Second-class doctors? The impact of a professional career structure on the employment conditions of overseas- and UK-qualified doctors

Career structures and their associated boundaries both offer and restrict career opportunities and provide the potential to be sites of unfair discrimination. Yet the impact of such structures is rarely explored. This article investigates the impact of a career structure on the employment conditions of a medical career grade in which some three-quarters of the doctors qualified overseas. The comparison of UK and overseas qualified doctors in the Staff and Associate Specialist Group provides an underexplored perspective on a professional career structure with a particular reference to reward, workload, autonomy and morale. The article draws on a quantitative study of 1,715 Staff and Associate Specialist doctors undertaken in 2004. The findings demonstrate a complex comparative picture with overseas-qualified doctors earning more, working for longer hours, having less autonomy and a lower morale than their UK-qualified comparators. We conclude by pointing to the potential for certain career structures to structurally and systematically disadvantage some groups.     

Small‐scale commodity frontiers: The bioeconomy value chain of castor oil in Madagascar

The European Commission defines the bioeconomy as a “transition economy which seeks to increase efficiency, optimize use and decrease environmental impact through the reduction of waste and greenhouse gas emissions.” However, attempts to substitute or control nature through efficient bio‐based technology have not lived up to expectations and much of the industry still relies on globally sourced biomass to drive the bioeconomy. This article examines the social and political economic relations surrounding small‐scale production of the feedstock castor oil plant (castor, Ricinus communis) in the deep south of Madagascar. Theorizing the bioeconomy through the lens of a “small‐scale commodity frontier,” it builds from recent injunctions by Jason Moore to show how the appropriation of cheap nature (including paid and unpaid labour) is both historically and geographically co‐produced. The castor value chain is held up as a way to transform regional economies and a “silver bullet” to alleviate poverty and address food security in some of the most economically marginal areas of Madagascar. We adopt a regional and feminist political ecology approach to illustrate what is behind this discursive cloak of “development imaginaries,” making visible the social relations surrounding castor production and demonstrating the historical marginalization involved in producing the frontier.     

Financial rewards and company ownership: An examination of reward practices in Ireland

This article examines the influence of company ownership on the level at which pay is determined in Ireland and on the kinds of payment systems used. U.S. and U.K. multinational companies (MNCs), the two largest foreign investors in Ireland, are the focus of the analysis. Although the evidence points to the national level as the key level at which pay is determined, U.S. and U.K. MNCs operating in Ireland tend to follow the practices of their headquarters, rather than those of the host country. Evidence also suggests that foreign MNCs are much more likely to utilize nonstandard, variable payment systems than indigenous organizations. © 1995 John Wiley & Sons, Inc.     

A classification of economic activities based on location patterns

The Standard Industrial Classification (SIC) groups activities without regard to locational behavior. Any SIC group may—and often does—contain two or more activities that have different locational patterns.Starting with data describing the number of people employed in each of 480 activities in each of 311 metropolitan areas of the United States in 1965, we have devised a new classification based on similarity of locational behavior. The results are presented in the form of a 5-digit classification of these 480 SIC activities. Some of the more interesting clustering patterns are discussed and some patterns that might have been expected but did not appear are mentioned.This paper builds upon earlier research reported in “The Agglomeration Process in Urban Growth,” by Joel Bergsman, Peter Greenston and Robert Healy (Urban Studies, October 1972) and is part of a continuing inquiry into the economic development of cities.     

How do medical managers strategize? A strategy-as-practice perspective

ABSTRACT

Strategic planning (SP) is a widely-used practice within public sector organizations. However, SP does not only take place in strategy workshops and senior management levels. This paper explores how medical managers of English hospitals ‘do’ SP in their clinical directorates. The authors investigate the practices, the usage of strategy tools and the implications of medical managers’ strategizing. The paper argues that what makes financial sense to medical managers strategizing in the local circumstances of their directorates does not always equate to value for patients, the hospital or for the public sector as a whole.     

Fat tails and spurious estimation of consumption‐based asset pricing models

The standard generalized method of moments (GMM) estimation of Euler equations in heterogeneous‐agent consumption‐based asset pricing models is inconsistent under fat tails because the GMM criterion is asymptotically random. To illustrate this, we generate asset returns and consumption data from an incomplete‐market dynamic general equilibrium model that is analytically solvable and exhibits power laws in consumption. Monte Carlo experiments suggest that the standard GMM estimation is inconsistent and susceptible to Type II errors (incorrect nonrejection of false models). Estimating an overidentified model by dividing agents into age cohorts appears to mitigate Type I and II errors.     

Susceptibility to the ‘Dark Side’ of Goal-Setting: Does Moral Justification Influence the Effect of Goals on Unethical Behavior?

Setting goals in the workplace can motivate improved performance but it might also compromise ethical behavior. In this paper, we propose that individual differences in the dispositional tendency to morally justify behavior moderate the effects of specific performance goals on unethical behavior. We conducted an experimental study in which working participants, who were randomly assigned to a specific goal condition or to a condition with a vague goal that lacked a specific target (i.e., ‘do your best’), completed two tasks in which they had the opportunity to act unethically. In an ethical dilemma task, participants in the specific goal condition were more likely to advocate using unethical methods. However, in an anagram task, only those with high moral justification overstated their performance to a greater degree in the specific goal condition. As such, individuals may not be equally susceptible to the ‘dark side’ of goal-setting.     

How the ‘customer’ influences the skills of the front‐line worker

Previous research illustrates how managers use the ‘customer’ in the service sector to develop roles and determine requisite skill sets. This article uses the evaluation of a recent workforce modernisation initiative in the NHS to provide insights into the manner in which the patient has played an increasing role in the construction of skills in healthcare. It indicates how public‐funded healthcare in the NHS contains similar tensions and contradictions to service work in consumer capitalism. Although the patient is not in a position of authority, the desire of some workers to address fully the physical and psychological needs of the patient (or embodied customer) leads them to develop skills and roles that management may find hard to resource within current budgets.     

INTERACT: Developing software for interactive decisions

This paper describes the development and use of a piece of software, INTERACT, for analyzing situations under the control of several interested parties. After briefly discussing forms of analysis used, it outlines the design philosophy of the software itself. Particular attention is paid to its intended use in a decision support role. The functions typically performed in the course of analysis are illustrated using a worked example. Finally, avenues for further development are outlined.An earlier version of this paper was read at the Conference on Decision Making under Conditions of Conflict, University of Waterloo, Ontario, August/Sept 1992