State-of-the-art or the art of medicine? Transnational mobility and perceptions of multiple biomedicines among Nigerian physicians in the U.S.*
State-of-the-art or the art of medicine? Transnational mobility and perceptions of multiple biomedicines among Nigerian physicians in the U.S.*
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最先进的技术还是医学的技术？
DOI：
10.1080/17441692.2017.1337799
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发表时间：
2018
影响因子：
3.3
通讯作者：
Judith
中科院分区：
文献类型：
--
作者：
Schühle;Judith
过去 40 年来，数千名在尼日利亚接受过培训的医生移居美国，从事他们认为最先进的全球生物医学领域的工作。本文基于对尼日利亚医生的采访，展示了他们的职业流动性以及他们向美国生物医学新职业环境的转变如何使他们意识到执业医学的当地差异。适应美国当地的执业方式可以创造新的归属感和职业认同感。然而，他们还将高科技的美国生物医学与他们在尼日利亚医学专业中接受过的培训相结合，即“医学艺术”，也就是说，拥有深厚的临床技能，可以用很少的研究技术进行诊断。通过强调自己在医学艺术方面的能力（他们认为在美国接受过培训的同事缺乏这种能力），他们在全球生物医学领域中取得了自己的地位，并重新与尼日利亚独特的行医方式建立了联系。因此，他们的叙述从从南半球到北半球的医生的角度阐明了对多种生物医学的看法，以及如何在全球生物医学格局中想象能力的断裂和联系。
Over the last 40 years, several thousand Nigerian-trained doctors have migrated to the U.S. to practice in what they regard as the state-of-the-art of global biomedicine. Based on interviews with Nigerian physicians, this article shows how their professional mobility, and their transition to the new professional environment of U.S. biomedicine, makes them aware of local differences in practicing medicine. Adapting to local ways of practicing in the U.S. creates a new sense of belonging and professional identity. Yet they also juxtapose highly technologised U.S. biomedicine with what they were trained to excel in within the medical profession in Nigeria – namely the ‘art of medicine’ – that is, possessing profound clinical skills to diagnose with few investigative technologies. By stressing their competence in the art of medicine, which they see as lacking among their U.S.-trained colleagues, they negotiate their position in a global biomedical landscape and reconnect to a distinctly Nigerian way of practicing medicine. Their narratives thus shed light on perceptions of multiple biomedicines from the point of view of physicians moving from the global South to the global North, and how within a global biomedical landscape both ruptures and connectivities of competence are imagined.
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