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01 April 2022 | Story Andre Damons | Photo Supplied
Dr Nicholas Pearce
All smiles. Dr Nicholas Pearce, Head of the Department of Surgery in the Faculty of Health Sciences at the University of the Free State (UFS), receiving his award as best Doctor of the Year at the annual National Batho Pele Excellence Awards from the Honourable Minister Ms Ayanda Dlodlo, Minister of Public Service and Administration (left). With them on the right is the Honorable Dr Phophi Ramathuba, MEC for Health in Limpopo.

Although his name is on the award, Dr Nicholas Pearce, Head of the Department of Surgery in the Faculty of Health Sciences at the University of the Free State (UFS) and winner of the Batho Pele Excellence award, believes every individual he has worked with during the COVID-19 pandemic are the winners of this award. 
 
At a ceremony last month (25 March 2022), Dr Pearce received the Best Doctor of the Year award at the National Annual Batho Pele Excellence Awards (NBPEA) for his work as head of the COVID-19 Task Team at the Universitas Academic Hospital in Bloemfontein.
 
“I feel that this reward reflects a team of individuals who went above and beyond during a very uncertain period in our lives. I feel elated that the team has been acknowledged for the sterling work done during the COVID-19 pandemic.  

“I’ve been supported by a brilliant clinical team, with the likes of Dr Samantha Potgieter (Infectious Disease Specialist – UFS), Dr Shaun Maasdorp (Head: Multi ICU – UFS), Dr Edwin Turton (Head: Anaesthesiology – UFS) and many others, in running COVID-19 at the Universitas Academic Hospital and in the province,” says Dr Pearce.

According to him, this award also reflects the efforts put in by the University of the Free State in supporting COVID-19 in terms of logistics and donations, particularly Prof Francis Petersen, Rector and Vice-Chancellor, Prof Prakash Naidoo, Vice-Rector: Operations, Dr Vic Coetzee, Senior Director: Information and Communication Technology Services and his team, as well as Mr Nico Janse van Rensburg, Senior Director: University Estates and his team. It also shows how much more can be achieved in the health-care sector and overall, when the private and state sectors combine to conquer a common enemy.  The award is also a reflection on the Free State Department of Health and its ability to adapt to changing burdens of disease.

Humbled and honoured by the award

A humble Dr Pearce says he feel honoured to receive this award; however, there are many unsung heroes in the public sector. He says: “This is a national award for which nominations are received from all over the country, and then the winner is selected from this group of individuals by an independent panel. There are many unsung heroes in all of our lives; teachers (university, high school, and primary school), security, and all health-care workers. There are many people who are brilliant at what they do.”

His nomination came from the hospital and the Department of Health, primarily via Dr Rita Nathan, Head of Clinical Services at Universitas Academic Hospital, but with a large amount of input from the hospital management as well as the Member of the Executive Council for Health in the Free State, the Honourable Montseng Tsui, and the Head of Department of Health, Mr Godfrey Mahlatsi.  

Synonymous with fighting COVID-19

Since the early days of the pandemic, Dr Pearce’s name has become synonymous with the Universitas Hospital and fighting COVID-19. He feels that this is unfortunate, as he had several people who worked hard with him and who contributed to the success of fighting this deadly disease. 

“I think what made us so dynamic is that many people on the team came with many different skillsets and we were able to have an all-encompassing battle plan by harnessing the many different and individual skills to push us forward as a province.”  

“I think that I, as chair of the COVID-19 task team, to get the majority of credit is somewhat disingenuous and not really reflective of all the effort that many people put into the situation.”

Impact of COVID-19 

The pandemic impacted him on a personal level, says Dr Pearce. According to him, the question he is often asked is why he is working at a university. His response: “Fundamentally teaching a large population that the impact we have is beyond a single human interaction. For example, if I was purely a doctor, I would only be able to treat one patient at a time, but by working within the university, we are able to prepare our next generation of doctors and our impact is much larger and beyond just the individual patient.”  

Dr Pearce believes protecting the state health-care sector is vital for the future, as this is the training platform for future doctors, specialists, and all other health-care workers. The use of resources for the betterment of society is so much more important.  COVID-19 not only allowed hospitals to buy equipment that doctors would otherwise not have access to, but also allowed them to procure equipment in a rapid manner that will be used for many years to come. 

The next challenge

Dr Pearce says when the COVID-19 outbreak started, he was on his way back to South Africa from Germany when he saw people wearing masks, and at the same time they were building hospitals in China in seven days. Once back at the office, he immediately approached management at the hospital and asked them to start procuring masks, PPEs, etc. “We did not really know what was going on, but I felt that this was the first step.”

When COVID-19 took over and elective surgery stopped, Dr Pearce became the chairperson of the COVID-19 task team – something he enjoyed, as it taught him a lot about management, about human interaction, and about teamwork. It also taught him about his goals and ambitions in life. Though he is back in surgery almost full time, he is looking for his next challenge. 



 

News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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