Doctors across the country are embittered by the Department of Health (DoH) who have failed to allocate them internships, community service, or job placement. Young medical graduates need to complete an internship and community service before they can practise medicine independently. However, a number of doctors have not been placed due to a lack of available posts, of funding for vacant posts and an apparent problem with the application processes.Â
In the first of a series on jobless doctors, The Daily Vox spoke to Joanne Cunniffe-Miller (27) who graduated last year but, despite several applications, still hasnâ€™t found an internship placement. She remains unemployed in Durban, Kwazulu Natal, a province where there are 3 191 posts available for medical practitioners with only 2 126 posts filled.
Iâ€™m married, I studied in Joburg, and my husband started a job in Durban this year. I requested to be placed in Kwazulu Natal for personal reasons. I didnâ€™t get placed in the first and second rounds, and in the third round I got offered a place in Potchefstroom which was my fourth choice out of the five. I turned this down – obviously – because I canâ€™t work in a different province to my husband. Itâ€™s not feasible and not fair on him.
Much like everyone else, Iâ€™ve been sitting around and waiting. Iâ€™ve been trying to contact the Department of Health throughout December and January. I eventually got told that there are no placements and that we must wait to reapply in the mid-year cycle, which still has not opened. Itâ€™s been a non-stop disappointment. The department promised us applications would open in March, then that got changed to the 1st of April. Then they said there were problems with the online system – which I think is a lie, I think its cover-up because they have no jobs. On 10 April, they promised us it was opening and it didnâ€™t open. Now they said it will definitely open on 11 April. Iâ€™m just completely pessimistic about it. I donâ€™t even have any hope for it. I just donâ€™t think itâ€™s going to happen.
If I had the option, I would move overseas right now but without your internship itâ€™s very difficult. Iâ€™ve looked into it extensively. For my husband and I, itâ€™s a financial issue that Iâ€™m not working, itâ€™s becoming more of an issue every day. I think the government is going to lose plenty of doctors because people who are already doing their internship or finished their internships can easily go overseas. For those people, thatâ€™s a much better option: you have a better quality of life and you get paid really well and you are guaranteed a job. I think the health department are going to have a huge loss if they donâ€™t sort the situation out.
This is my passion. I worked really hard to get into medicine. This is what I really want to do and Iâ€™m not prepared to sit around and wait for a year to get a job only to face the same problems after internship. Iâ€™m likely to face problems with community service – we all are. If I want to specialise, Iâ€™m likely to bump my head again.
Theyâ€™ve been telling us they have no money to pay interns, which is why they have no posts. That was in March. Iâ€™m wondering how now, all of a sudden, theyâ€™re going to have money to pay interns. It is a budget thing, because itâ€™s not just interns. You have community service doctors who are sitting without jobs; you have people who finished internships and community service who canâ€™t get jobs to train further in hospitals.
Itâ€™s a huge problem. Iâ€™m not sure what theyâ€™re going to do about it. Theyâ€™re sending doctors to Cuba to train, theyâ€™re increasing the intake at medical schools, theyâ€™re doing all of that to fix the healthcare system, but they donâ€™t have money to pay us. The planning is shocking. I donâ€™t know whatâ€™s going on. The unfortunate thing is weâ€™re powerless to do anything. Weâ€™ve tried to take every route possible. A friend of mine even had a meeting with a lawyer to see what we could do, but our hands are tied.
Thereâ€™s definitely some sort of problem that happened with the application process. It wasnâ€™t fair. I think their system was faulty from the very beginning. They said it was a completely random allocation and that personal considerations would be considered but wouldnâ€™t guarantee placement. But thereâ€™s so many of us who feel like our considerations werenâ€™t considered at all.
[This is] how we were told the application works, we were told the algorithm wasnâ€™t fair from the very beginning. It seems like itâ€™s a much bigger problem in KZN. It makes sense because theyâ€™ve got huge budget problems and stuff like that.
Overall, I donâ€™t know. I donâ€™t know if trying to motivate for special circumstances disadvantages you. I have no idea. None of us have any answers.
The Daily Vox has reached out to the Department of Health for comment and is awaiting a response.
As told to Shaazia Ebrahim, edited for brevity and clarity.