This is the first full-length study of doctor migration from Ireland covering roughly a century of the export of Irish medical graduates to other parts of the world. From 1860 around forty percent of Irelandâs medical graduates left to pursue careers elsewhere. The book examines the factors which drove emigration, the shifting destinations of the emigrants and the effect of migration both upon them and the Ireland they left behind. This was the migration of a part of the Irish middle class, small in terms of Irish emigration as a whole, but important in the global history of medical migration. At the end of the twentieth century doctor migration as a whole has increased and become a significant part of the medical experience. The book is a contribution to the growing literature on the global history of doctor movements across the world.
Greta Jones is emeritus professor of history at Ulster University and the author of several books on Darwinism, eugenics and the history of tuberculosis. With help from the Wellcome Trust, she set up the Centre for the History of Medicine in Ireland at Ulster University. In 2019 she was elected an honorary fellow of the Royal College of Physicians of Ireland.
"Doctors for Export is a hugely impressive contribution to both Irish and global medical historiography. The book benefits from a truly rich level of qualitative and quantitative research and thorough analysis that is attentive to sensitive matters such as Irish identity."
Acknowledgements
List of Figures and Tables
Abbreviations
Introduction
â1 Irish Emigration
â2 Doctor Migration
â3 The Internationalisation of Medicine
â4 The Structure of the Book
1 The Medical Institutions of Ireland
â1 The Medical Registration Act 1858
â2 The Evolution of Irish Medical Education
â3 The Hospitals
â4 The Poor Law
â5 Professional Organisations in Ireland and Britain
â6 The Number of Doctors in Ireland
â7 The Over-Production of Doctors in Ireland
â8 Conclusion
2 Making a Medical Living
â1 General Practice in Ireland and England
â2 General Practice in Ireland
â3 Private Practice
â4 The Doctorsâ Boycott
â5 Conclusion
3 The British Empire
â1 The Indian Medical Service
â2 Far-Flung Shores
â3 Those Who Returned
â4 The IMS and the Scientific Mind
â5 The Decline of the Colonial Medical Services
â6 Conclusion
4 Medicine, Migration and the Making of the Irish Middle Class
â1 The Costs of Medical Education in Ireland
â2 Catholics, Medicine and Social Mobility
â3 The Catholic Middle Classes and Medicine
â4 Income, Class and Migration
â5 Migration, Money and the Middle-Class Family
â6 Migration and a Medical Dynasty
â7 Migration and Poverty
â8 Irelandâs Intellectual Resources
â9 Conclusion
5 Partition
â1 The Settlement in Health
â2 The Registration Crisis
â3 Connections Maintained
â4 The Border with Ireland
â5 The Future of Medicine in Ireland
â6 The Notion of Being Irish and Emigration
â7 Conclusion
6 The Irish Doctor in Interwar Britain
â1 The Insurance Act and Migration
â2 The Distribution of Graduates from Irish Medical Schools
â3 Friendship and Collegiality
â4 The âPowerful Armyâ of Catholic Doctors and Practice in Britain
â5 The Guild of SS Luke, Cosmos and Damian
â6 Professional Integration
â7 The Role of the State in Health Care
â8 The National Health Service and the Irish Migrant Doctor
â9 Conclusion
7 The Lure of America
â1 The Rockefeller Visit to Ireland
â2 Medical Immigration to the United States
â3 The AMA, Doctor Immigration and the Approved List
â4 The Irish Medical Emigrant and the USA
â5 The Approved List and the Foreign Medical Schools
â6 Ireland and the Approved List
â7 The Irish Medical Schools and the Irish Doctor
â8 The End of the Approved List
â9 Conclusion
8 Inward Migration
â1 The State and Medical Education
â2 Medical Education in the New Era
â3 Foreign Students
â4 A Private Medical School in the Age of Globalisation
â5 The Future of Irish Medical Emigration
â6 Conclusion
Epilogue
Appendix
Bibliography
Index
The book is aimed at social and medical historians, Irish historians and students of migration. It is aimed at academics, undergraduates and port graduates and educated laymen especially medical professionals.