Developing transcultural awareness: student perspectives of a placement in Johannesburg South Africa

02 December 2018
Volume 8 · Issue 3

Abstract

Elective placements are a relatively new aspect of paramedic practice, with few opportunities for student paramedics to experience this internationally. This article shares reflections from a student's perspective gained from experience of a 3-week elective placement in Johannesburg, South Africa, working on a frontline ambulance and fast response vehicle. It explores international differences in paramedic practice, reviews two case studies and discusses the importance of scene management and how diagnostic overshadowing can influence care. Furthermore, the different scope of practice and approach to health care in South Africa as compared with the UK where the author is based is investigated, depicting how cultural differences can affect not only the treatment available, but also the impact on patient morbidity and mortality. A transcultural awareness of prehospital practice is beneficial for gaining new perspectives on the management of unique patients and varied situations in the prehospital setting, allowing for the ongoing development of future paramedic practice.

Paramedics have similar aims within their various job roles—to provide emergency medical assistance that preserves a patient's life until definitive care is available. Because of the global need for emergency medical care, paramedics are known to be able to work almost anywhere in the world. Prior to the opportunity of an international placement, I was unaware of just how versatile this role could be and how different practices could be across countries and environments. The opportunity to experience international paramedicine not only offers a unique paramedic education, but also adventures abroad and the chance of new experiences.

As a third (final) year student on the BSc Paramedic Science course at St George's University of London, the prospect of an elective placement was unique and sure to be an incredible once-in-a-lifetime experience. The criteria allowed students to organise any type of placement, anywhere, providing it would offer a new and different learning experience. I immediately knew I was going to take this opportunity to learn about how prehospital care differed in an international setting. After careful consideration of all potential placements, language, insurance, similarity of scope of practice and feasibility, I chose South Africa and was off on a 3-week journey with five other final year students from St George's University.

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