Young medical graduates are not being placed in internship positions which they need to be able to practise medicine independently. There seems to be a lack of available posts, of funding for vacant posts and a problem with the application processes.
Some doctors are concerned that the application process does not take special requests – like family responsibility – into consideration. In the second part of a series on unemployed doctors, The Daily Vox spoke to Shamiela Hussein* (24), who graduated cum laude from the University of Kwa-Zulu Natal (UKZN) in 2016, and still has not been placed for an internship.
A lot of the other interns and I are in the situation. We had to apply when the applications opened mid-year, last year. There were three application rounds. I was not placed in the first, second or third round. It was December and I hadn’t been placed yet.
I’m married, and I had motivated to be placed in KZN because my husband had a job in KZN. Come December, I was phoned for the first time. I was offered a few provinces, Free State, Limpopo – obviously these are now the leftover posts. I couldn’t accept those. They said to me they have something in KZN, which is in Madadeni. I was not familiar with Madadeni, which later I got to know was in Newcastle. I had requested the department to please give me one hour, I want to contact my husband and discuss with him. He was out the country at that time. I said, “I want to discuss with him and see if we can find some kind of compromise”. She said, “I can’t guarantee you that I’m going to keep this for you”. [Usually] when you apply, you get one week to accept. I said, “I’m telling you, I can try and get this, so please”. I contacted my husband, we said fine, we can try and compromise on this. I phoned her back within one hour she said, “no, I’m sorry, it’s given [to someone else]”. So I lost out on that.
There’s five of us from UKZN who are unemployed. There’s a lot of graduates who are foreign nationals and they have not been placed. From the SA citizens, one’s a summa cum laude, three are cum laudes, and we are all unemployed. All of us are pretty much in the same situation, many of us married, many of us with family responsibilities. I don’t know whether it was not looked at, or whether it was just not important enough. I think that this marriage issue is a very pressing issue.
After that, there was no communication from the Department [Department of Health], it’s now April and we’re meant to be applying again but we’ve received no communication. They phoned us sometime in January, February, offering random posts. The phoning is very randomised, we don’t know how they’re phoning us. It’s been a very rocky road since then, and now we’re still waiting. We’ve graduated, we put all of our effort into this, to be the best doctors we could be, and it’s unfortunate that now we are unemployed.
I think that’s a pressing option, for a lot of people to move overseas. But when you have family responsibilities, when you’re married, it’s not just one person anymore. You can’t make that kind of decision to pursue your own career when another person’s career is already blooming or trying to bloom in a different place. It’s really difficult to make that decision. That’s why it’s so difficult for many of us, because it’s not just us anymore. This is just marriage, I have a colleague who’s pregnant, we’ve got colleagues who have children. Family needs to be considered sacred and it needs to be honoured, and it should be taken into account.
The allocation of jobs is definitely a problem, because it was a new system that had come up. We were basically the trial, and there was no transparency whatsoever with how this process was done, so we don’t know. You get people who have the flexibility to move around, and you have people who have compelling circumstances. The Minister of Health had written a statement, and I think about 22 people were married. To accommodate 22 people – okay, obviously other people have family responsibilities – but to accommodate those would have been a good gesture [rather] than to leave us in this situation.
There was an interview on SAFM with the Minister of Health, I think this was early January. My dad had actually heard it, and phoned in and narrated what had happened to me with the Madabeni situation. The Minister of Health was like, “Oh no, this is so unfair, how can this happen, it’s not okay that you were not given time to discuss with your spouse, that’s not how it should be happening,” and then the Ministry of Health contacted us, apparently disturbed at the way it happened, and said they’ll try to help. But nothing came of that as well. They contacted the department and asked them to contact me, and they contacted me and asked me what complaint did I have? No extra effort was put into assisting me, so I’m still stuck in the situation.
I was that close to having something, but because I phoned within one hour, it was too long. Now we’re just sitting and waiting for applications to open again – hoping that this process does not repeat itself.
*Name has been changed
As told to Shaazia Ebrahim, edited for brevity and clarity.