Outsiders in the Village

2021 ◽  
pp. 167-187
Author(s):  
Jocelyn Killmer

A shortage of women doctors in Rajasthan’s rural government sector has left sizeable gaps in the provision of women’s healthcare. This chapter explores how, in their narratives, women doctors position themselves as outsiders in the village, unable to create successful careers and lives in rural spaces. Medical graduates considering a rural career must contend with the hierarchy of medical prestige that places cities above villages and the timescale that frames villages as ‘backwards’ spaces. In doctors’ narratives of the village, doctors used the village as code for low educational and class status—and by separating themselves from the geographical space of the village, they also put metaphorical distance between themselves and their subaltern Other. Women doctors’ reluctance to occupy rural space illuminates the ways that class, space, and gender overlap to shape the practice of healthcare, with impacts felt far beyond the careers of doctors.

Author(s):  
Katie Hogan

Although not done deliberately, Alison Bechdel’s Fun Home intervenes in rural queer studies by showing how geography, sexuality, and gender are vital to understanding the complexities of rural queer lives. Based on Bechdel’s experiences growing up in Beech Creek in the 1960s and 70s, Fun Home unwittingly resonates with the aims of rural queer studies by exploring, among other things, complex queer attachments to rural place—with a particular focus on the author’s father, Bruce Bechdel. Bruce was raised on a dairy farm, where he had his first same-sex experience with a farmhand. When he became an adult, his non-normative sexual activity was an open secret, until his arrest for providing an alcoholic beverage to a minor, the younger brother of one of his upper-class high school students. Bruce’s arrest threatens his reputation, livelihood, marriage, and family in an unprecedented way, and Alison Bechdel believes it drove him to suicide. Because Bruce is white, male, and college educated, and belongs to a family with a long history in Beech Creek, he escapes prison and is instead ordered to begin sessions with a psychiatrist for his “disorder.” Contrary to the impression given of Bruce in Fun Home scholarship, and even in Fun Home itself, in many ways life in Beech Creek suits him.


1991 ◽  
Vol 15 (10) ◽  
pp. 614-615 ◽  
Author(s):  
Christina P. Routh

The proportion of female medical graduates has steadily risen in the past decade. Although it may be argued that men should take on an equal share of the child-rearing and housekeeping roles of the housewife, there is evidence that women doctors are falling behind in their careers because of domestic pressures (Rhodes, 1990). Part-time work is perceived in theory as being a suitable option for women doctors with domestic commitments, but the number who choose this option in practice is surprisingly small. The following study sought to establish what demand there is for part-time training in psychiatry among junior doctors and whether what is on offer meets that demand.


2013 ◽  
Vol 19 (1) ◽  
pp. 127-151 ◽  
Author(s):  
Gabriela Manea ◽  
Elena Matei ◽  
Iuliana Vijulie ◽  
Marian Marin ◽  
Octavian Cocos ◽  
...  

Abstract This paper intends to demonstrate on the basis of a case study that rural people’s access to modern goods and services is not necessarily a relentless source of deculturalisation, because it sometimes allows a better management and valorisation of the main characteristics of the rural space. Despite socio-economic unrest and successive changes of political regimes that took place in Romania during the last century, the human communities within the Arges foothills have defended with dignity their traditional material and spiritual values, passing them down from generation to generation. In the medium and long-term, the valorisation of the Romanian rural space, in general, and of that belonging to the Arges foothills, in particular, will imply the creation of a balance between the valuable cultural potential and the quality of life of the inhabitants, who are the keepers of rural cultural heritage. At present, the best thing to do to pass on the traditions of this area is to proudly accept the affiliation to this geographical space. This is true not only for the permanent inhabitants of rural settlements, but mostly for those who have left the countryside to carry it in their minds and souls. In our opinion, this fact is a pre-requisite for preventing the loss of material and spiritual values of this cultural-historical space.


2017 ◽  
Vol 110 (5) ◽  
pp. 198-207 ◽  
Author(s):  
Fay Smith ◽  
Michael J Goldacre ◽  
Trevor W Lambert

Summary Objective To report on any adverse effects on health and wellbeing of working as a doctor, as described by senior doctors. Design Questionnaires sent in 2014 to all medical graduates of 1974 and 1977. Participants 3695 UK medical graduates. Setting United Kingdom. Main outcome measures Statements about adverse effects upon health, wellbeing and career. Results The aggregated response rate from contactable doctors was 84.6% (3695/4369). In response to the question ‘Do you feel that working as a doctor has had any adverse effects on your own health or wellbeing?’, 44% of doctors answered ‘yes’. More GPs (47%) than hospital doctors (42%) specified that this was the case. Three-quarters of doctors who answered ‘yes’ cited ‘stress/work–life balance/workload’ as an adverse effect, and 45% mentioned illness. In response to the statement ‘The NHS of today is a good employer when doctors become ill themselves’, 28% of doctors agreed, 29% neither agreed nor disagreed and 43% disagreed. More women doctors (49%) than men doctors (40%) disagreed with this statement. More general practitioners (49%) disagreed than hospital doctors (37%). Conclusions Chronic stress and illness, which these doctors attributed to their work, were widely reported. Although recent changes may have alleviated some of these issues, there are lessons for the present and future if the NHS is to ensure that its medical workforce receives the support which enables current doctors to enjoy a full and satisfying career and to contribute fully to health service provision in the UK. Older doctors, in particular, need support to be able to continue successfully in their careers.


2013 ◽  
Vol 202 (3) ◽  
pp. 228-234 ◽  
Author(s):  
Michael J. Goldacre ◽  
Seena Fazel ◽  
Fay Smith ◽  
Trevor Lambert

BackgroundRecruitment of adequate numbers of doctors to psychiatry is difficult.AimsTo report on career choice for psychiatry, comparing intending psychiatrists with doctors who chose other clinical careers.MethodQuestionnaire studies of all newly qualified doctors from all UK medical schools in 12 qualification years between 1974 and 2009 (33 974 respondent doctors).ResultsOne, three and five years after graduation, 4–5% of doctors specified psychiatry as their first choice of future career. This was largely unchanged across the 35 years. Comparing intending psychiatrists with doctors who chose other careers, factors with a greater influence on psychiatrists' choice included their experience of the subject at medical school, self-appraisal of their own skills, and inclinations before medical school. In a substudy of doctors who initially considered but then did not pursue specialty choices, 72% of those who did not pursue psychiatry gave ‘job content’ as their reason compared with 33% of doctors who considered but did not pursue other specialties. Historically, more women than men have chosen psychiatry, but the gap has closed over the past decade.ConclusionsJunior doctors' views about psychiatry as a possible career range from high levels of enthusiasm to antipathy, and are more polarised than views about other specialties. Shortening of working hours and improvements to working practices in other hospital-based specialties in the UK may have reduced the relative attractiveness of psychiatry to women doctors. The extent to which views of newly qualified doctors about psychiatry can be modified by medical school education, and by greater exposure to psychiatry during student and early postgraduate years, needs investigation.


2021 ◽  
pp. 17-19
Author(s):  
Unmesh. A.K ◽  
Bindhu Vasudevan. ◽  
Biju Bahuleyan

INTRODUCTION: Every year the crime rate reported against women has been on the rise but the conviction rate of offenders was found to be below 30%.This could be due to the lack of evidences against the perpetrators.Young medical graduates or interns are the first point of contact in any sexual abuse cases and the onus of collecting evidence depends on their knowledge and attitude.The present study was designed based on this back drop. METHODOLOGY: after obtaining ethics committee clearance 91 interns were recruited for the study. The data was collected using a validated questionnaire comprising of 20 questions related to knowledge and 10 questions about attitude. Based on the scores obtained they were categorised into three groups of poor, average and good knowledge. Analysis between knowledge level and gender of interns was done using chi-square test and difference in knowledge score of males and females was tested using independent sample t test. RESULTS: Of the 91 male interns 75% of males and 62.7% of females had good knowledge but this was not statistically significant.Significant difference in the attitude of male and female interns was noted. CONCLUSION: Lack of knowledge in cases of sexual abuse can result in escape of the perpetrators of this heinous crime.The training of interns regarding medicolegal aspects should be made mandatory.Further the medical students also need to be exposed to these legal aspects as a part of their training program.


2019 ◽  
Vol 2 (1) ◽  
pp. 35-42
Author(s):  
Sylvia Christina Daat

State financial reformation, which was followed by the issuance of Accrual-based GovernmentAccounting Standards (SAP), and the Village Law that strongly influenced the teaching skill ofgovernment accounting in Indonesia. This development requires the availability of competent humanresources to participate directly and actively in managing government finances so that goodgovernance in government sector is achieved. Human Resources who are competent in managingstate finances are produced from educational institutions where the teacher is one of the factors thathas the most significant contribution. Therefore, in relation to the development of governmentaccounting today, it is necessary to conduct government accounting training for accounting teachers.The implementation of Community Service activities is carried out by using lecture methods, tutorials,and discussions. Activities have been carried out properly as expected. The training activities werecarried out with the number of 25 (twenty five) participants in accounting teachers in SMA and SMKin Jayapura City, Jayapura Regency, and Keerom Regency. The training was carried out with tutorialand discussion methods as much as 60% of all training and problem training / practice activities asmuch as 40%. Participants feel they have benefited from the activities they have carried out.


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