Bosses unwillingness to offer support, results into reasons for undue disciplinary action
According to an investigation, Doctors from ethnic minorities are too often treated as a non-member by their NHS bosses and peers and not given the support they need unlike their white colleagues and also face twice the disciplinary action compared to their white doctors
The regulatory body for doctors in a report commissioned by (GMC), talks of “multiple and intricately linked” reasons behind the unequal number of doctors referrals by employers from ethnic minorities.
Those most likely to be affected and/ left outside are foreign-born and trained doctors, as the report describes the inside/outside dynamic. At the heart of the problem appears to be a club culture in some parts of the NHS, these doctors are often not given enough help to settle into the state and the new job. Making it hard for them to find a place to live in and getting a school for their children as well as struggling to understand what is needed of them at work.
Dr. Doyin Atewologun said it is not just racism. “The dynamic is a lot more complex than could be explained by focusing on racism,” and as one of the authors. “There are multiple reasons why people could be considered to be outsiders. There are locums who are not overseas-qualified or black, Asian or minority ethnic [BAME] doctors, but also experienced a degree of otherness. I would not say it can all be explained by racism.”
We encounter pitfalls when trying to assimilate, minority ethnic doctors told researchers, one said “What people were telling me isn’t what they meant,” another said “It can be as simple as how you ask for things – not just the words but the tone. The teams we join don’t always appreciate that,” a consultant said People in the NHS from overseas are expected “to just soak up the culture as they go along”
“Some doctors may only need a week but others really need longer,” said one clinical director. And there are organization put in place to ensure support for newly arrived doctors. “It is unreasonable to expect someone to travel halfway across the world, land in a different social and clinical environment, social mores and language and not expect there to be challenging. We try to put ourselves in their shoes.”
Fear and/ poor feedback. Due to fear of confrontation managers may fail to raise issues that should be picked up early, such as misunderstandings between cultures over attitudes to patients or the importance of approval.