I am currently working towards a BSc in Psychology at the Open University and to pass this year’s module I have to come up with a piece of qualitative research, so I thought I venture into the exciting world of discourse analysis. But what to do?
Being a German native, I am one of ca 3,396 German doctors practicing in the UK, one of 24,031 doctors hailing from the European Economic Area (EEA) and therefor a member of the 90,639 strong workforce of international medical graduates (IMGs) working in the four nations (GMC, 2012). While I don’t have the number of registered GPs from outside the UK, there is a good chance that there are 15,000+ family doctors who gained their medical degree outside the UK. I know quite a few, as the GP workforce in the East End is a pretty international bunch, which in my view is a good thing. But then, that’s me. In most of my postgraduate training jobs, the majority of junior doctors consisted of IMGs with often senior posts in their country of origin, and the clinical pearls I learned from these colleagues I still use to this day. So why not do some qualitative work on IMGs working as general practitioners in the NHS? I started my literature search and soon drew a blank. There is almost next to nothing out there on either patients’ or doctors’ views on the thousands of IMGs providing primary care in the NHS. There are a few qualitative studies by Ahmad, Kernohan and Baker from the nineties and some quantitative work on patient’s preference for doctors but that seems to be it.
I wonder whether this is a mainly ethical problem, do researchers prefer to stay away from a potentially hot political potato or whether the actual topic is just not of interest? Furnham et al already established that patients prefer seeing doctors from their own cultural background, so it is quite possible that qualitative work asking patients about their perceptions on consultations with IMGs (or asking GPs about their international colleagues) would discover some problematic issues, but should I as an IMG myself shy away from finding out what our patients think of me and my fellow IMGs?
This makes my OU assignment trickier than I thought: not only do I have to negotiate some potentially protracted areas in the ethics section, I am also denied a big bunch of literature to fall back on.
Oh well. Loads to do then.
General Medial Council: The state of medical education and practice in the UK report: 2012; http://www.gmc-uk.org/publications/somep2012.asp
Adrian Furnham, K. V. Petrides and Joanna Temple: Patient preferences for medical doctors; British Journal of Health Psychology (2006), 11, 439–449