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29 September 2020 | Story Dr Lynette van der Merwe | Photo Supplied

There is no doubt that 2020 will be a year to remember.  A pandemic, national lockdown, social isolation, health risks, economic and academic disruption, and uncertainty, loss of control, fear, and panic due to information flooding are all ingredients in the perfect storm of the unprecedented ‘new normal’.  Due to COVID-19, we have become sensitised to the need to protect mental health and well-being among all members of society – not least, our caregivers.  The plight of healthcare workers in the front lines has focused our attention on the threat of burnout (defined as emotional exhaustion, depersonalisation, and a sense of low personal accomplishment) as a result of increased stress, as well as the risk of depression and anxiety disorders. 
 
Focus on becoming more agile and adaptable

But do we need to stick to the prescribed script that dooms us to global resignation of merely trying to survive?  Is there an alternative response that uncovers unique strengths? Can we flip the narrative to resilience?  

In the destructive wake of this global crisis, we could instead focus on how we have become more agile and adaptable. We could notice the coping strategies of those who do not succumb to despair, victimhood, or expedience.  We could reimagine a world where the problems of the day do not define us; a world where we respond with intention, drawing on resilience forged in the fire of adversity, resolutely using our prior-established values to guide us.

Resilience helps us to not merely survive, but to recover, regroup, and reach new heights.   Diane Coutu described the characteristics of resilient people:  stoic acceptance of tough situations, creating meaning despite the current overwhelming circumstances, and an astonishing ability to improvise.  The notion was reinforced in a recent perspective published in the New England Journal of Medicine.  The authors eloquently pointed out that during the uncertainty of the COVID-19 pandemic, a sense of altruism and urgency seemed to catalyse restored autonomy, competency, and relatedness – three pillars considered supportive of intrinsic motivation and psychological well-being.  

Adaptive coping strategies

Research among students and staff in the UFS Faculty of Health Sciences has shown that higher resilience (and lower burnout) is associated with adaptive coping strategies.  Strength and growth through hardship were foundational to dealing with endemic stress and inevitable personal, academic, and financial challenges. 

So, what are some of the qualities, skills, or resources that help us bounce back and grow our resilience, resulting in the crisis of the day (aka COVID-19 and its nasty sequelae) causing a (temporary) bruise, rather than a (permanent) tattoo?
Have hope.  Far from blind, naïve optimism, it is instead a sober realism about reality, balanced by finding strength in the belief that in the end, you will overcome (the Stockdale Paradox). This ties closely with acceptance, allowing emotions a seat at the table of our lives but not giving in to their attempts at a hostile takeover.  It happens when we choose to respond, rather than react, leaving space to be flexible enough to adjust our expectations from immediate gratification to the perseverance to sit out the discomfort.  

Stay kind.  In the face of extreme hardship, humans reveal the truth about themselves.  Treating others with compassion, patience, and respect may not make the crisis disappear – but when we look back, are we not most inspired by those who have created meaning through extraordinary humility and sacrifice?  When all is said and done, what story would you like to tell about the kind of person you were during the pandemic? 

Be brave

Be brave anyway.  Approaching the sixth month of the pandemic means that most of us are tired.  Despite trying to be safe, innovative, and wise, there are no apparent solutions or a clear end in sight.  This is the time to be insanely courageous, to step into the arena to find answers and offer alternatives, despite naysayers (often anonymous) criticising your best efforts. This is the moment in history when we need to overcome our fear with the kind of courage that shows up even when legs shake, the voice trembles, and the heart palpitates.

When we look back on 2020, may we do so knowing that we continued hoping (even while accepting the tragic reality), that we stayed kind (creating meaning in the midst of turmoil), and that we were brave (overcoming seemingly insurmountable difficulty with exceptional creativity).  We have much to offer if we allow our resilience to stand this test of time. May COVID-19 change us for the better.


News Archive

School of Medicine not closing
2009-10-22

There is no immediate threat that the University of the Free State’s (UFS) School of Medicine will be closing.

This was confirmed by Prof. Gert van Zyl, Head of the UFS’s School of Medicine and acting Dean of the Faculty of Health Science, following media reports that Prof. Andries Stulting has indicated in a meeting with other medical schools and parliamentary standing committee members that the School will have to close due to the serious problems in the health sector.

“This discussion should be seen in context. Prof. Stulting, in his capacity as acting Head of the School of Medicine, and on behalf of the School and the Faculty, sent a proactive warning to the Free State Health Department, the Member of the Executive Committee and the Premier of the Free State regarding the long-term consequences of the health crisis. This statement was not interpreted correctly. Everything that Prof. Stulting said has already been included in the position statement that the School released in May 2009. What is urgent, though, is that the problems that were identified at especially Pelonomi Hospital in May this year were still not addressed,” said Prof. Van Zyl.

According to Prof. Van Zyl, problems at Pelonomi Hospital include not enough beds, lack of funding for the health sector in the Free State and in some instances problems with filling vacant positions.

“Some of these problems have already been addressed by the Free State Department of Health. Our training platform includes not only Pelonomi Hospital, but also Universitas Hospital, National Hospital, the Free State Psychiatric Complex and several clinics in the Bloemfontein area. This means that there are other facilities available that function in order to provide appropriate training to undergraduate students. Therefore, training is not in immediate danger and the School will definitely not be closing,” he said.

“New first-year students will start their studies in 2010 and I can assure you that there will be adequate training opportunities to take in and train students. However, we do struggle with a bigger intake as requested by Government. I want to put Prof. Stulting’s remark in context: He referred to postgraduate students and therefore the specialists who are in training,” said Prof. Van Zyl.

According to Prof. Van Zyl the specialists in training is a problem that was discussed with the Free State Health Department – with specific reference to less time in operating theatres and the number of beds at Pelonomi Hospital. “We are of the opinion that, should the Department address this problem as a matter of urgency, there will be no long-term damage to the training of these specialists in training. These are the students that Prof. Stulting was referring to,” he said.

The School received more than 1 500 applications for undergraduate studies in 2010 – all of these applications met the minimum selection requirements for the 140 available places. “Our current undergraduate students are therefore not influenced and they will continue to receive the quality training for which the School is renowned,” he said.

Prof. Jonathan Jansen, Rector and Vice-chancellor of the UFS, is aware of this and he satisfied himself as to the situation when he visited the hospitals in Bloemfontein on Friday, 9 October 2009. The national Minister of Higher Education and Training, Dr Blade Nzimande, was also informed of the School’s concerns when he visited the UFS in September 2009.

Media Release
Issued by: Lacea Loader
Deputy Director: Media Liaison
Tel: 051 401 2584
Cell: 083 645 2454
E-mail: loaderl.stg@mail.uovs.ac.za  

22 October 2009
 

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