Re-expressing the division of British medicine under the NHS: The importance of locality in general practitioners’ oral histories

Smith, G.; Nicolson, Malcolm

doi:10.1016/j.socscimed.2006.10.017

Cited by 10 publications

(4 citation statements)

References 6 publications

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“…In line with the dominant literature our research suggests that transnational social networks were clearly important for the geographical and career mobility of South Asian doctors who came to the UK (Harvey, 2008;Smith and Nicolson, 2007;Williams and Baláž, 2008). Much of this literature, however, suggests that migrants tend to be channelled and contained almost exclusively within migrant networks, whether they are intra-ethnic or inter-ethnic.…”

Section: Discussionsupporting

confidence: 79%

Difference and Distinction?

2010

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In recent years the role of social networks and of social capital in shaping migrants’ lived experiences and, particularly, their employment opportunity has increasingly come to be recognized. However, very little of this research has adopted a relational understanding of the migrant experience, taking the influence of nonmigrants’ own networks on migrants as an important factor in influencing their labour market outcomes. This article critiques the alterity and marginality automatically ascribed to migrants that is implicit in existing ways of thinking about migrant networks. The article draws on oral history interviews with geriatricians who played an important role in the establishment of the discipline during the second half of the 20th century to explore the importance and power of non-migrant networks in influencing migrant labour market opportunities in the UK medical labour market.

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Section: Discussionsupporting

confidence: 79%

Difference and Distinction?

2010

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“…Oral history was used as a tool to reconstruct participants’ responses to the new understandings of stroke, partly because it is the most sensitive method of exploring experiences of work 4 , 5 and is especially suited to revealing how local networks, relationships, and communication pathways underpin medical practice at local level. 6 Manchester Local Research Ethics Committee decided that formal NHS approval was not required. Permission was sought to audio-record and fully transcribe the interviews.…”

Section: Methodsmentioning

confidence: 99%

Translating new knowledge into practices: reconceptualising stroke as an emergency condition

Snow

2012

Chronic Illness

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ObjectivesTo examine how the new concept of stroke as an emergency condition led to the development of new clinical pathways for stroke patients in Newcastle Upon Tyne, implemented through protocols which were then rapidly adopted across the UK and further afield.MethodsHistorical analysis using health policy documents, published papers and correspondence on stroke alongside 17 interviews with stroke clinicians and managers in the UK and the US.ResultsThe challenges of implementation stemmed from organisational and professional barriers rather than scientific or technological difficulties. Stroke’s historical status as a non-treatable illness was a barrier to the adoption of acute treatments. Building new pathways for stroke patients by developing protocols for paramedics and emergency room staff originated as a local solution to a local problem but were taken up widely.DiscussionUnderstanding the clinical response to the reconceptualisation of stroke as a treatable disease contributes to our understandings of the relations between clinical research and practice. These findings have implications for how we understand the translation of new knowledge into practice and its transfer across different clinical communities and settings. Protocols are shown to be a particularly valuable tool, bridging knowledge between communities and manifesting a new identity for stroke.

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“…For example, Raghuram et al (2010) shows how, because they were unable to progress in high status specialities (see also Goldacre, Davidson, & Lambert, 2004), South Asian doctors sought refuge in the less popular speciality of geriatric medicine, becoming influential figures in this fledging field. Other research highlight how highly skilled South Asian migrants draw on the transnational social capital of family members and their ethnic communities (Harvey, 2008;Smith & Nicolson, 2007) to secure short-term jobs. In their investigation of Lebanese migrants noted above, Al Ariss and Syed (2011) draw attention to how wellestablished, extended family members and community referrals offer material and moral support to compatriots.…”

Section: Highly Skilled Migrants' Careersmentioning

confidence: 99%

Exploring career advantages of highly skilled migrants: a study of Indian academics in the UK

Fernando

Cohen

2015

The International Journal of Human Resource Management

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We draw on Bourdieu's theory of practice to examine a group of Indian academics' accounts of their careers in a research-intensive university. Using the concepts of habitus and capital, we argue that international staff are very well placed to craft a career in the increasingly market driven UK academic context, challenging the discourse of disadvantage associated with the careers of international academics as well as other highly skilled migrants. Central in our analysis is the transferability of capitals between different fields and the importance of understanding capital as part of the multiple fields that agents belong to. However, drawing attention to the changing rules of the research-intensive university system, we also suggest that these academics' career trajectory may not continue to yield positive results.

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Re-expressing the division of British medicine under the NHS: The importance of locality in general practitioners’ oral histories

Cited by 10 publications

References 6 publications

Difference and Distinction?

Difference and Distinction?

Translating new knowledge into practices: reconceptualising stroke as an emergency condition

Exploring career advantages of highly skilled migrants: a study of Indian academics in the UK

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