Learning in the Workplace

Placement: 260 hours, April–October:
1 day per week (Wednesday or Thursday) 

University of the Witwatersrand, Johannesburg 
Faculty of Health Sciences 
School of Clinical Medicine 
Department of Family Medicine 

About the Programme

The BHSc Honours in Health Systems Sciences at Wits develops graduates who  can analyse health systems, lead ethically, collaborate interprofessionally and use  evidence, innovation and digital tools to improve health services. Learning in the  Workplace (FAMH4017A) is a core module that gives students structured  workplace exposure within real health organisations.  Students complete this module alongside coursework in systems health,  contemporary health, quality improvement, health analytics, innovation and  entrepreneurship, project management, research and responsible leadership. The  placement allows students to apply these concepts and tools to real organisational  settings.

Purpose of Learning in the Workplace

The placement aims to: 
  • Build links between theory and practice through authentic health system  work. 
  • Develop management, leadership, project, quality improvement, analytic  and research skills. 
  • Strengthening critical thinking, ethical awareness and reflective practice in  real contexts. 
  • Support professional identity formation as emerging health systems scientist. 
  • Enhancing communication and observational skills and understanding of  organisational culture. 
At the end of the module, students should be able to: 
  • Apply theoretical knowledge to real-world health system contexts. Demonstrate professional competence and reflective practice. 
  • Integrate workplace experience with academic learning through an e portfolio and internship report.

Placement Structure and Duration

  • Total placement time: 260 hours. 
  • Period: April to October (one academic year). 
  • Pattern: 1 day per week, usually Wednesday or Thursday, agreed  between host, student and academic coordinator. 
  • Working hours: Follow host organisation’s standard day. 
  • Sites: Health organisations including clinics, hospitals, NGOs,  academic/research or programme units, and other relevant health system  structures.

Profile of the Student

Host organisations can expect that students: 
  • Are BHSc Honours in Health Systems Sciences students at Wits. 
  • Understand the South African health system as a complex adaptive  system, including burden of disease, equity, access and policy. 
  • Are developing competencies in systems thinking, health systems  management, quality improvement, health analytics, innovation and  entrepreneurship, project management, research and responsible  leadership. 
  • Need supervision, mentoring and feedback; they are placed to learn, not  as replacements for staff.

Expectations of Host Organisations

5.1 Learning Environment 

Host organisations are requested to: 

  • Provide a safe, ethical and inclusive environment aligned with  organisational policies and professional standards.
  • Offer exposure to real work such as service organisation, management,  quality improvement, data and information systems, community or  outreach work, research or innovation.
  •  Allow students to attend relevant meetings and observe workflows,  decision-making and interprofessional collaboration where appropriate.

5.2 Supervision and Mentoring 

Each site should nominate a supervisor/mentor who will: 

  • Orient the student to the organisation, policies, safety procedures and  data/confidentiality rules. 
  • Co-develop a short learning plan with the student at the start of the  placement.
  • Allocate appropriate tasks and oversee the students’ work.
  • Provide regular formative feedback (informal check-ins, at least monthly).
  • Complete brief end-of-placement feedback forms.

5.3 Suggested Tasks and Projects 

Tasks should: 

  • Be meaningful but appropriate to the student’s level. 
  • Support at least some of the following areas: systems analysis, quality  improvement, project management, health analytics, innovation, research  or policy. 

Examples include but not limited to: 

  • Shadowing clinic or hospital managers, programme coordinators, quality  improvement leads, data staff or primary care teams. 
  • Participating in quality improvement activities (e.g. process mapping,  review of patient flow, basic audits, drafting a simple improvement plan). 
  • Supporting project planning and implementation (e.g. stakeholder  mapping, risk identification, simple Gantt charts, monitoring templates). 
  • Contributing to research/evaluation tasks appropriate for an honours  student (e.g. literature searches, tool piloting, de-identified data collation,  under supervision).
  • Observing and documenting organisational culture, communication and  leadership practices for later reflection.

Expectations of Students

Students are expected to: 
  • Attend their placement consistently one day per week (Wednesday or  Thursday) from April to October, completing 260 hours. 
  • Comply with all host policies, including working hours, dress code,  confidentiality and data protection. 
  • Demonstrate professionalism: punctuality, reliability, respect and  appropriate communication. 
  • Seek supervision when unsure and escalate concerns regarding safety,  ethics or scope of work. 
  • Maintain a reflective log and compile de-identified artefacts (e.g. process  maps, meeting notes, project documents) for their e-portfolio, with  supervisor permission. 
  • Uphold patient, client and organisational confidentiality at all times. 

How Placement Links to Coursework

Programme Focus 

How Placements Can Support Learning

Systems thinking & contemporary health

Analysing facility/organisation as part of the health system, understanding policies and constraints.

Quality improvement & health analytics

Participating in audits, process analysis, dashboards, basic data use for decision-making.

Innovation & entrepreneurship

Exposure to service innovations, new models of care, digital tools or community-based initiatives.

Project and programme  management. Involvement in planning, stakeholder engagement,  monitoring and risk management.

Research and responsible leadership

Participation in ethical, evidence-informed work and observation of leadership and governance practices.

This alignment supports theory-to-practice integration, professional competence  and academic workplace integration as per FAMH4017A outcomes.

Assessment and Supervisor Input

The university conducts all formal assessments, but supervisor input is crucial.  Key student outputs are: 
  • Observational assignment: Structured analysis of organisational culture,  leadership, communication and system processes. 
  • Internship report: Documentation of activities, learning and competencies  developed during the placement. 
  • Portfolio of learning: An e-portfolio integrating workplace artefacts and  academic concepts, demonstrating growth over the year. 
Supervisors will be asked to: 
  • Confirm attendance and reliability. 
  • Rate and comment on professionalism, communication, initiative,  application of theory and openness to feedback. 
  • Provide brief narrative comments on strengths and areas for development.

Templates

The module coordinator in the Department of Family Medicine serves as the main  contact for host organisations and students.  The coordinator will: 
  • Provide templates (learning plan, feedback forms). 
  • Clarify expectations and learning outcomes. 
  • Support early identification and resolution of any difficulties (e.g.  performance, conduct, fit, safety). 
Hosts are encouraged to contact the coordinator promptly if issues arise so that  appropriate support or, where necessary, placement adjustments can be made.  

Student Learning Plan

—> Download Learning in the Workplace Form