
medicine.
The structured literature review should be between 3 000 and 4 000 words.
A suggested structure for the literature review is as follows:
a. Objectives of literature review;
b. Literature search strategy, including inclusion and exclusion
criteria;
c. Quality criteria. These will vary with the nature of the
dissertation;
d. Summary and interpretation of literature, and its implications for
the research;
e. Identification of gaps or needs for further research;
f. References (which will overlap with but will not be the same lists
as in the journal article and protocol).
Part C: Publication-ready Manuscript: The results of the study must be
presented in the form of a manuscript of an article for a named peer
reviewed journal, meeting all the requirements set out in the “Instructions for
Authors” of that journal, including the word count and referencing style.
Unless specially motivated, the journal chosen will need to allow for at least
3000 words excluding abstract, tables, figures and references. The
“Instructions to Authors” of the journal must be appended. The co-authors
should be listed in the appropriate order, and each of their contributions to the
manuscript stated. The journal chosen for publication must be appropriate to
the subject matter of the dissertation and listed in the citation index of the
Institute for Scientific Information (ISI) or accredited by the Department of
Education:
(http://www.lib.uct.ac.za/medical/index.php?html=/libs/accredjnls.htm&li
bid=24)
Important note: The candidate need not have submitted the article for
publication, nor is the acceptance of the article for publication a requirement
for passing the degree. However, the norm is to publish the study with the
supervisor(s) as co-author(s), and candidates are strongly encouraged to
submit their manuscript for publication either before or shortly after
examination of the minor dissertation. Submitting the manuscript for
publication before submitting the minor dissertation has the advantage that
addressing the peer reviewers’ comments improves the standard of the
manuscript included in the dissertation. A candidate who fails to submit a
manuscript for publication within one year of examination of the minor
dissertation must accept that their supervisor(s) may publish their data with
him/her as co-author.
For a systematic review, Parts B and C are combined in the publicationready manuscript.
Part D: Appendices All supporting documents including:
o
o
o
o
o
Acknowledgements, including a description of the role played by
each person who would be expected to be an author on a
published article arising from the dissertation. In a dissertation
derived from work started by others, e.g. analysis of data
collected for another project, the candidate’s contribution must
have been made after his/her registration for the degree and
therefore under supervision. In a manuscript from a multiauthored project suitable for submission towards a minor
dissertation, the candidate would be expected to be first author;
Questionnaire/data capture instrument(s) (if not appended to
protocol in Part A)
Consent forms and any related participant information sheets (if
not appended to protocol in Part A)
Technical appendices, including, if considered necessary, any
additional tables not included in the main manuscript for the
examiner to have available. These should be accompanied by a
brief narrative.
Official Ethics approval letter from the Faculty Research Ethics
Committee and any other approvals required (e.g. Provincial
Government).
Language and writing
Candidates should refer to the document D4, Guidelines on the Layout and
Style of the Dissertation or Thesis. Clear, grammatically correct English is
essential. As long as the dissertation is readable and internally consistent, any
of a number of styles is acceptable. Supervisors may assist candidates in
developing scientific communication skills but they are not required to do
detailed editing or correction of spelling, grammar, or style. They may refer
candidates elsewhere for this, at the candidate’s own expense. Candidates
who may have difficulties are encouraged to seek help from the writing
support facilities on main campus (see:
http://www.ched.uct.ac.za/adp/writing/).
The Harvard style for referencing is recommended. In this style, referencing is
by first author in parentheses in the text and the bibliography is listed
alphabetically (rather than using numerical superscripts in the text). NOTE:
For Section C (Publication-ready manuscript) references should be formatted
according to the instructions to authors for the journal selected, and
candidates may prefer to use the same style throughout their dissertation. For
reference management, Refworks can be downloaded from the ICTS or UCT
library websites.
It is suggested that candidates look at previous examples of Master’s
dissertations in the library for appealing layouts. Master’s dissertations are
available in the Health Sciences Library. A search will need to be done to
obtain a list of titles and authors. This search can be done using search words
(e.g. dissertation, health, health sciences, etc.). The librarian should be asked
for assistance. Some of these dissertations are available online at
http://srvrhldig001.uct.ac.za/R/R3CAKV8FM3PHV23A363D7J4F947AN4AXG
RBTHIPM2L62RSUXDM-02943?func=collections&collection_id=1526 but this
site does not yet differentiate MMed, MPhil and MSc dissertations within the
faculty of Health Sciences, so candidates will have to open each dissertation
to identify whether it is relevant to their minor dissertation.
Submission of dissertations
On completion, the dissertation should be submitted to the Faculty
Postgraduate Office. The candidate should inform the Faculty Officer one
month in advance of the intention to submit, using Form D8 (Intention to
submit). Supervisors will be requested by the Faculty Postgraduate Officer to
submit a letter supporting submission, and clearly specifying whether the
dissertation will be submitted in a “Publication-ready” or “Monograph” format,
so that the appropriate instructions are sent to the examiners. This letter
should be supplied by the primary supervisor. If this supervisor is external, the
internal supervisor must be kept informed at every stage of the process.
The candidate must submit 2 copies of the dissertation, in temporary binding
(e.g. plastic ring) and an electronic copy in a universally readable format (e.g.
pdf) on a compact disc. The candidate must clearly state which of the formats
has been chosen (“Publication-ready” or “Monograph”), so that the
appropriate instructions are sent to the examiners. Specific submission
requirements may be set by individual disciplines or constituent Colleges of
the CMSA, and registrars are obliged to ensure that their research projects
and dissertations meet these specific requirements.
UCT Dissertation Submission deadlines:
1. March 15th for June graduation
2. August 15th for December graduation
Note on fees: To avoid attracting fees, dissertations need to be submitted
before the beginning of the first quarter (first day of academic year), and
before the start of the second semester (mid July) to qualify for a 50% fee
rebate.
Examiners
The full dissertation will be submitted for examination through the
Postgraduate Office of our Faculty to two external examiners (nominated by
the supervisors and HOD).
It is the supervisors’ responsibility to submit names of three potential
examiners to the Faculty Officer when the candidate is ready to submit. Of the
three examiners nominated, two are invited to examine, and one is held as an
alternate. All examiners must all be external to UCT, and appointment of
examiners from outside South Africa is encouraged. These nominations need
to be approved by the Deputy Dean: Postgraduate Affairs on behalf of the
Faculty Board and submitted to the Faculty Board for ratification via a Dean’s
Circular.
The examiners will be well briefed regarding the specific requirements and
criteria for submission and examination of the minor dissertation. Such criteria
will clearly explain the difference between the minor dissertation and a
Master’s degree by dissertation alone, and between the monograph and the
“publication-ready” format of dissertation.
Details required for each examiner are: academic qualifications, postal and/or
physical address, telephone and fax numbers and e-mail address, and one
paragraph description of their standing in the relevant field (drawn from their
CV if need be.)
The candidate may not be informed of the identity of the examiners. After the
outcome of the minor dissertation has been finalised, the examiners’ identities
are made known if the examiners have indicated that they do not object to
this.
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