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17 January 2024 | Story Prof Francis Petersen | Photo Kaleidoscope
Prof Francis Petersen
Prof Francis Petersen, Vice-Chancellor and Principal of the University of the Free State

Opinion article by Prof Francis Petersen, Vice-Chancellor and Principal of the University of the Free State.


The transition from high school to higher education is one of the most significant steps in a young person’s life. It represents a coming-of-age journey that is usually associated with great excitement and big dreams, but also with a fair amount of trepidation and uncertainty. Very often students find themselves ill-prepared for this important phase in their lives, causing even the most promising among them to struggle.

The old African proverb, ‘it takes a village to raise a child’, is true of a university context too. Because it requires nothing less than the combined effort and input of schools, parents, communities, alumni, higher education institutions, and the students themselves to ensure that they are adequately prepared for a successful journey from first year to graduate, says Prof Francis Petersen.

Over the past decade or two, most South African universities have invested heavily in various forms of student support offerings. The reason for this can be found in an important focus shift that has taken place in higher education – from concentrating on securing access to our institutions (which is still important), to ensuring the success of our enrolled students.  But ideally, a successful university journey should start long before students even set foot on our campuses. In the months and years that precede their studies, they need to be systematically prepared for the important journey that lies ahead – and for this preparation to be truly effective, different role players need to get involved.

Career orientation

An important departure point is the identification of the right study programme – and by implication, the right career. Choosing a career remains one of the most important decisions in a person’s life. It is essential that every young individual takes personal responsibility for this, and diligently apply themselves to identifying a field that suits their specific set of aptitudes, skills, and interests. Much time and resources can be saved – and frustration avoided – by informed, well-considered career choices.

But learners’ eventual choice of a career should also occupy an important place on schools’ agendas. In my experience, learners from schools that go the extra mile to expose them to different career opportunities, arranging job shadowing and career talks, eventually make the most successful tertiary study choices. Parents and family members play an equally important role in exposing children to different career possibilities while they are still in school.

Academic preparation

Similarly, the foundation for the academic skills needed for successful higher education studies needs to be laid long before studies commence. Successful university students need strong core skills in writing, research, and critical thinking – ideally honed over the twelve years they spend at school.  University studies are certainly a significant degree more rigorous than high school, demanding a higher level of self-discipline, academic proficiency, and time management. But successful students are normally the ones who have already shown academic commitment at school. They are the ones who are willing to invest the necessary time and apply themselves to continuously strengthening their existing academic skills – plus acquiring new ones.

An academic mindset needs to be cultivated in our schools, but also in parental homes. It is of course true that in our South African context a significant portion of our students are first-generation students – the first in their extended families to go to university. Which means that their parents would obviously not be in a position to share personal experiences and advice on how to approach tertiary studies.  But what all parents can do, is to inculcate in their children a love for learning and an inquisitive outlook. Once this is established, practical tips and advice can be provided by teachers, counsellors, relatives, and even alumni from the neighbourhood.

Life skills preparation

For many students, transitioning to higher education also means venturing out on their own for the first time, independent of parents and guardians. Independent living skills in the form of basic cooking, laundry, and self-care will be needed to support students living away from home for the first time – skills that should ideally be established while living at home.

A certain degree of financial skills is also required – not only to be able to understand the workings of student loans and financial aid – but also to be able to manage a simple budget to prevent students’ expenditure from exceeding their resources or income. These are skills that can be taught at school – but they need to be reinforced and find practical application at home. As parents, we need to equip our children with the mindset, life skills, and confidence they will need as young adults.

Once again, our South African reality needs to be factored in. We have one of the highest rates of broken homes in the world, with only around a third of children in our country living with both their parents. One in five children have neither of their biological parents living with them. Although this rate of parental absence is disturbing, it is tempered by the prevailing trend of relatives and even neighbours getting involved – often pitching in to play an active part in child rearing. We need to tap into these encouraging examples of ubuntu in our communities, cherishing and expanding it. Our youth ultimately determines the future for all of us – which should urge us to take collective responsibility for them.

Social preparation

This includes preparing them for what is for many a new social reality after school. Students should be guided to embrace the diversity they will find on university campuses, and they should be encouraged to make new friends and broaden their cultural horizons. University life is, after all, not only about academics but also about personal growth, cultural exposure, and relationship building. The communication and collaboration skills developed and honed during higher education studies are also vital assets in the future world of work.

A significant portion of our students come from smaller rural towns and relatively isolated communities. They need to be prepared for the wide assortment of views and belief systems found on university campuses – which can be stimulating and fascinating on the one hand, but can also cause some students to feel alienated, and even a little lost. It is a matter of balancing an open mind and a willingness to consider new ideas, with a reaffirmation of those values and principles on which you are not willing to compromise. This bedrock of core values needs to be firmly in place when they leave home – having been shaped in their homes, schools, and communities.

Emotional preparation

The abundance of mental health challenges on our campuses clearly illuminates the importance of also making sure that students are emotionally prepared for university life. Nowadays, most of our university campuses are adequately geared to cater for students’ mental health needs. But these specialised support services are of little use if students do not choose to make use of them.

Once again, parents, guardians, and community role models can play an invaluable role – this time fighting the stigma by talking more openly about mental health issues – and even opening up about their own challenges. We need to encourage our young school leavers to accept a helping hand when needed – helping them to realise that these can be tools to build the resilience and adaptability needed to negotiate tough transitions.

There is another African saying which I think sums up the essence of higher education: ‘If you want to travel fast, travel alone. If you want to travel far, travel together’.

With knowledge systems continually expanding and the resultant emphasis on lifelong learning, it is on the one hand all about travelling far. But it is also about travelling together. Higher education studies so often entail approaching challenges from multiple angles, embracing multidisciplinary approaches, and working towards co-creating solutions.

Successful university studies hardly ever constitute a solitary journey. Preparing for them should similarly be a collaborative process. It requires different role players to take hands to ensure that the university years truly are the best years of young people’s lives. And that they produce graduates who are focused on giving back to the communities that helped them get there.

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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