Browsing by Author "Bloch, Leila R."

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    The biography of Dr Hannah-Reeve Sanders, the first female Chief Medical Superintendent of Groote Schuur Hospital
    (Stellenbosch : Stellenbosch University, 2022-03) Bloch, Leila R.; Ehlers, Anton; Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of History.
    ENGLISH ABSTRACT: Known by the phrase, ‘The country girl who did good,’ Dr Hannah-Reeve-Sanders was committed to the idea of becoming a doctor from a young age. Through a biographical sketch beginning in 1928 until 1998, this thesis explores the influences that informed her rural JewishAfrikaans upbringing in Piketberg. This continues through to her studies in Cape Town and subsequent working life as the first woman to hold the position of Chief Medical Superintendent at Groote Schuur Hospital from 1976 to 1986. Sanders’ story, in particular, serves as a critical lens from the perspective of a female doctor into notions of ‘achievement’ and ‘success’ within the medical field in South Africa during the middle to late 20th century. By situating Sanders’ biographical perspective within the context of the history of South African women in medicine, this thesis brings into relief the tensions between clinical and administrative medicine and the ‘costs’ of navigating a successful career within a maledominated profession, as well as an institutional framework under the constraints of external political forces. Through Sanders one can challenge one-dimensional, idealised portrayals of what it means to achieve status as a doctor, by highlighting the gaps and complexities within her life story. This study further illustrates how she ambitiously subscribed to the paradigm of a good doctor from a young age. Hannah’s parents' journey to South Africa typifies a South African Jewish migration story. However, it was elements of her Afrikaner identity that would allow her freedom to adapt and lead institutions during her career. From another perspective, Sanders’ choice to follow a seemingly unassuming path later into administrative medicine yielded influence and saw her adapt to key historical moments such as the first heart transplant. Bearing in mind the constraints imposed by the provincial government at the time, this study assesses whether she was able to break barriers or to ‘toe the line’ in her leadership position. With respect to a careful rendering of the historical context, coupled with her later responses in interviews, the study aims to evaluate the extent to which she brought humanising elements and ‘integrity’ into a ‘compromised’ institution. It places into relief the environments which influenced her and how she may have influenced her environment. Through her experiences we come to understand issues regarding race, gender, and class in the medical institutions in which she operated, and the extent to which these obstacles determined her responses. Steering clear of hagiography, this study does not seek to idealise or embellish any of her achievements, but rather depict how our subject is situated within the historical context. Sanders’ achievements come to be understood alongside the complex environments from which such ambitions and opportunities to practise medicine emerge. It demonstrates that while there were significant attempts on her part to transcend social and political constraints, she remained accountable to structures of power which may have influenced her actions.