Medical students are willing to pay up to R100 000 for internships at preferred hospitals across the country. On Facebook, a group called ‘Swapping Out: Medical Internship and Commserve in SA’ has about 4 800 members and as many as 1 800 in the Junior Doctors’ Association of South Africa (Judasa) 2021 Internship Cycle group on app Telegram,” reported Weekend Argus (22 November 2020) . The Western Cape, Gauteng and KwaZulu-Natal are the most popular spots for final-year medical students to fulfil a two-year internship followed by a year of community service before they can become fully-fledged doctors. Numerous interns confirmed this was an ongoing practice among medical school students and interns at hospitals. Dr Akhtar Hussain, Public Sector Chair of the South African Medical Association (Sama), said the payments were unethical and unacceptable.

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