(2007) we have 16 doctors and plan to increase that to 18
The structure of the medical section can be summarized as
- 3 Chief
- 6 Principal
- 9 Senior
Medical Officers/ Medical Officers/ Community Service Medical
are allocated in the following proportions to the following
sections based on the workload in the different sections and
rotate on a 4-monthly basis to optional sections:
1 CMO, 2 PMO's, 3 SMO's - Surgery and OPD
1 CMO, 2 PMO's, 3 SMO's - Maternity, HIV, TB and PHC
1 CMO, 2PMO's, 3 SMO's - Medicine and Paediatrics
Senior support is ensured and available.
07h30-08h30: Drs. Meeting - handover, morbidity and mortality
reviews, journal club, telemedicine session once per week,
paramedical reviews, meetings with nurses etc.
08h30-10h30: Ward round / OPD/ PHC clinic visit
11h00-13h00: Ward round/ OPD/ PHC clinic visit
14h00-17h00: OPD/ ANC/ PHC clinic visit/ Post-mortem/ Septic
In general, in-patient doctors do ward rounds from 08h30-13h00,
where as the OPD doctors will be allocated to OPD. The exception
is on the day when an in-patient doctor is on call (intake),
when he/she will be allocated to OPD from 11h00. PHC doctors
leave the hospital at 09h00 to visit PHC clinics. Special
clinics at the hospital include ANC, HIV, TB, Mental Health,
Disability Grant, Orthopaedic, Chronic etc. OPD doctors are
usually allocated in the afternoon to another clinic/ theatre.
Two doctors are on call every night and 3 on weekends. As
far as possible it will always include one senior doctor.
The doctors are responsible for the whole hospital, including
any operations that may be required. Usually the calls are
not busy and many times doctors finish by 10 pm and may be
called out once during the night. Duties include clearing
OPD, seeing emergency patients, keep an eye on Maternity and
review the sick patients in the wards. On weekends 2 doctors
are doing ward rounds, while the 3rd doctor will cover OPD.
After the ward rounds are finished, the doctor who was on
call the night before may go home, while the other 2 continue
with OPD. When OPD is finished the 2nd doctor may also go
home and will only be called when there is an operation to
be done or very seldom for a disaster e.g. a bus accident.
The day after being on first call, the doctor gets the afternoon
off. In general doctors are doing 5 calls per month (in total
5 days which may be 1st,2nd or 3rd calls weekday or weekend
- works one weekend in 5).
Annual leave: 22 workdays per year
Sick leave: 12 workdays per year
Study leave: 10 workdays per year - short courses may be funded
For the above you retain the payment of commuted overtime.
Special leave: e.g. family responsibility, maternity leave
Once per month you are entitled to either a Friday/ Monday
off, provided that you work until 5 pm daily and have not
taken any other leave during the month. This enables doctors
to go to Mozambique/ Durban to de-stress!!!
OF PHC DOCTORS
chronic patients every 6 months
education to PHC staff
with administration e.g. medicines
all 10 fixed clinics at least once per week
the 4 clinics with the most ART patients once per week
mobile clinics on a rostered basis
support to programs
closely with PHC matrons re PHC services
OF HOSPITAL DOCTORS
and treat patients
section with administration e.g. medical equipment
morbidity and mortality reviews
projects e.g. Malnutrition, ART, Mental Health,TB etc.
quality of care e.g. protocols, clinical audit
Hospital - Visiting specialists (Physician, Paediatrician,
Gynaecologist, Surgeon, ENT) Mseleni (MJD only) - Bethesda
(TOP only) - Empangeni (Referral Hospital) - Durban (Tertiary
Ambulance base at the hospital for emergencies
Shuttle bus service daily between clinics and hospital and
Approximately 5% of patients are referred
Accommodation (fully furnished on request), is provided to
all doctors and allied health professionals on site. Accommodation
varies from shared houses to one bed roomed flats to prefabricated
park homes to one, two and three bed roomed houses. The allocation
is done by a housing committee and depends on availability.
The monthly rental is minimal - for shared accommodation R200
(20 Euro) per month, and single accommodation R450 (45 Euro)
per month which includes water, electricity and refuse removal
is a swimming pool and a tennis court on the premises and
the secure environment of the grounds is ideal for small children.
There are many options for recreation; visiting the world
heritage site of Kosi Bay and Kosi mouth (about 30min away)
as well as the many other beautiful beaches in the area and
in Southern Mozambique (e.g. Ponta de Oura). There are three
Game parks within the district (Tembe, Ndumo and Mkuze) and
Swaziland is within easy reach. The hospital staff are a close
knit community and do many things together; braais, parties,
and visits to the various places of interest occur regularly.
(1 Euro = R10)
Medical Officer: (Qualification plus at least 4 years experience)
R311 358 per annum plus scarce skills (15%) plus Rural allowance(22%)
plus commuted overtime (R4500 per month) Take home salary
approximately R20 000 per month;
Medical Officer (Qualification plus at least 1-3 years experience)
R196 815 per annum Plus Scarce Skills (15%) plus Rural allowance
(22%) plus commuted overtime (R4000 per month) plus 13th
cheque. Take home salary approximately R17 000 per month;
Officer (Qualification) - R157 686 per annum Plus Scarce
Skills (15%) Plus Rural allowance (22%) plus commuted overtime
(R3500 per month) plus 13th cheque. Take home salary approximately
R14 000 per month.
increase is expected in January 2008, but the details are
not known at present.
fund: Contribution to the Government Employee Pension Fund
is compulsory. The official pays 7.5% of the basic salary
every month and the government is contributing an equal
amount every month. If you resign before 10 years of service,
your contribution will be paid back after tax had been deducted.
If you resign after 10 years of service, you will get your
contribution and the government's contribution after tax
had been deducted. If you work until retirement age, you
will get a monthly pension.
insurance: This is optional. The government will pay 2/3
of your monthly contribution up to a maximum of R1200 p.m.
cheque: SMO's and M.O.'s get a 13th cheque in their birthday
month equal to their monthly basic salary (excluding allowances).
PMO's may structure their salary to get the same, or to
get a slightly higher monthly salary if chosen not to.
Inexpensive on hospital grounds (see earlier)
In general living expenses for a single person eating the
local cuisine is about 50% cheaper than in Belgium. You
can live comfortably on R3 000 per month if you have not
got a vehicle. A good second hand 4x4 may cost up to R100
000 and insurance and running costs may add up to another
R2 000 per month. Income tax is deducted automatically every
month and is calculated according to sliding scales (20-30%).
The official languages of the Province of KwaZulu-Natal are
English, Zulu and Afrikaans. English is the language used
in the hospital. Interpreters (nursing staff) are used in
OPD and wards for the Zulu - English translations. A small
section of the patients still speak Tsonga, but usually understands
Zulu. A crash course in hospital Zulu can be arranged.
TO APPLY IF YOU ARE INTERESTED
the type of person who loves the outdoors? A team player?
Interested in seeing Primary Health care principles in action?
Able to work well with minimal supervision? Warms to challenges
easily? Whatever your health care discipline may be; we have
a place for you!
the Medical Manager to find out whether posts are available,
what level and from when. E-mail address:email@example.com
Rural Health Initiative (Tracey Hudson), who will assist
you with all the necessary documentation. web address: http://www.rhi.org.za
with the National Department of Health's Foreign Workers
Program, stating clearly in which province you want to work
and preferably which hospital, or else you will be allocated
to any hospital with a need for doctors. Web address:http://www.health.gov.za
with the HPCSA (Health Professions Council of South Africa).
The whole process takes approximately 3 months and you will
be offered a contract for 1 - 3 years.
health initiative has been set up to facilitate the registration
and placement of foreign doctors wanting to work in rural
areas in South Africa. The registration process is quite long
and candidates are advised to start the process as soon as
possible. RHI is very helpful and will assist you with all
of the steps necessary. It will involve registering with the
Foreign Workforce Placement Program as well as with the Health
professions Council of South Africa and finally completing
an interview ( can be by telephone) at Manguzi. Please contact
RHI at www.rhi.org.za
Please note that this does not apply to doctors from other
developing countries that South Africa has agreed to not recruit
from, to avoid contributing to the skills shortage in those
on KwaZulu-Natal Department of Health can be obtained on their
are also posts available at MOSVOLD and HLABISA HOSPITALS
in the same district - contact their Medical Manager.
Dr. Williams - e-mail: firstname.lastname@example.org
Dr. Adam - e-mail: email@example.com