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Australia's Toxic Medical Culture - International Medical Graduates and Structural Power (Hardcover, 1st ed. 2019)
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Australia's Toxic Medical Culture - International Medical Graduates and Structural Power (Hardcover, 1st ed. 2019)
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This book explores dominance in Australia's medical culture through
the positioning of international medical graduates (IMGs). It
argues that IMGs are 'othered' and ultimately positioned as an
underclass, a positioning validated and reinforced by the
intersecting inequalities of class, race and nation. It also
suggests that the positioning of IMGs is organised through the
dimensions of structural power, hegemonic power and interpersonal
power, which allow an exploration of power relations between the
structures of the health system, the Australian medical profession
and the agency of IMGs. The Australian narrative presented to the
world espouses a community of social justice and human rights.
Instead, an historical lens traces the formation and persistence of
difference represented in ethnocentrism, racism and xenophobia from
1788 to the present. The research presented is multidisciplinary in
scope. An anti-oppressive theoretical framework enables the voices
of lived experience to penetrate throughout and a social justice
platform engages the participants and the reader into the
interwoven conversations. The data set comprises a focus group, 10
individual interviews with IMGs and a selection of inquiry
submissions revealing rich and sometimes shocking evidence to paint
a stark picture. Other medical voices join the conversation via
media responses to revelations of experiences not only by IMGs but
also by Australian-trained doctors. It exposes a toxic culture
endemic with bullying and sexual harassment.This book is of
interest to practitioners, researchers and administrators in the
fields of medical education, human resource management, legal
studies, health sciences, social sciences, health services,
government departments, universities and hospitals, as well as
those tasked with duty of care and the provision of a safe
workplace. The voices gifted to this study raise awareness of
current issues within medicine in Australia at a very personal
level and begin to formulate a policy and practical response to
address these disturbing revelations.
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