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Australia’s Toxic Medical Culture

International Medical Graduates and Structural Power

  • Book
  • © 2019

Overview

  • Exposes the underlying problems of a powerful medical elite

  • Includes a historical analysis of the Australian nation’s foundations of racism, xenophobia, and ethnocentrism

  • Utilizes lived experiences to offer readers a personal appreciation of the damage caused by a toxic culture

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Table of contents (8 chapters)

Keywords

About this book

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.


Authors and Affiliations

  • Principal Researcher, Independent Education Consultancy, Adelaide, Australia

    Vicki Adele Pascoe

About the author

Dr Vicki Pascoe has over twenty years’ experience in tertiary education, teaching in the fields of Indigenous Australian studies, education, sociology and communications. Dr. Pascoe has received two awards for Outstanding Contribution to Student Learning, a Vice-Chancellor’s Award for Teaching Excellence and the International Award for Excellence for the top-ranked article, 2008 from the International Journal of Learning. Dr. Pascoe’s research interests include medical dominance, bullying and sexual harassment.

Bibliographic Information

  • Book Title: Australia’s Toxic Medical Culture

  • Book Subtitle: International Medical Graduates and Structural Power

  • Authors: Vicki Adele Pascoe

  • DOI: https://doi.org/10.1007/978-981-13-2426-0

  • Publisher: Springer Singapore

  • eBook Packages: Social Sciences, Social Sciences (R0)

  • Copyright Information: Springer Nature Singapore Pte Ltd. 2019

  • Hardcover ISBN: 978-981-13-2425-3Published: 22 October 2018

  • Softcover ISBN: 978-981-13-4775-7Published: 23 December 2018

  • eBook ISBN: 978-981-13-2426-0Published: 11 October 2018

  • Edition Number: 1

  • Number of Pages: XV, 199

  • Topics: Migration, Cultural Studies, Health Administration, Social Policy, Public Policy

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