The Threat of Funemployment

In final year, we thought that getting an internship post at our desired hospital was the hardest – and most coveted – thing.

Two years later, we all tried to find a community service posting that would give us a foot into the door to our future specialties.

But we didn’t know that those were the easy parts. Then, we still pretty much had guaranteed employment (most of us, at least).

Then came the end of Community Service, and reality hit us in the face: we were on our own.

* * *

That’s where I am now. The government no longer “owes” me a job, and unless I find one, I’ll be unemployed come January 2018. People used to say, “There’s no such thing as an unemployed doctor.” These days, there are plenty of them, because freezing posts is a done thing.

Applying for my first post-comserve job is a bit like the whole “what do I want to do when I grow up” crisis all over again. Because I want to work with children, but how many paediatrics posts are available? Not many. And paeds has seen an upsurge in popularity, so the available posts are highly sought-after.

So what other jobs would I like to do? Jobs that could teach me something before I go back to working with children. But if something happens and I end up stuck in that job for a long time, will I be okay with it?

Looking for a job is an exercise in self-reproach. Why didn’t I do more courses this year? Why didn’t I write that diploma? Why didn’t I participate in more research? Why didn’t I suck up a little more, make sure people knew my name? Look at what everyone else has achieved. Why haven’t I?

It’s an opportunity to be kind to myself. I’ve had a big year.

I started therapy and finally found the right combination of meds.

I ended a long-term relationship.

I stayed on my own for the first time. The past few years were just adulting-lite. This year I had to learn the real art of adulting.

I finally started making friends.

As I explored this new city, I also explored myself.

I found parts that I hate. I found parts that I love.

I stepped out of my comfort zone, and as usual, it was rewarding.

Finding a post-comserve job is probably the scariest part of my medical career so far. I know I must not compare myself to others, but I also know that an interview panel will do exactly that. (By the way, I screwed up my most important interview. I got total stage-fright.)

This is also a time of great promise. It reminds me of everything I can do with this degree. It reminds me that I can stretch my wings. It reminds me that I am not captive. I am free.

 * * *

Sorry if you came here looking for some inspiration. I had to type because my nails were already bitten to the quick. Find me a job, and maybe I’ll be able to get back to the usual stuff.

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DOC-U-MENTALLY: The Film [Review]

Breaking this unintentional hiatus to tell you (read: shout from the rooftops) that I have watched Doc-u-mentally and

IT.

IS.

AMAZING!

Continue reading “DOC-U-MENTALLY: The Film [Review]”

The Safe Working Hours Wristband Campaign is Missing the Point – Here’s Why

If you’ve been paying attention, working hours of doctors (especially junior doctors) have been getting some good airtime over the past few months. The Province of the Western Cape has committed to actively reducing maximum continuous working hours for doctors to twenty-four, the HPCSA has promised to “look into it” (not that we have too much confidence there), and our biggest representative, SAMA (South African Medical Association) has come out in our support.

One of the things to come from all this is the launching of an armband campaign. This has its origins, I believe, from a similar campaign in the UK – although I have not been able to find any source to this link.

608772084 Continue reading “The Safe Working Hours Wristband Campaign is Missing the Point – Here’s Why”

Abortion Care: Did I Provide My Best?

It’s funny how sometimes, long after the fact, you start questioning your levels of care and competence.

During my first rotation of internship (last year), which was Obstetrics and Gynaecology, I was one of the few interns willing to do pregnancy terminations. (For the purposes of this blog, the matter is not up for debate – I have been pro-choice for nearly half my life, and have thoroughly evaluated my own beliefs.)

Just recently I’ve found myself thinking back on those four months and wondering if I did everything I could, and if I was empathic enough. Continue reading “Abortion Care: Did I Provide My Best?”

Does It Have To End?

c4e635ecb89b5ed4844f087dca6580b1My four-month stint on the paediatric service comes to an end this week.

I enjoyed paediatrics in medical school, but never as much as this. How wonderful it was to be excited about work, to enjoy it so much that I willingly and eagerly read up more about all my cases.

It may have been one of the most challenging rotations – and it was good to see myself growing in confidence and ability.

There is so much work to do in paediatric healthcare, especially because you inadvertently treat the caregivers as well. And women are another group so sorely neglected in our environment.  Continue reading “Does It Have To End?”

Too Little, Too Late?

You might remember that we lost an intern colleague in South Africa a while ago, when she was in a fatal car accident after a long overnight shift. It was a big accident involving other vehicles, with at least two other people requiring ICU care.

One of them recently succumbed to her injuries, and the victim’s family members have made it known that they intend to sue* the Department of Health.

Most of my colleagues seem very happy with this. The government must be held responsible for the consequences of working their young doctors to exhaustion.

But part of me feels so very embittered. For years now we have asked nicely, and loudly, that our hours be addressed. Continue reading “Too Little, Too Late?”