{"id":"https://openalex.org/W7225787183","doi":"https://doi.org/10.3389/fmed.2026.1954545","title":"Perspectives on decoloniality of health professions education among final year students in the WiSDOM II cohort study in South Africa","display_name":"Perspectives on decoloniality of health professions education among final year students in the WiSDOM II cohort study in South Africa","publication_year":2026,"publication_date":"2026-11-11","ids":{"openalex":"https://openalex.org/W7225787183","doi":"https://doi.org/10.3389/fmed.2026.1954545"},"language":"en","primary_location":{"id":"doi:10.3389/fmed.2026.1954545","doi":"https://doi.org/10.3389/fmed.2026.1954545","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1954545","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1954545/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1954545/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010860504","display_name":"Laetitia Charmaine Rispel","orcid":"https://orcid.org/0000-0001-7806-6331","observed_orcids":["https://orcid.org/0000-0001-7806-6331"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":true,"raw_author_name":"Laetitia C. Rispel","raw_affiliation_strings":["Centre for Health Policy & South African Research Chairs Initiative (SARChI), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy & South African Research Chairs Initiative (SARChI), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015465226","display_name":"Prudence Ditlopo","orcid":"https://orcid.org/0000-0002-5772-3125","observed_orcids":["https://orcid.org/0000-0002-5772-3125"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Prudence Ditlopo","raw_affiliation_strings":["Centre for Health Policy, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037508146","display_name":"Duane Blaauw","orcid":"https://orcid.org/0000-0002-0605-7134","observed_orcids":["https://orcid.org/0000-0002-0605-7134"]},"institutions":[{"id":"https://openalex.org/I192619145","display_name":"University of the Witwatersrand","ror":"https://ror.org/03rp50x72","country_code":"ZA","type":"education","lineage":["https://openalex.org/I192619145"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Duane Blaauw","raw_affiliation_strings":["Centre for Health Policy, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Policy, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand","institution_ids":["https://openalex.org/I192619145"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5010860504"],"corresponding_institution_ids":["https://openalex.org/I192619145"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12413","display_name":"Health and Medical Education","score":0.4284999966621399,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12413","display_name":"Health and Medical Education","score":0.4284999966621399,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.33809998631477356,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12160","display_name":"African cultural and philosophical studies","score":0.09669999778270721,"subfield":{"id":"https://openalex.org/subfields/1211","display_name":"Philosophy"},"field":{"id":"https://openalex.org/fields/12","display_name":"Arts and Humanities"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[],"concepts":[{"id":"https://openalex.org/C2780956412","wikidata":"https://www.wikidata.org/wiki/Q17001577","display_name":"Decoloniality","level":3,"score":0.7609000205993652},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5580999851226807},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4593999981880188},{"id":"https://openalex.org/C2780801425","wikidata":"https://www.wikidata.org/wiki/Q5164392","display_name":"Construct (python library)","level":2,"score":0.45399999618530273},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.43810001015663147},{"id":"https://openalex.org/C47177190","wikidata":"https://www.wikidata.org/wiki/Q207137","display_name":"Curriculum","level":2,"score":0.42320001125335693},{"id":"https://openalex.org/C120912362","wikidata":"https://www.wikidata.org/wiki/Q136822","display_name":"Higher education","level":2,"score":0.40880000591278076},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3926999866962433},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.38909998536109924},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.3416000008583069},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.33390000462532043},{"id":"https://openalex.org/C2777997956","wikidata":"https://www.wikidata.org/wiki/Q17888","display_name":"Sexual orientation","level":2,"score":0.33239999413490295},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.3312000036239624},{"id":"https://openalex.org/C2780319001","wikidata":"https://www.wikidata.org/wiki/Q6500754","display_name":"Work experience","level":3,"score":0.31279999017715454},{"id":"https://openalex.org/C2780783599","wikidata":"https://www.wikidata.org/wiki/Q1931779","display_name":"Seniority","level":2,"score":0.31139999628067017},{"id":"https://openalex.org/C51067260","wikidata":"https://www.wikidata.org/wiki/Q828812","display_name":"Professional development","level":2,"score":0.305400013923645},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3005000054836273},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.2996000051498413},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2980000078678131},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.2849000096321106},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.27869999408721924},{"id":"https://openalex.org/C2992671056","wikidata":"https://www.wikidata.org/wiki/Q843601","display_name":"Health professions","level":3,"score":0.2685000002384186},{"id":"https://openalex.org/C20555606","wikidata":"https://www.wikidata.org/wiki/Q868575","display_name":"Empowerment","level":2,"score":0.26489999890327454},{"id":"https://openalex.org/C2778139618","wikidata":"https://www.wikidata.org/wiki/Q13440398","display_name":"Workforce","level":2,"score":0.2515000104904175}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3389/fmed.2026.1954545","doi":"https://doi.org/10.3389/fmed.2026.1954545","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1954545","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1954545/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3389/fmed.2026.1954545","doi":"https://doi.org/10.3389/fmed.2026.1954545","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fmed.2026.1954545","pdf_url":"https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2026.1954545/pdf","source":{"id":"https://openalex.org/S2597052008","display_name":"Frontiers in Medicine","issn_l":"2296-858X","issn":["2296-858X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225787183.pdf","grobid_xml":"https://content.openalex.org/works/W7225787183.grobid-xml"},"referenced_works_count":48,"referenced_works":["https://openalex.org/W1977214969","https://openalex.org/W1984606389","https://openalex.org/W1992366539","https://openalex.org/W2000873477","https://openalex.org/W2093274439","https://openalex.org/W2103269370","https://openalex.org/W2120967975","https://openalex.org/W2126317728","https://openalex.org/W2157066690","https://openalex.org/W2461184404","https://openalex.org/W2783322547","https://openalex.org/W2786911650","https://openalex.org/W2902446060","https://openalex.org/W2964423892","https://openalex.org/W2980569498","https://openalex.org/W2998701665","https://openalex.org/W3004493427","https://openalex.org/W3034322313","https://openalex.org/W3095749702","https://openalex.org/W3124883010","https://openalex.org/W3128787410","https://openalex.org/W3136927235","https://openalex.org/W3154790248","https://openalex.org/W3158300499","https://openalex.org/W3172292410","https://openalex.org/W3172976068","https://openalex.org/W3178229237","https://openalex.org/W3189620905","https://openalex.org/W3197126372","https://openalex.org/W4206814751","https://openalex.org/W4323348697","https://openalex.org/W4376873988","https://openalex.org/W4385331330","https://openalex.org/W4385448095","https://openalex.org/W4385717916","https://openalex.org/W4386727125","https://openalex.org/W4388497971","https://openalex.org/W4391224337","https://openalex.org/W4393197650","https://openalex.org/W4394738404","https://openalex.org/W4395111902","https://openalex.org/W4400512003","https://openalex.org/W4403310792","https://openalex.org/W4405308576","https://openalex.org/W4408095476","https://openalex.org/W4411250206","https://openalex.org/W4415602684","https://openalex.org/W7118079769"],"related_works":[],"abstract_inverted_index":{"Background":[0],"This":[1],"study":[2,185],"contributes":[3],"to":[4,82,120,133,153,231,346,353],"the":[5,9,17,27,37,85,124,158,184,192,205,207,227,246,258,311,315],"global":[6],"discourse":[7],"on":[8,19,147,273],"transformation":[10,358],"of":[11,21,51,138,140,178,183,209,218,221,268,314],"health":[12,23,77,141,169,349],"professions":[13,142,350],"education.":[14],"It":[15],"compares":[16],"perspectives":[18],"decoloniality":[20,139,159,274,329],"final-year":[22],"professional":[24,78,125,170],"students":[25,79,171,277,283,305],"from":[26,144],"2023":[28],"WiSDOM":[29],"II":[30],"cohort":[31,48,66,210],"in":[32,69,84,233,359],"South":[33,360],"Africa":[34],"and":[35,62,110,113,149,172,196,237,254,298,340,356],"examines":[36],"factors":[38,155],"associated":[39,156],"with":[40,157],"these":[41],"perceptions.":[42],"Methods":[43],"WiSDOM,":[44],"a":[45,135],"prospective":[46],"longitudinal":[47],"study,":[49],"consists":[50],"clinical":[52],"associates,":[53],"dentists,":[54],"doctors,":[55],"nurses,":[56],"occupational":[57,299],"therapists,":[58],"oral":[59],"hygienists,":[60],"pharmacists,":[61],"physiotherapists.":[63],"The":[64,180],"second":[65],"was":[67,187],"established":[68],"2023.":[70],"Following":[71],"informed":[72],"consent,":[73],"all":[74],"final":[75,167],"year":[76,168],"were":[80,323],"invited":[81],"participate":[83],"baseline":[86],"study.":[87],"Each":[88],"student":[89],"completed":[90],"an":[91,174],"electronic":[92],"self-administered":[93],"questionnaire":[94],"(SAQ)":[95],"that":[96,213,226,245,257,321,348],"included":[97],"inter":[98],"alia":[99],"socio-demographic":[100],"information,":[101],"opinions":[102],"about":[103],"transformation,":[104,148],"reasons":[105],"for":[106],"choosing":[107],"their":[108,222],"profession,":[109],"future":[111],"career":[112],"job":[114],"intentions.":[115],"We":[116,127],"used":[117,128],"STATA\u00ae":[118],"17":[119],"compare":[121],"differences":[122],"among":[123],"groups.":[126],"principal":[129],"component":[130],"analysis":[131],"(PCA)":[132],"construct":[134],"composite":[136],"index":[137],"education":[143,351],"12":[145],"questions":[146],"multiple":[150],"linear":[151],"regression":[152],"investigate":[154],"scores.":[160],"Results":[161],"In":[162],"2023,":[163],"we":[164],"recruited":[165],"459":[166],"obtained":[173],"overall":[175,312],"response":[176],"rate":[177],"71.7%.":[179],"mean":[181,313],"age":[182],"participants":[186],"24.0":[188],"years":[189],"(SD":[190],"\u00b13.3);":[191],"majority":[193,208],"female":[194],"(76.9%);":[195],"53.9%":[197],"self-identified":[198],"as":[199],"Black":[200],"African.":[201],"Notwithstanding":[202],"variations":[203],"across":[204],"professions,":[206],"members":[211],"agreed":[212,244,256,320],"there":[214],"is":[215],"open":[216],"support":[217],"people":[219],"regardless":[220],"sexual":[223],"orientation":[224],"(72.1%),":[225],"curriculum":[228],"equips":[229],"them":[230],"work":[232],"resource-poor":[234],"environments":[235],"(66.4%),":[236],"encourages":[238],"community":[239],"accountability":[240],"(66.2%).":[241],"However,":[242],"32.2%":[243],"institutional":[247,338],"culture":[248,339],"does":[249],"not":[250,262],"promote":[251],"racial":[252],"diversity,":[253],"25.3%":[255],"selection":[259],"criteria":[260],"do":[261],"sufficiently":[263],"address":[264],"historical":[265,342],"disparities.":[266],"Students":[267,318],"colour":[269],"reported":[270,284,306,327],"lower":[271,285,308],"scores":[272,286,309,330],"than":[275,287,310],"white":[276],"(":[278,289,294,301,331],"p":[279,290,295,302,332],"<":[280,291,296,303,333],"0.001).":[281],"Female":[282],"males":[288],"0.01).":[292,334],"Medical":[293],"0.001)":[297,304],"therapy":[300],"significantly":[307],"different":[316],"professions.":[317],"who":[319],"they":[322],"motivated":[324],"by":[325],"money":[326],"higher":[328],"Conclusion":[335],"An":[336],"inclusive":[337],"addressing":[341],"inequities":[343],"remain":[344],"priorities":[345],"ensure":[347],"contribute":[352],"workforce":[354],"development":[355],"social":[357],"Africa.":[361]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-11-12T00:00:00"}