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29 April 2022 | Story André Damons
Dr Asha Malan
Dr Asha Malan, Head of the division for Vascular Surgery in the Faculty of Health Sciences at the University of the Free State (UFS), is the first woman vascular surgeon to head an Academic Unit in South Africa and the youngest Head of Vascular Surgery.

Dr Asha Malan, Head of the division for Vascular Surgery in the Faculty of Health Sciences at the University of the Free State (UFS), is not only one of just seven qualified female vascular surgeons in the country; she is also the first female vascular surgeon to head an academic unit in South Africa and the youngest Head of Vascular Surgery yet.

Dr Malan says she is honoured to represent women in the field of Vascular Surgery – a historically male-dominated field. One of her main objectives now is to attract more women to this field. In 2020, she was simultaneously appointed the Acting Head of the Department for General Surgery when Dr Nicholas Pearce became the head of the Universitas Academic Hospital COVID-19 Task team. 

“To be very honest – I had not previously thought about this (being the first female to head a unit for Vascular Surgery). I have always been of the opinion that if I achieve something in life, it should be because I worked hard enough for it and was blessed with God-given opportunities.  This was one of the life lessons taught to me by my two amazing parents. 

“It is an absolute privilege to be in this position at such a young age. I have been in the fortunate position where hard work indeed paid off and to a large extent, I was incredibly lucky. I believe my age counts in my favour – I am keen to learn (which is a daily exercise) and take on new opportunities. I am still ‘naïve’ enough to dream big and market my dream of offering state-of-the-art vascular surgical care for all,” says Dr Malan.  

Passion for Vascular Surgery
According to her, she has been granted opportunities to develop her skills by visiting units in other countries including Switzerland, Belgium and Germany. Later this year she is off to the Netherlands, France and the US to build on this and teach these skills locally. 

Dr Malan is passionate about vascular surgery and calls it one of the most beautiful types of surgery. She decided to become a medical doctor at school when her Biology teacher, Mrs Em Volschenk, triggered an appreciation for the workings of the human body.

It is her obsessive and perfectionist personality that attracted her to vascular surgery. The love to fix things, she calls it.

“I have always gained great joy from making something cleaner, neater and better. Medicine, and more in particular, surgery, provides you with the absolute privilege to do so for the human body. Vascular surgery is one of the most beautiful types of surgery. It is neat and clean, but at the same time challenging. It provides the opportunity to perform surgery on any part of the body and develop your surgical skills. 

“In addition, it makes you calm and comfortable in high-stress situations.  The most tiring part of vascular surgery is, however, not the physical strain nor the hours, but the intense planning it requires – it is in some aspects like the engineering of surgery – you sometimes have to come up with solutions to problems that no textbook will contain. It is currently one of the fastest growing surgical subspecialties worldwide due to the innovation happening within the field. It is a way of thinking and I love every moment,” states Dr Malan.

She is well aware of the responsibility that comes with this important position and feels honoured to pave the way forward. Says Dr Malan: “I am currently one of only two female consultant surgeons in the Department of General Surgery and I strongly believe we bring a unique perspective. We also have a particular leadership style that is inclusive and encouraging – contributing to an environment where others can grow and strengthen the Department.”

Not many women in surgery
According to Dr Malan, surgery historically has a bad name due to the hours and demands of the job. Surgeons need to be available almost all the time – a schedule that fails to conform to the traditional expectations of women. This is even more so for vascular surgery, as many of our patients require emergency care that does not respect “working hours”. On the other hand, says Dr Malan, she believes most women possess the ability to multitask efficiently.

“Not only can we do a number of things at once, but can also do them well. Females have mastered the art of balancing the demands of both their work- and personal-lives more and more and society is generally more receptive to this as well. This provides a definite advantage to not only function, but flourish in the field of surgery and vascular surgery.”

The first step to get more women involved in this field, says Dr Malan, is to show it can be done.  Females are featuring in surgical leadership roles worldwide on an increasing front and prominent role models are key to igniting interest and self-belief. 

Harvard University Surgical Leadership Programme
Dr Malan graduated from the Harvard University Surgical Leadership Programme in April this year and says it was an amazing experience to liaise with colleagues in leadership roles within their respective surgical departments across the globe. It was an honour to represent the University of the Free State in this capacity.

According to her, Prof Francis Petersen, UFS Rector and Vice-Chancellor, was instrumental in retaining her for the university after she qualified as a vascular surgeon. She received offers from other universities and private practice, but was keen to stay on as she envisaged a career in academics. “I had a dream of building a nationally recognised quality Vascular Surgery Unit that not only excels in clinical service delivery, but also in undergraduate- and postgraduate-training – this vision was already developing as we performed the first complex endovascular aortic repair in a state hospital in South Africa in 2019. Prof Petersen made time to listen to my dream and initiated the process for me to start realising it.”

She would like to give credit to her predecessors, particularly Prof Renald Barry who has been a mentor to her and with whom she had the privilege of operating until last year. In addition, she would like to thank her colleagues in the Department of Surgery and Vascular Surgery, who continue to inspire her every day.

News Archive

Media: ANC can learn a lesson from Moshoeshoe
2006-05-20


27/05/2006 20:32 - (SA) 
ANC can learn a lesson from Moshoeshoe
ON 2004, the University of the Free State turned 100 years old. As part of its centenary celebrations, the idea of the Moshoeshoe Memorial Lecture was mooted as part of another idea: to promote the study of the meaning of Moshoeshoe.

This lecture comes at a critical point in South Africa's still-new democracy. There are indications that the value of public engagement that Moshoeshoe prized highly through his lipitso [community gatherings], and now also a prized feature in our democracy, may be under serious threat. It is for this reason that I would like to dedicate this lecture to all those in our country and elsewhere who daily or weekly, or however frequently, have had the courage to express their considered opinions on pressing matters facing our society. They may be columnists, editors, commentators, artists of all kinds, academics and writers of letters to the editor, non-violent protesters with their placards and cartoonists who put a mirror in front of our eyes.

There is a remarkable story of how Moshoeshoe dealt with Mzilikazi, the aggressor who attacked Thaba Bosiu and failed. So when Mzilikazi retreated from Thaba Bosiu with a bruised ego after failing to take over the mountain, Moshoeshoe, in an unexpected turn of events, sent him cattle to return home bruised but grateful for the generosity of a victorious target of his aggression. At least he would not starve along the way. It was a devastating act of magnanimity which signalled a phenomenal role change.

"If only you had asked," Moshoeshoe seemed to be saying, "I could have given you some cattle. Have them anyway."

It was impossible for Mzilikazi not to have felt ashamed. At the same time, he could still present himself to his people as one who was so feared that even in defeat he was given cattle. At any rate, he never returned.

I look at our situation in South Africa and find that the wisdom of Moshoeshoe's method produced one of the defining moments that led to South Africa's momentous transition to democracy. Part of Nelson Mandela's legacy is precisely this: what I have called counter-intuitive leadership and the immense possibilities it offers for re-imagining whole societies.

A number of events in the past 12 months have made me wonder whether we are faced with a new situation that may have arisen. An increasing number of highly intelligent, sensitive and highly committed South Africans across the class, racial and cultural spectrum confess to feeling uncertain and vulnerable as never before since 1994. When indomitable optimists confess to having a sense of things unhinging, the misery of anxiety spreads. It must have something to do with an accumulation of events that convey the sense of impending implosion. It is the sense that events are spiralling out of control and no one among the leadership of the country seems to have a handle on things.

I should mention the one event that has dominated the national scene continuously for many months now. It is, of course, the trying events around the recent trial and acquittal of Jacob Zuma. The aftermath continues to dominate the news and public discourse. What, really, have we learnt or are learning from it all? It is probably too early to tell. Yet the drama seems far from over, promising to keep us all without relief, and in a state of anguish. It seems poised to reveal more faultlines in our national life than answers and solutions.

We need a mechanism that will affirm the different positions of the contestants validating their honesty in a way that will give the public confidence that real solutions are possible. It is this kind of openness, which never comes easily, that leads to breakthrough solutions, of the kind Moshoeshoe's wisdom symbolises.

Who will take this courageous step? What is clear is that a complex democracy like South Africa's cannot survive a single authority. Only multiple authorities within a constitutional framework have a real chance. I want to press this matter further.

Could it be that part of the problem is that we are unable to deal with the notion of "opposition". We are horrified that any of us could become "the opposition". In reality, it is time we began to anticipate the arrival of a moment when there was no longer a single [overwhelmingly] dominant political force as is currently the case. Such is the course of change. The measure of the maturity of the current political environment will be in how it can create conditions that anticipate that moment rather than ones that seek to prevent it. This is the formidable challenge of a popular post-apartheid political movement.

Can it conceptually anticipate a future when it is no longer overwhelmingly in control, in the form in which it currently is and resist, counter-intuitively, the temptation to prevent such an eventuality? Successfully resisting such an option would enable its current vision and its ultimate legacy to our country to manifest itself in different articulations of itself, which then contend for social influence.

In this way, the vision never really dies, it simply evolves into higher, more complex forms of itself. If the resulting versions are what is called "the opposition" that should not be such a bad thing - unless we want to invent another name for it. The image of flying ants going off to start other similar settlements is not so inappropriate.

I do not wish to suggest that the nuptial flights of the alliance partners are about to occur: only that it is a mark of leadership foresight to anticipate them conceptually. Any political movement that has visions of itself as a perpetual entity should look at the compelling evidence of history. Few have survived those defining moments when they should have been more elastic, and that because they were not, did not live to see the next day.

I believe we may have reached a moment not fundamentally different from the sobering, yet uplifting and vision-making, nation-building realities that led to Kempton Park in the early 1990s. The difference between then and now is that the black majority is not facing white compatriots across the negotiating table. Rather, it is facing itself: perhaps really for the first time since 1994. It is not a time for repeating old platitudes. Could we apply to ourselves the same degree of inventiveness and rigorous negotiation we displayed up to the adoption or our Constitution?

Morena Moshoeshoe faced similarly formative challenges. He seems to have been a great listener. No problem was too insignificant that it could not be addressed. He seems to have networked actively across the spectrum of society. He seems to have kept a close eye on the world beyond Lesotho, forming strong friendships and alliances, weighing his options constantly. He seems to have had patience and forbearance. He had tons of data before him before he could propose the unexpected. He tells us across the years that moments of renewal demand no less.

  • This is an editied version of the inaugural Moshoeshoe Memorial Lecture presented by Univeristy of Cape Town vice-chancellor Professor Ndebele at the University of the Free State on Thursday. Perspectives on Leadership Challenges In South Africa

 

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