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19 January 2024 | Story Leonie Bolleurs | Photo Supplied
Prof Gert van Zyl
The Dean of the Faculty of Health Sciences, Prof Gert van Zyl, was recently appointed as the Chairperson of the South African Committee of Medical Deans (SACOMD).

The Dean of the Faculty of Health Sciences at the University of the Free State (UFS), Prof Gert van Zyl, was appointed as the Chairperson of the South African Committee of Medical Deans (SACOMD).

Prof Van Zyl, who has been a member of the SA Committee of Medical Deans since 2001, says it is a privilege and a highlight to again serve the health sciences academic community in this very dynamic and special time for medical schools.

He is especially looking forward to working with a brilliant team of deans and leaders in SACOMD, to build on the achievements of the past, and to excel in those areas that they have collectively decided to pursue for the future.

Taking on the role of Chairperson of SACOMD once more, leading with an outstanding team and a shared vision, signifies a special moment in his career, particularly as he approaches the conclusion of a fulfilling journey as dean. During his tenure, Prof Van Zyl was dedicated to actively contributing to stakeholders in the health sciences arena, including the academic community, SACOMD, as well as staff and students at the university.

He is of the opinion that this position brings exceptional value to both the faculty and the university. “It aligns with their collective vision of academic excellence across undergraduate and postgraduate teaching and learning as well as research,” he states.

SACOMD’s strategy for 2024

The Committee’s goal is to facilitate the optimisation and transformation of academic activities in Health Sciences faculties in order to meet the healthcare, research, and social imperatives of the country.

During a strategic session held in 2023, SACOMD determined the following objectives that align with their goal. According to Prof Van Zyl, they will strive to embrace collaboration, establish trust-based relationships among its members, seek proactive and consensus-driven decision-making, share information (drawing knowledge and insights from each other) to collectively advance thought leadership, and leverage their position as an influencer for improved health sciences training and strengthened health systems.

He says there are some exciting trends in a number of areas that will play an important role in advancing medical and health sciences. This includes the role of artificial intelligence, simulation, and robotic surgery in the academic health sciences arena.

As a committee, they will also look at the establishment of work-based assessment as a requirement in the postgraduate training environment of medical specialists in South Africa, the role of higher education academia in a National Health Insurance (NHI) system, as well as improving undergraduate and postgraduate teaching and learning. “All these activities are already guided by a set of detailed actions, responsibility areas, and academic outcomes,” he says.

Furthermore, they will provide support for new medical schools in order to serve the country in producing excellent health professionals. In doing so, they plan to create a more sustainable funding environment, improve the world-class status of training in both undergraduate and postgraduate teaching, and influence important clinical training platforms to support the academic health sciences agenda.

Patients is our first priority

Although operating on a strategic level in serving the health sciences community, Prof Van Zyl also shares his thoughts with students who aspire to pursue a career in this field. “Choose a career for the right reasons. Do not forget that your patients are your first priority in everything you do. Make the most of the opportunity if you are in the privileged position to be selected to study and build a career in health sciences,” he says.

He adds that resilience is an important characteristic when deciding to pursue a career in the medical field. According to him, it is also key to be a team player, have sound mental and spiritual health, and to have compassion in everything you do as a health sciences professional.

“Play this role as a team member, with the oath you have taken and with the Declaration of Geneva’s emphasis on the welfare of patients as your compass. Live this out in your daily professional activities. You are part of a group of professionals known for healing and caring for communities. Play the role required.”

“Mother Theresa said, ‘I alone cannot change the world, but I can cast a stone across the waters to create many ripples.’” “Create your own ripples!” Prof Van Zyl urges aspiring medical professionals.

News Archive

To tan or not to tan: a burning issue
2009-12-08

 Prof. Werner Sinclair

“Some evidence exists which implies that sunscreens could indeed be responsible for the dramatic rise in the incidence of melanoma over the past three decades, the period during which the use of sunscreens became very popular,” says Prof. Werner Sinclair, Head of the Department of Dermatology at the University of the Free State. His inaugural lecture was on the topic Sunscreens – Curse or Blessing?

Prof. Sinclair says the use of sunscreen preparations is widely advocated as a measure to prevent acute sunburn, chronic sun damage and resultant premature skin aging as well as skin malignancies, including malignant melanoma. There is inconclusive evidence to prove that these preparations do indeed achieve all of these claims. The question is whether these preparations are doing more harm than good?

He says the incidence of skin cancer is rising dramatically and these tumours are induced mostly by the ultra-violet rays.

Of the UV light that reaches the earth 90-95% belongs to the UVA fraction. UVC is normally filtered out by the ozone layer. UVB leads to sunburn while UVA leads to pigmentation (tanning). Because frequent sunburn was often associated with skin cancer, UVB was assumed, naively, to be the culprit, he says.

Exposure to sunlight induces a sense of well-being, increases the libido, reduces appetite and induces the synthesis of large amounts of vitamin D, an essential nutritional factor. The use of sunscreen creams reduces vitamin D levels and low levels of vitamin D have been associated with breast and colon cancer. Prof. Sinclair says the 17% increase in breast cancer from 1981 to 1991 parallels the vigorous use of sunscreens over the same period.

Among the risk factors for the development of tumours are a family history, tendency to freckle, more than three episodes of severe sunburn during childhood, and the use of artificial UV light tanning booths. He says it remains a question whether to tan or not. It was earlier believed that the main carcinogenic rays were UVB and that UVA merely induced a tan. The increase in UVA exposure could have severe consequences.

Prof. Sinclair says the UV light used in artificial tanning booths consists mainly of pure UVA which are highly dangerous rays. It has been estimated that six per cent of all melanoma deaths in the UK can be directly attributed to the use of artificial tanning lights. The use of an artificial tanning booth will double the melanoma risk of a person. “UVA is solely responsible for solar skin aging and it is ironical that tanning addicts, who want to look beautiful, are inflicting accelerated ageing in the process,” he says.

On the use of sunscreens he says it can prevent painful sunburn, but UVA-induced damage continues unnoticed. UVB blockers decrease vitamin D synthesis, which is a particular problem in the elderly. It also prevents the sunburn warning and therefore increases the UVA dosage that an individual receives. It creates a false sense of security which is the biggest problem associated with sunscreens.

Evidence obtained from the state of Queensland in Australia, where the heaviest and longest use of sunscreens occurred, boasted the highest incidence of melanoma in the world. A huge study in Norway has shown a 350% increase in melanoma for men and 440% for women. This paralleled the increase in the use of UVB blocking sunscreens while there was no change in the ozone layer. It did however, occur during that time when tanning became fashionable in Norway and there was an increase especially in artificial tanning.

Prof. Sinclair says: “We believe that sunscreen use does not directly lead to melanoma, but UVA exposure does. The Melanoma Epidemic is a reality. Sunscreen preparations are not the magical answer in the fight against melanoma and the irresponsible use of these preparations can worsen the problem.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt.stg@ufs.ac.za
7 December 2009

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