‘Doctors for Export’

Medical Migration from Ireland c.1860 to 1960

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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 Ireland’s 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.

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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.
Representing the Scientific Board of the European Association for the History of Medicine and Health:

Series Editor:
Jonathan Reinarz, University of Birmingham

Associate Editors:
Cathy McClive, Florida State University
Bogdan Iacob, Romanian Academy

Editorial Board:
Jonathan Barry, University of Exeter
Alison Bashford, UNSW Sydney
Christian Bonah, University of Strasbourg
Sandra Cavallo, Royal Holloway, University of London
Pratik Chakrabarti, University of Manchester
Harold Cook, Brown University, Providence
Marcos Cueto, Casa de Oswaldo Cruz, Rio de Janeiro
Brian Dolan, University of California, San Francisco
Philip van der Eijk, Humboldt University, Berlin
Monica Green, Arizona State University, Tempe
Patrizia Guarnieri, Università degli studi, Florence
Rhodri Hayward, Queen Mary, University of London
Peregrine Horden, Royal Holloway, University of London
Sean Hsiang-Lin Lei, Academica Sinica, Taipei
Anne Kveim Lie, Institute of Health and Society, Oslo
Guillaume Lachenal, Université Paris Diderot
Vivienne Lo, UCL China Center for Health and Humanity, London
Daniel Margócsy, University of Cambridge
Hilary Marland, Warwick University, Coventry
Graham Mooney, Johns Hopkins University, Baltimore
Teresa Ortiz-Gómez, University of Granada
Steven Palmer, University of Windsor
Hans Pols, University of Sydney
Peter Pormann, University of Manchester
Michael Stolberg, University of Würzburg
Marius Turda, Oxford Brookes University
John Harley Warner, Yale University, New Haven
Acknowledgements
List of Figures and Tables
Abbreviations

Introduction
 1 Irish Emigration
 2 Doctor Migration
 3 The Internationalisation of Medicine
 4 The Structure of the Book

1 The Medical Institutions of Ireland
 1 The Medical Registration Act 1858
 2 The Evolution of Irish Medical Education
 3 The Hospitals
 4 The Poor Law
 5 Professional Organisations in Ireland and Britain
 6 The Number of Doctors in Ireland
 7 The Over-Production of Doctors in Ireland
 8 Conclusion

2 Making a Medical Living
 1 General Practice in Ireland and England
 2 General Practice in Ireland
 3 Private Practice
 4 The Doctors’ Boycott
 5 Conclusion

3 The British Empire
 1 The Indian Medical Service
 2 Far-Flung Shores
 3 Those Who Returned
 4 The IMS and the Scientific Mind
 5 The Decline of the Colonial Medical Services
 6 Conclusion

4 Medicine, Migration and the Making of the Irish Middle Class
 1 The Costs of Medical Education in Ireland
 2 Catholics, Medicine and Social Mobility
 3 The Catholic Middle Classes and Medicine
 4 Income, Class and Migration
 5 Migration, Money and the Middle-Class Family
 6 Migration and a Medical Dynasty
 7 Migration and Poverty
 8 Ireland’s Intellectual Resources
 9 Conclusion

5 Partition
 1 The Settlement in Health
 2 The Registration Crisis
 3 Connections Maintained
 4 The Border with Ireland
 5 The Future of Medicine in Ireland
 6 The Notion of Being Irish and Emigration
 7 Conclusion

6 The Irish Doctor in Interwar Britain
 1 The Insurance Act and Migration
 2 The Distribution of Graduates from Irish Medical Schools
 3 Friendship and Collegiality
 4 The “Powerful Army” of Catholic Doctors and Practice in Britain
 5 The Guild of SS Luke, Cosmos and Damian
 6 Professional Integration
 7 The Role of the State in Health Care
 8 The National Health Service and the Irish Migrant Doctor
 9 Conclusion

7 The Lure of America
 1 The Rockefeller Visit to Ireland
 2 Medical Immigration to the United States
 3 The AMA , Doctor Immigration and the Approved List
 4 The Irish Medical Emigrant and the USA
 5 The Approved List and the Foreign Medical Schools
 6 Ireland and the Approved List
 7 The Irish Medical Schools and the Irish Doctor
 8 The End of the Approved List
 9 Conclusion

8 Inward Migration
 1 The State and Medical Education
 2 Medical Education in the New Era
 3 Foreign Students
 4 A Private Medical School in the Age of Globalisation
 5 The Future of Irish Medical Emigration
 6 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.
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