8. “Without racism there would be no geriatrics”: South Asian Overseas-Trained Doctors and the Development of Geriatric Medicine in the United Kingdom, 1950–2000

Raghuram, Parvati; Bornat, Joanna; Henry, Leroi

doi:10.3138/9781442629622-011

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…Since its foundation in 1948, the NHS has depended upon – and been shaped by – racialised and migrant labour ( Kyriakides & Virdee, 2003 ; Simpson, 2018 ), with many of these ‘architects’ of the service now aging and dying within its walls ( Gunaratnam, 2013 ). Xenophobia in the medical professional meant that “marginal” specialties like geriatrics were developed by migrant doctors ( Bornat et al , 2016 ). Despite its reliance on such a diverse labour force, however, the health services nonetheless vacillated between hostility and violent indifference towards racialised patients ( Bivins, 2015 ), particularly those with chronic conditions ( Ahmad, 2000 ).…”

Section: Ambiguities Of Risk and Vulnerabilitymentioning

confidence: 99%

Historicising “containment and delay”: COVID-19, the NHS and high-risk patients

Moore¹

2020

Wellcome Open Res

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Despite the first case of the novel coronavirus only being reported to the WHO at the end of December 2019, humanities and social science scholars have been quick to subject local, national and international responses to COVID-19 to critique. Through television and radio, blogs, social media and other outlets, historians in particular have situated the ongoing outbreak in relation to previous epidemics and historicised cultural and political responses. This paper furthers these historical considerations of the current pandemic by examining the way the National Health Service (NHS) and discourses of risk have figured in public and policy responses. It suggests that appeals to protect the NHS are based on longer-term anxieties about the service’s capacity to care and endure in the face of growing demand, as well as building on the attachment that has developed as a result of this persistence in the face of existential threats. Similarly, the position of elderly, vulnerable and “at risk” patients relates to complex histories in which their place in social and medical hierarchies have been ambiguous. It thus argues that the ways in which time appears as both a threat and a possibility of management in the current crisis form part of a longer trajectory of political and cultural thinking.

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Section: Ambiguities Of Risk and Vulnerabilitymentioning

confidence: 99%

Historicising “containment and delay”: COVID-19, the NHS and high-risk patients

Moore¹

2020

Wellcome Open Res

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State-of-the-art or the art of medicine? Transnational mobility and perceptions of multiple biomedicines among Nigerian physicians in the U.S.

Schühle

2017

Global Public Health

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Over the last 40 years, several thousand Nigerian-trained doctors have migrated to the U.S. to practice in what they regard as the state-of-the-art of global biomedicine. Based on interviews with Nigerian physicians, this article shows how their professional mobility, and their transition to the new professional environment of U.S. biomedicine, makes them aware of local differences in practicing medicine. Adapting to local ways of practicing in the U.S. creates a new sense of belonging and professional identity. Yet they also juxtapose highly technologised U.S. biomedicine with what they were trained to excel in within the medical profession in Nigeria - namely the 'art of medicine' - that is, possessing profound clinical skills to diagnose with few investigative technologies. By stressing their competence in the art of medicine, which they see as lacking among their U.S.-trained colleagues, they negotiate their position in a global biomedical landscape and reconnect to a distinctly Nigerian way of practicing medicine. Their narratives thus shed light on perceptions of multiple biomedicines from the point of view of physicians moving from the global South to the global North, and how within a global biomedical landscape both ruptures and connectivities of competence are imagined.

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An opportunity to be grateful for? Exploring discourses about international medical graduates from India and Pakistan to the UK between 1960 and 1980

Arfeen,

Diaz,

Whitehead

et al. 2024

BMJ Glob Health

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IntroductionFollowing India and Pakistan gaining independence from British colonial rule, many doctors from these countries migrated to the UK and supported its fledgling National Health Service (NHS). Although this contribution is now widely celebrated, these doctors often faced hardship and hostility at the time and continue to face discrimination and racism in UK medical education. This study sought to examine discursive framings about Indian and Pakistani International Medical Graduates (IPIMGs) in the early period of their migration to the UK, between 1960 and 1980.MethodsWe assembled a textual archive of publications relating to IPIMGs in the UK during this time period inThe BMJ. We employed critical discourse analysis to examine knowledge and power relations in these texts, drawing on postcolonialism through the contrapuntal approach developed by Edward Said.ResultsThe dominant discourse in this archive was one of opportunity. This included the opportunity for training, which was not available to IPIMGs in an equitable way, the missed opportunity to frame IPIMGs as saviours of the NHS rather than ‘cheap labour’, and the opportunity these doctors were framed to be held by being in the ‘superior’ British system, for which they should be grateful. Notably, there was also an opportunity to oppose, as IPIMGs challenged notions of incompetence directed at them.ConclusionAs IPIMGs in the UK continue to face discrimination, we shed light on how their cultural positioning has been historically founded and engrained in the imagination of the British medical profession by examining discursive trends to uncover historical tensions and contradictions.

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8. “Without racism there would be no geriatrics”: South Asian Overseas-Trained Doctors and the Development of Geriatric Medicine in the United Kingdom, 1950–2000

Cited by 3 publications

References 14 publications

Historicising “containment and delay”: COVID-19, the NHS and high-risk patients

Historicising “containment and delay”: COVID-19, the NHS and high-risk patients

State-of-the-art or the art of medicine? Transnational mobility and perceptions of multiple biomedicines among Nigerian physicians in the U.S.

An opportunity to be grateful for? Exploring discourses about international medical graduates from India and Pakistan to the UK between 1960 and 1980

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