Interview with South African Medical Doctor - Dr Luke Sampson

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a career in medicine in south africa

1. Tell us a little about yourself


My name is Luke Sampson. I am a Community Service Medical Officer (CSMO) and I come from Port Elizabeth.  I am also a musician, music producer and a DJ.

2. Have you always known that you want to be a doctor?


From a young age I always had an interest in Medicine, but it was not always what I wanted to do as a career. Up until grade 11 I wanted to become an Aeronautical Engineer. It was only in my matric year that I felt that my calling in life was to become a doctor and I believed that this was God’s plan for me.

3. What made you choose medicine?


I chose to do Medicine initially because I felt that it was a ‘life-calling’ and it was what God wanted me to pursue. However, I also liked it because it was very academic and posed a good challenge for me. The idea of then also being able to give back to my community, in the most direct way possible, was more motivation than any other.

4. What were the main challenges while studying?


The biggest challenge whilst studying was having to deal with life outside of Medicine, moving on without you. It is now a ‘challenge’ to know what is happening in your family’s lives, and this makes you feel very distant from what has been your reality for the last 18+ years.

The other difficulties were much more academic, and the pressure is very real. All the time.

There is no time to take your foot off the accelerator, because you will fall behind. However, you must always make time for yourself and those who make you happy. This is what motivates you. You will see yourself grow and you are directly responsible for the direction in which you grow towards.

Another big challenge that is continuous, is not wavering when your morals and beliefs are challenged, because this will happen every day, but developing yourself into the person who you want to be.

5. What happens when you graduate?


When you graduate from Medical School, you then start your internship. You get given a practicing number and with that a logbook that needs to be completed after your 2 years of internship. This logbook is very similar to the logbooks that you must complete during Medical School, and like the logbooks it Medical School, if they are lost or damaged, everything must be done and signed off all over again. This can be hundreds of tasks that need to now be completed in a very short space of time. Don’t put yourself in this position.

During internship, you rotate through all the different departments in a hospital, or complex of hospitals. This, is not usually your home town or where you studied, but is a place that is chosen at random from a list of options that you provide. Sometimes if you can’t be placed because posts have been filled at the hospital already, you are then second rounded and must apply to a list of hospitals that still have available posts.

At the end of internship, if you have been signed off by each department and found to be a safe doctor, you are then allowed to apply for community service. This is a very similar allocation process as is done when applying for internship in your final year of university.

Once you have completed your community service year, you can either go into private practice or to continue in state service. To specialise you must be at a hospital in state service to train as a specialist. However, if you have gone into private healthcare, you can come back into the state service.

Most specialisations require 4 years or more in a training position (registrar) at a state hospital and a hand full of examinations before you can be certified as a specialist, or sub-specialist.

If you would not like to work in the private health sector and you would not like to specialise, you can work in the specific department that you enjoy most in a state hospital or clinic and you can also take many different extra courses in the field that you enjoy.

But what if you do not want to practice medicine anymore? Well, then you can literally do almost any type of work that you would like to do. Medicine can either take a lot away from you or it can give a lot to you in many ways. It is up to you to choose where the path leads. It is your life.
how to become a doctor in SA

6. How would you describe your experience so far? Have you thought about your next move…whether to specialize or to open your own practice?


From the day I started final year I had a very ambitious, but achievable, plan for my future. Deeply rooted in medicine. Very academically directed. And also, very selfish.

I had achieved some things in university that not many have, and I valued this very highly. I was advised by some people, whose opinions I valued very much and who were role models for my life and my plan, to pursue these goals and to pursue them to the fullest. This was an honour for me, not because of what I achieved, but because it made me realised that these people saw in me, a bit of that something that made them great.

I always loved the heart. Always. Mainly because of its mechanics and because it was the only organ that produced a beat. An ever altering but always controlled beat. And learning the reasons why this beat would no longer be controlled or exist fascinated me and thus I want to specialise in cardiology one day.

However, life had other plans, 2 months of internship, the beginning of my plan of getting onto the path of becoming a cardiologist one day. Life taught me a very humbling lesson. I had to admit my grandmother and grandfather to hospital on the same day. My grandfather had a severe heart attack and spent the next few weeks in a medically induced coma in ICU. Whilst my grandmother was diagnosed with a brain tumour and later passed away from complications of the surgery.

This, and other challenging events have made me look at my plan and ask myself if I still want to do it, or if I can still do it, but in a less selfish way. It also made me look at how I am being selfish towards myself in not doing things that will make me happy. I have since started making house music with some friends of mine. And I am starting to take it seriously. It makes me happy. But so, does medicine.

7. What advice do you have for anyone going into medicine?


My advice to anyone wanting to do Medicine is to do it fully. Do not go into it feeling unsure. And if you are unsure, ask yourself why and that will let you know what will truly make you happy.

Find out what you need to do to get into the university you want to get into and do everything you can to do that.

Make medicine your hobby and make what is your hobby, your job. That is the quickest way to do what is your love and what is your passion at the same time.

And always be thankful. Wherever you are, you are in a better place than someone else.

Where to find Dr Luke:

https://www.linkedin.com/in/luke-sampson-427a722a/
https://www.facebook.com/TheHUGECollective/
https://soundcloud.com/thesoundofhuge

Read our previous interview with Accountant Zanethemba Malinga.

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A guide to becoming a doctor in South Africa

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requirements to be accepted in a South African medical school

It is the dream of many South African parents for their kids to become medical doctors. Television shows like Greys Anatomy also play an influential role when it comes to deciding a future career in high school. Many high school learners have the dream to become medical doctors but unfortunately there are not enough medical schools in South Africa or enough spaces in the lecture theatres. The demand for a medical doctors in South Africa far exceeds the supply.

What are the requirements to be accepted into medical school?


Each university is different and has different criteria. And you can check out the criteria required by each medical school by going to their websites (listed later on in this post) and downloading the prospectus for each university. Generally speaking though, medicine is one of the most competitive courses to get into in South Africa as the top students from all provinces and other African countries apply for positions in South African medical schools (because we have some of the best medical schools in the world). It is easier to get accepted into medical school if you are black or coloured compared to Indian or White applicants, as the notorious “Quota System” is used in South Africa to address the imbalances of the past so that medical schools and doctors graduating are representative of the South African demographic. An article by new24 stated that Nelson R. Mandela Medical School had 250 seats for first year medicine and of those 250, 69% of the students accepted are black, 19% Indian, 9% Coloured, 2% White and 1% other. Other universities have different ratios of course. The average marks of the students accepted for each racial group are not the same, by this I mean if you are black you will be competing against the top black applicants to that university, so in the case of Nelson R. Mandela Medical School, if you are black there are 173 seats for black students, so you would have to be part of the top 173 black applicants to that university. The lowest weighted academic average for black students accepted at Nelson R. Mandela Medical School was 83,16% compared to 75.5% for coloured students, 90.86% for Indian students and 87,66% for white students. By using this information alone you can tell that it will be more difficult for white and indian students to find a place in a South African medical school as they would have to be 90’s students. The competition is even worse at the country's top universities such as UCT, WITS & UP.

Many South Africans who are really passionate about becoming doctors end up going to study medicine in other countries because they cannot get a place at a South African medical school as it is too difficult to get accepted if you are not black or coloured.

What subjects are needed in high school to become a doctor?


Maths (not maths Literacy), physical science and life sciences are the subjects generally required when applying for medicine in South Africa but I know a few people who have been accepted into medical school and have done well despite not having done life sciences in high school.

How long does it take to study medicine in South Africa?


To become a doctor in South Africa you have to study for 6 years (5 years at UFS) or 7 years if you are on the extended programme provided you do not fail any year.

What are the different ways to get into medical school in South Africa?


·         The most direct way is straight from matric if you have awesome marks and community service etc but this is the hardest way to get in for most people.
·         The second way is to apply to study for a course related to medicine in health sciences, biology or in science and perform well so that you can apply to transfer into medicine in your second year of varsity.
·         The 3rd way is through to apply to wits medical school to enter into 3rd year of medical school through their Graduate Entry Medical Programme, if you have completed a degree in university that included subjects in Biology, Physics and/or Chemistry. Click here to find out more about that option and its entry requirements.
·         The 4th way is to apply to go to study medicine in Cuba on the government bursary.

 Medical Schools in South Africa and their fees


1     University of Cape Town – ZAR 69560
2     University of Witwatersrand – ZAR 62890
3     University of Pretoria – ZAR 55000
4     University of kwaZulu-Natal – ZAR 44220
5     University of Stellenbosch – ZAR 55096
6     University of the FreeState – ZAR 44390
7     Walter Sisulu University - ZAR
8     Sefako Makgatho Health Sciences University ( previously known as MEDUNSA) – ZAR 31450
9     University of Limpopo – ZAR 48038

I took the average fee for medicine given by university or the fee for 1st year where that was given. It was hard to find the fees for Walter Sisulu University, if anyone attends there, please share the fees via email or on our FB page.

Bursaries & Funding for medicine


Each university shares bursaries or funding opportunities in its fees handbook/site so you must take a look at that, as well as contacting the department of health via the contact details I shared to check for bursaries as well as your local municipalities as there are medicine bursaries awarded each year. Another way to find bursaries is to simply type “medicine bursaries South Africa” on google every now and then to see if there are any new bursaries you can apply for. If you are poor you can apply for nsfas.

If you are interested in becoming a doctor here are some useful resources:


3 Interview with DR Luke Sampson about studying medicine and what happens after graduation

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Interview with 2nd Year Trainee CA Zanethemba Malinga

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road to becoming a chartered accountant in SA
Accountant Zanethemba Malinga doing her 2nd year of articles en route to becoming a CA(SA)


Tell us a little about yourself


I am Zanethemba Malinga from Pinetown in Kwa Zulu Natal. I matriculated at St Francis College and then proceeded to do my tertiary education at the University of Cape Town where I obtained my Bachelors in Commerce specialising in Financial Accounting (CA option) degree. I then obtained my Post Graduate Diploma in Accounting at the University of Kwa Zulu Natal (Westville Campus).
I am currently in my second year of articles about to write my second board exam in November.

You are a second year trainee CA on the road to getting a CA(SA) qualification, did you always want to be an accountant?


Chartered Accountancy was amongst the three options of careers that I wanted to pursue after matric. I applied to do Engineering at Wits as my father was pushing me towards that direction but I personally didn’t enjoy physical sciences at all. I therefore had two other options Actuarial Sciences and Accounting. I did Actuarial Sciences in my first year at University and then I changed to accounting as Actuarial Science was not what I expected it to be.

What did you study in university and what are the different ways one can become a Chartered accountant in SA?


Firstly, I studied BCOM Accounting in university as my undergraduate degree. I then did my Post Graduate Diploma in Accounting as it is a requirement in becoming a CA(SA).

The following are the other ways one can become a CA:

·         You can study part time through UNISA while completing your articles.
·         If you have completed a degree, apart from an Accounting related degree, you can do a conversion course for one year and then after that one year you can go straight into PGDA provided that you pass the conversion course. At the moment I only know of UCT that offer the conversion course.

What did you enjoy the most about university?


Like any other student, I enjoyed the holidays and not having to wake up for lectures because you could watch the recordings from the comfort of your own room lol…

What were the biggest challenges for you in university?


My biggest challenge in University is the jump from undergrad to post grad. This was the biggest jump of my life because of the adjustment that was required. In undergrad I hardly attended lectures and I would catch up quite easily just before the tests and exams. I couldn’t apply the same strategy in Post grad, you miss a single day of lectures and tutorials catching up would be a mission.

You work for a big 4 firm, what does that mean? As in what are the advantages of working for a big 4 firm instead of another type of accounting company?


It means great exposure to big clients in the industry which looks really great on your CV.


Is the work you do what you expected when you were still a student?


As I started working as a first year, the work that I was doing was not the work I was expecting to do when I started my CA journey. But as the year progressed and got given more responsibility and more exposure to the exciting work, the work became more interesting and even better than what I had expected as a student.

After qualifying as a CA(SA) what are the possible career paths one can take?


There are a lot of career paths one could take, below I will just list a few:
·         Financial manager at a company
·         Asset Management company
·         Private Equity
·         Assistant to the CFO

Do you have any tips or advice for anyone who wants to become a chartered accountant one day?


The journey to becoming a CA is not smooth sailing, there are a lot of bumps on the road. All you need to do is persevere as it will all be worth it one day. Some would say you should have done medicine as it takes round about the same number of years to qualifying as CA(SA) but if you enjoy numbers and working with people, as you get to meet interesting people at the clients which increases your network and helps when it comes to building your brand, then being a Chartered Accountant is the career path you should be exploring.

Editors note: If you want to study to become a CA just because you grew up being told that it's a high paying job, you must know that it has one of the lowest starting salaries for a career where people start off with a post graduate qualification. Auditing firms where you will get the most experience pay you very little at first and companies in Johannesburg tend to pay better than companies in the rest of South Africa. At best you will start making serious money after 6 years.

Next: Interview with Dr Luke Sampson about medical school and internship

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