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19 April 2024 | Story André Damons | Photo Charl Devenish
Dr Nashua Naicker
Dr Nashua Naicker, lecturer and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, graduated on Thursday (April 18) with the degree Doctor of Philosophy in Health Professions Education.

A strong need to improve the general standing of optometry as a profession and to create lifelong learning opportunities for locally trained optometrists beyond what currently exists, is what led Dr Nashua Naicker to pursue a PhD in this field.

Dr Naicker, lecturer, and Chairperson: Learning and Teaching Committee (SoHRS) in the Department of Optometry, UFS School of Health and Rehabilitation Sciences, says he feels an overwhelming sense of relief with a keen sense accomplishment by achieving what he set out to through persistence in the face of adversity.

He graduated on Thursday (18 April) at the Faculty of Health Sciences April graduation ceremony with the degree Doctor of Philosophy in Health Professions Education through the Division of Health Sciences Education. “I am pleased and hope to change the narrative on this new path as an accredited researcher from ‘how long are you going to take to finish?’ to ‘what have you learnt in this journey?’. We are far too focused on chasing a timeline rather than focusing on the contribution that one makes and the self-development in this journey of discovery,” says Dr Naicker. 

His supervisor was Prof Alvin J Munsamy from University of KwaZulu-Natal (UKZN) and co-supervisor Dr CB Written from the UFS.  

Need for educational expansion

His research was focused on establishing a framework for postgraduate programmes in specialty fields of optometry for South Africa. The investigation was carried out with practising optometrists as the primary stakeholders and with optometric academics as the custodians for education and training in the country.

“With an overwhelming need for educational expansion found in this investigation, a conceptual framework was proposed as the innovation to take the profession forward in South Africa. Improving patient care from being upskilled and receiving professional recognition for the additional competencies and proficiencies that would be gained, was the motivating factors identified by optometrists to consider further education and training,” says Dr Naicker.

According to him, being in the educational fraternity for almost two decades and as a former education committee member of the professional board of optometry, he was able to see where the shortcomings were in the profession which set him on this path to pursue this research. With most optometrists in clinical practice and no clinical postgraduate qualifications available except pure research-based qualifications in SA, Dr Naicker explains that this hindered optometrists’ professional trajectory and career path opportunities into various special interest areas. 

“By developing a framework for horizontal articulation pathways towards coursework postgraduate qualifications in various clinical specialty fields, this would be the contribution in addressing the educational gap that would guide higher education institutions in their programme development process. The beneficiaries of this expansion would not only be the health professionals but the patients who access optometric care from the optometrists who would have advanced skills and competencies to deliver comprehensive eye care services.”

Stayed motivated

Dr Naicker says the journey to his PhD was challenging from the outset as the country went into hard lockdown due the COVID-19 pandemic just five weeks after he registered for his PhD. Working on a PhD was not a priority at the time when your survival and that of your loved ones was uncertain as thousands of people fell victim to the coronavirus. Further to this, he continues, multiple changes to his supervisory team and the overhaul and revitalisation of the administration and management of the UFS Division of Health Sciences Education, also impacted his progress in his doctoral research at that time. He had felt despondent after a year of being registered when stability arrived with supervisory assistance that re-ignited his drive to pick up the slack and keep moving forward.

“The words ‘push through it’ were verbalised to me by a stranger I met in passing.  While chatting about research I found those three words to be so profound and with such depth that they resonated with my experience of facing adversity but remaining vigilant to preservere and not drop the baton in the race against time to conclude my research. Gaslighting yourself and questioning your potential to complete a PhD only compounds your procrastination which was all too apparent. The goal is to rise above the self-doubt, brush off the devil with the fork sitting on your shoulder and just ‘push through it’.”

Dr Naicker, who is currently supervising four master’s of optometry students in their research undertaking, as well as undergraduate research projects, says he is in the process of publishing the research manuscripts generated from his PhD and is also part of a task team with the professional Board of Optometry for setting up the board exams for foreign-qualified optometrists. He would also like to work on research involving educating the educators of visually impaired learners.

News Archive

The silent struggles of those with invisible disabilities
2016-12-13

Description: Dr Magteld Smith, invisible disabilities Tags: Dr Magteld Smith, invisible disabilities 

Dr Magteld Smith, researcher and deaf awareness
activist, from the Department of Otorhinolaryngology
at the UFS.

December is International Disability Awareness Month. Despite equality before the law and some improvements in societal attitudes, people with disabilities are still disadvantaged in many aspects of their lives. They are more likely to be the victims of crime, sexual abuse, are more likely to earn a low income or be unemployed, and less likely to gain qualifications than people without disabilities.

Demystifying disabilities is crucial

Dr Magteld Smith, a researcher at the University of the Free State (UFS) School of Medicine’s Department of Otorhinolaryngology, says that often people think the term “disability” only refers to people using a wheelchair, etc. However, this is a misperception because some individuals have visible disabilities, which can be seen, and some have invisible disabilities, which can’t be seen. Others have both visible and invisible disabilities. There is an ongoing debate as to which group has the greatest life struggles. Those with visible disabilities frequently have to explain what they can do, while individuals with invisible disabilities have to make clear what they cannot do.

Invisible disability is an umbrella term that captures a whole spectrum of invisible disabilities and the focus is not to maintain a list of specific conditions and diagnoses that are considered invisible disabilities. Invisible disabilities include debilitating fatigue, pain, cognitive dysfunctions, mental disorders, hearing and eyesight disabilities and conditions that are primarily neurological in nature.

Judging books by their covers
According to Dr Smith, research indicates that people living with invisible disabilities often suffer more strained relationships than those with visible disabilities due to a serious lack of knowledge, doubts and suspicion around their disability status.

Society might also make serious allegations that people with invisible disabilities are “faking it” or believe they are “lazy”, and sometimes think they are using their invisible disability as an “excuse” to receive “special treatment”, while the person has special needs to function.

Giving recognition and praise
“One of the most heartbreaking attitudes towards persons with invisible disabilities is that they very seldom enjoy acknowledgement for their efforts and accomplishments. The media also seldom report on the achievements of persons with invisible disabilities,” says Dr Smith.

Society has to understand that a person with a disability or disabilities is diagnosed by a medical professional involving various medical procedures and tests. It is not for a society to make any diagnosis of another person.

Dr Smith says the best place to start addressing misperceptions is for society to broaden its understanding of the vast, varying world of disabilities and be more sensitive about people with invisible disabilities. They should be acknowledged and given the same recognition as people with visible disabilities.

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