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28 December 2020 | Story André Damons | Photo Supplied
Dr James Fortein

Dr James Fortein, who had to overcome multiple failures and almost quit his dream, is now a qualified cardiologist after passing his final examination in August 2020.  

Major achievement 
 
Says a proud Dr Fortein: “It is a relief to have qualified as a cardiologist. This is a major achievement for me and my family. I can make a difference in many ways through this qualification. It is a blessing to be entrusted with a gift that can affect humanity.” 

According to him, his journey started in Grade 11 when he had already made the decision to improve his life. However, it was not an easy road. He grew up in a single-parent home with limited resources and role models. An all-inclusive bursary was withdrawn after he obtained a D symbol in Mathematics (higher grade) in Grade 12. Dr Fortein, who at the time wanted to study engineering, was forced to work in retail for a year while he improved his Mathematics mark. 

He called this his ‘gap year’.

On becoming medical doctor

“I registered for a BComm (Human Resource Management) at the University of the Free State.  I enjoyed it and did well. I stayed in House Khayalami, where I met three medical students who inspired me through their hard work and dedication. They are now all UFS-qualified doctors. I attended some of their discussions and later changed my course, applied for Medicine and was accepted,” explains Dr Fortein. 

Overcoming multiple failures

“I never repeated a grade in school. Then I came to Medical School and things changed. There was an increase in time spent studying and a decrease in the marks obtained. I missed a test in Paediatrics in my third year and had to do an oral test. It didn’t go well, and I failed the year. I couldn’t give up and had to regroup and go back to complete my medical studies. The failure had its positive side. I was more confident in my work after that.”

“The failures I experienced during my postgraduate training were more intense.  My situation changed. The failures now affected my wife and children.  I had a full-time job and bills to pay. Failure at this level places unnecessary strain on your family life. You invest so much time and effort into work and studying and then you fail.  It was heart-breaking,” says Dr Fortein.

He was on the verge of depression and wanted to quit after failing the Cardiology Certificate examination twice.

“It was through encouragement from my wife that I picked up the pieces and gave it another try.  Sharing the pain with friends and Cardiology Certificate candidates helped me to get closure and courage to prepare for the exam again.”

He passed the exam in August 2020 after it was postponed from May due to the lockdown. 

What kept him going?

There are factors that helped him to push through. God’s hand was in this process, says Dr Fortein. “Friends and family encouraged me. My focus and determination for a better life drove me to the last leg of the journey. I knew there was untapped potential in me that I had to use.”

News Archive

Breeding of unique game requires a balance between conservation and sustainable use
2014-05-20

 

Game bred for qualities such as unconventional hair colour or horn quality, may on the long term have unexpected consequences for biodiversity and game farming.

This is according to the inaugural lecture of Prof Paul Grobler from the Department of Genetics at the University of the Free State (UFS).

Prof Grobler feels that the consequences of selective breeding should be examined carefully, as there is currently much speculation on the subject without sound scientific information to back it.

“At the moment, colour variation invokes much interest among game farmers and breeders. Unusual colour variants are already available in different game species. These unusual animals usually fetch much higher prices at auctions compared to prices for the ‘normal’ individuals of the species.”

Examples of these unusual variants are springbuck being bred in white, black or copper colours, the black-backed or ‘saddleback’ impala, and the gold-coloured and royal wildebeest.

A black-backed impala was recently sold for R5,7 million.

“Based on genetic theory, good reason exists why these practices need to be monitored, but one should also take care not to make the assumption that selective breeding will inevitably lead to problems,” warns Prof Grobler.

Grobler says that negative characteristics in a species can sometimes unwittingly be expressed during the selection process for a unique colour. “It is seen, for example, in purebred dogs where the breeding of a new race sometimes brings underlying genetic deviations in the species to the front.” He also believes that some of these animals may not be able to adapt to changing environmental conditions.

“However, one should also look at the positive side: because of the good demand for game, including unusual variants, there is much more game in South Africa today than in many decades. Balance should be found between the aims of conservation and the sustainable utilisation of game.”

Research at the UFS’s Department of Genetics is now trying to establish the genetic effects of intensive game breeding and predict the impact on biodiversity.

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