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

Autor:	Arfeen Z; UCL, London, UK z.arfeen@ucl.ac.uk., Diaz B; The Wilson Centre, Toronto, Ontario, Canada., Whitehead CR; The Wilson Centre, Toronto, Ontario, Canada.; Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada., Rashid MA; UCL, London, UK.
Jazyk:	angličtina
Zdroj:	BMJ global health [BMJ Glob Health] 2024 Jun 27; Vol. 9 (6). Date of Electronic Publication: 2024 Jun 27.
DOI:	10.1136/bmjgh-2023-014840
Abstrakt:	Introduction: Following 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. Methods: We assembled a textual archive of publications relating to IPIMGs in the UK during this time period in The 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. Results: The 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. Conclusion: As 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. Competing Interests: Competing interests: CRW is the holder of the BMO Financial Group Chair in Health Professions Education Research at University Health Network. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu