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18 January 2022 | Story Leonie Bolleurs | Photo Supplied
Prof Andries Stulting
Prof Andries Stulting, who obtained an MBA at the age of 73, believes it is a great privilege to be able to be useful in your home, community, and workplace and to add value to your own life and to the lives of other people around you in an effort to grow and to keep your mind active.

Prepare, act, adapt, and conquer. The MBA qualification that Prof Andries Stulting, former Head of the DDepartment of Ophthalmology at the University of the Free State (UFS), obtained from the university at the age of 73, taught him about the importance of these four aspects in the marketplace. 

Bridging the gap

Although an ophthalmologist of note who has changed the lives of hundreds of patients over the years, working as the Hospital Clinical Manager at a private healthcare facility in the Northern Cape reminded Prof Stulting that he had a gap in his knowledge of finance, economics, and budgets. He took this position as Hospital Clinical Manager after his retirement from a career of 31 years at the UFS. 

“I was capable of solving the clinical problems of the private practitioners working in the hospital. But when management had budget meetings or discussions on making the hospital more profitable, I was at a loss of words and completely out of my depth,” he explains. 

Prof Stulting says he enjoyed the MBA course. “I enjoyed being a student again and to work with a younger generation of people who accepted me as part of their group. Although it was a challenge for me to learn how to work online, how to submit assignments online, and how to listen to the endless Zoom conversations, I learned a lot about modern technology from my younger classmates.”  

He believes the MBA is a huge commitment, and his advice to prospective MBA candidates is to start within yourself. “Ask yourself if you are prepared to balance your current job and your part-time studies for the next two years of your life; to stretch your boundaries beyond what is known to you, and to leave your comfort zone; for your mind to be stretched; and do you have a supporting family or group of friends?” 

A defining moment

Besides the day-to-day classes, operations, and research, Prof Stulting trained 47 ophthalmologists during his career at the UFS, served in several management positions, including as member of the Executive Committee of Senate and acting head of the School of Medicine, was named Bloemfonteiner of the Year in 1996, and received an Honorary Degree from the Colleges of Medicine of South Africa. 


But where did it all start?

He recalls that while doing his two-year internship after qualifying as a medical doctor in 1973, he gave the anaesthesia for a corneal transplant operation at the Military Hospital in Pretoria. “For the first time in my life I was exposed to an eye operation! I was so intrigued by the micro-surgery being performed through an operating microscope that I almost forgot to wake the patient up after the operation! That was one of the defining moments in my life,” he says. 

Making a difference

Prof Stulting says he still takes pleasure in seeing people with eye problems. During the COVID-19 pandemic, it was strange for him at first to work with ‘masked people’. “However, one of the good things about the pandemic was that we, as eye-care practitioners, have learned to listen better to our patients and customers and to spend more time with the patient than before the outbreak.”

He strongly believes that it is a great privilege to be able to be useful in your home, community, and workplace and to add value to your own life and to the lives of other people around you in an effort to grow and to keep your mind active.

Reading and the near future

Acquiring an MBA is not the end of the story of his career in academia. Prof Stulting is already looking forward to doing a PhD degree on leadership in the health-care environment, while he still wants to continue practising in what he calls the queen of specialities, namely ophthalmology.  

And when he is not studying or enabling more people to experience the wonder of sight, he loves to read – both fiction and nonfiction. Some of the last books he has read include Thinking the Future by Clem Sunter and Mitch Ilbury (unfinished), Mercy (David Baldacci), Viral (Robin Cook), Over My Dead Body (Jeffrey Archer), and The Midnight Lock (Jeffery Deaver). “I also enjoy motivational books by Robin Sharma, John Maxwell, and Ken Blanchard,” he adds. 


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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