Monday 28 October 2013

Stereotyping the Stethoscope



What comes to mind when you think of a doctor? The answer to this depends 
a lot on your generation and perhaps more so on your upbringing. I grew up 
hearing my parents often remark at how young medical practitioners now are 
and certainly it has not escaped the attention of many members of the older 
generations the increase in the proportion doctors from ethnic minority 
backgrounds.

The diversity of socio-economic backgrounds from which medical students 
come from still leaves something to be desired. Of doctors being trained, over 
30% went to private school while less than 5% grew up in deprived areas. 
Alongside this is the fact that individuals from white backgrounds are statistically 
twice as successful in attaining a place in medical school. 

It is little wonder students shy away from applying to medical school every year 
in response to what they see to be odds stacked too highly against them. The 
general perceptions are of students from wealthy and privileged backgrounds 
being the only ones granted entry to medical schools and without anyone to tell 
them otherwise, these ideas will only propagate themselves and grow stronger.

But what does it benefit society and the medical profession in the long run to 
diversify the pool from which the lucky few a plucked? Well there is a good deal 
of potential to be harnessed from having often had to work against negative 
social expectations in the pursuit of social mobility and a dream.

We aim for universality in health and although that's not to say that being 
brought up in a wholesome family atmosphere with stables and trips to Harvey 
Nick's on dad's credit card automatically detracts from a person's intrinsic level 
of drive but there needs to be proper representation and reflection of the 
demographic of patients the healthcare system serves.

It should go without saying that this kind of pre-application reduction in diversity can all too easily lead to a negative skew in the 
amount the profession represents and understands the population as a whole 
and in a healthcare system being changed to give more control to doctors in 
designating funds, that is a very worrying idea indeed.

But the issue doesn't end there because once in medical training, the 
performance of students from ethnic minority backgrounds is not as high as 
their privately educated counterparts. Naturally there is a great deal of 
speculation on the reasons for this, possibly being due to parents pushing their 
children into the career path and financial worries detracting from performance 
as students from lower socio-economic backgrounds and postgraduate study are 
often in greater debt. Another key factor is confidence. Fortunately, it has also 
been shown  that students from LSE backgrounds can have their confidence in 
whether on or not they are 'university material' boosted by targeted summer 
schools and direct interaction with and motivation from individuals already 
involved and simply being treated with respect.

We must push on with the work being done to encourage pupils to strive to 
follow their dreams and put them on an even footing with others. Alongside this, 
however, is the need to do this responsibly and in a manner that doesn't 
patronise under-privileged pupils and essentially rob them of a sense of 
achievement when they are given placesDone correctly, we all stand to gain.

Thursday 10 October 2013

A Bit of Harmless Fun?




Makers of promotional videos for clubs quickly realised that putting a camera in 
someone's face makes them a lot more 
likely do something they're likely to regret 
in the morning; add alcohol to that equation and things escalate quickly. Strong positive 
reinforcement on the part of managers of clubs like this shows girls that the more 
provocative the outfit and the more importantly, the more willing you are to
parade your body, the better the reception you can expect; drinks on the house gleefully ensue and if the barman is lucky, enough attention can propel you into an intoxicating nest of whipped cream and a pool of tequila. 


But at what point do we draw the line between unfettered hedonism and something more

sinister, like the insidious and systematic undoing of decades of work and sacrifice by 
women who wanted femininity to encompass something more than a subservience to 
whatever dress code and behaviour is deemed most alluring by contemporary male 
attitudes. This isn't to say that every woman that goes to a club sporting anything less than a knee-length skirt and turtleneck is a puppet to male whims, as the idea is to avoid a restricted definition of what a woman ought to be or do, but there has to be some degree of awareness. When does it get more worrying than just the interaction of girls wanting to 
have fun and 'boys being boys'? Things can go too far and find young women plied with 
alcohol in a club becoming the  victims of opportunist sexual violence and part of a 
disturbingly overlooked statistic.


The act of rape gets easily shrouded and dismissed by both men and women insisting 

that the victims of rape in clubs were 'asking for it' and it can get to be a thinly veiled 
judgement dealt on the victims. Having spoken to a woman who was the victim of violent 
rape that left her in mental and physical anguish, the amount the act can be flippantly 
dismissed is made all the more shocking. She was told that she could not have been 
raped because she had had consensual sex with her attacker a year previously and was
known to have had multiple sexual partners besides that. Reporting it to the police was a
fruitless effort for her as an unsupported individual and she is not the only one. It makes 
me sick to think that in the 21st century there are still beliefs that if a woman has said yes
before then any subsequent no is are rendered irrelevant. 


Alongside this lies the ever powerful force wielded by mass media. Rihanna's recently 
published music video for her single 'Pour it Up' features her wearing a thong stuffed 
with dollars and a bra that scantily covers the bare minimum while she and some pole 
dancers twerk and dry hump to their hearts' and bank accounts' content. There is still a 
shortage of role models for young women to base appropriate levels of self respect on
and that might just be something to do with the producers and managers behind the 
scenes being predominantly men who benefit nothing they can cash in by promoting 
images of women that don't invite objectification. Endorsement of fully dressed female 
successes won't bring rape to a screeching halt or make men stop wanting sex but it just
might give pause to enough people for the prevalence of this crime to be challenged. 


This issue has to be tackled as more than a tag line that gets drowned out when interest 
in the pop song that triggered it dwindles, because for the victims, the repercussions 
endure. Earlier today I saw a bag with a slogan that read 'feminism is an unfinished 
revolution' and when you know the attitudes that have slipped through the net of human 
decency, it's not hard to agree.