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Policies, Processes, Poppycock and Dimensions of Power: Structural, Hegemonic and Interpersonal

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Australia’s Toxic Medical Culture

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Abstract

Chapter 4 explores structural, hegemonic and interpersonal power relations. The IMG process journey through the Australian health system's deficit discourses is outlined. The voices share narratives of experience as ‘the other’ and a system/IMG relationship of constant struggle. The system is revealed as a powerful and complex entity that operationalises systemic discrimination. The representation of IMGs as a distinct professional community is advanced.

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Notes

  1. 1.

    Fees payable to a specialist college may be as much as $8000.00.

  2. 2.

    DWS areas listed at DoctorConnect—Home page: http://www.doctorconnect.gov.au/.

  3. 3.

    Health Networks NT, NSW Rural Doctors Network, Health Workforce Qld., Rural Workforce Agency Vic., Rural Doctors Workforce Agency (SA), Rural Recruitment Plus (TAS) and Rural Health West (WA).

  4. 4.

    For the full range of visas see the Department of Immigration and Border Protection at https://www.border.gov.au/trav/check-your-visa-and-work-entitlements,andImmigrationdirect.com.au.

  5. 5.

    The list mentions eligible awards and institutions from the following countries only: Belgium, Canada, Denmark, Hong Kong, Ireland, Netherlands, New Zealand, Norway, Singapore, South Africa, Sweden, UK and USA.

  6. 6.

    Australian Doctors Trained Overseas Association (ADTOA) http://adtoa.org.au. Overseas Trained Specialist Anaesthetists Network (OSTAN) http://otsan.org/.

  7. 7.

    In 2006 COAG agreed to establish a single national registration scheme for health professionals. During 2009–2010 the National Registration and Accreditation Scheme (NRAS) was operationalised across Australia (Parliamentary Inquiry Report 2012, p. 9).

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Authors and Affiliations

  1. Principal Researcher, Independent Education Consultancy, Adelaide, SA, Australia

    Vicki Adele Pascoe

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Correspondence to Vicki Adele Pascoe .

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Pascoe, V.A. (2019). Policies, Processes, Poppycock and Dimensions of Power: Structural, Hegemonic and Interpersonal. In: Australia’s Toxic Medical Culture. Springer, Singapore. https://doi.org/10.1007/978-981-13-2426-0_4

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  • DOI: https://doi.org/10.1007/978-981-13-2426-0_4

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