Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

In this new working paper, Angele Flora Mendy considers the medical profession in France as a closed labour market, arguing that a complex historical process of past standards, medical corporatism and the long-term effects of hospital reforms have combined to erect barriers to the professional integration of non-EU/EEA doctors

Internationally, policies for attracting highly-skilled migrants have become the guidelines mainly used by the Organisation for Economic Co-operation and Development (OECD) countries. Governments are implementing specific procedures to capture and facilitate their mobility. However, all professions are not equal when it comes to welcoming highly-skilled migrants. The medical profession, as a protective market, is one of these. Taking the case of non-EU/EEA doctors in France, this paper shows that the medical profession defined as the closed labour market, remains the most controversial in terms of professional integration of migrants, protectionist barriers to migrant competition and challenge of medical shortage. Based on the path-dependency approach, this paper argues that non-EU/EEA doctors’ issues in France derive from a complex historical process of interaction between standards settled in the past, particularly the historical power of medical corporatism, the unexpected long-term effects of French hospital reforms of 1958, and budgetary pressures.

Theoretically, this paper shows two significant findings. Firstly, the French medical system has undergone a series of transformations unthinkable in the strict sense of a path-dependence approach: an opening of the medical profession to foreign physicians in the context of the Europeanisation of public policy, acceptance of non-EU/EEA doctors in a context of medical shortage and budgetary pressures. Secondly, there is no change of the overall paradigm: significantly, the recruitment policies of non-EU/EEA doctors continue to highlight the imprint of the past and reveal a significant persistence of prejudices. Non-EU/EEA doctors are not considered legitimate doctors even if they have the qualifications of physicians which are legitimate in their country and which can be recognised in other receiving countries.

Read the working paper

Similar stories

Working Paper: Immigration policy effects – A conceptual framework

Liv Bjerre provides a conceptual framework for the analysis of immigration policy effects by arguing that immigration policies have varying effects on different categories of immigrants whether they are regular immigrants, asylum seekers or irregular immigrants

Return Migration in Africa

IMI Researcher, Dr. Marie-Laurence Flahaux together with Dr. Bruno Shoumaker and Dr. Thierry Eggerickx edit a new issue of 'Space, Populations, Societies' which seeks to explore the understudied aspects of return migration in Africa

Working Paper: Hopes and fears of migrants’ contribution to political change, a Tunisian case study

Marieke van Houte explores complexities of political change in relation to mobility and immobility through a fascinating Tunisian case study that challenges conventional notions that transnational political engagements contribute to democratization

Exploring domestic & diasporic non-government responses to the Liberian Ebola Crisis

New article published in the academic journal, African Affairs by IMI Senior Research Officer Robtel Neajai Pailey

Legal invisibility was the best thing to happen to me

Senior Research Officer Robtel Neajai Pailey shares her experience of living as an undocumented migrant in the US for 14 years in a remarkable piece for Al Jazeera

Call for papers for new journal Migration and Society

The first issue of the journal focuses on Hospitality and hostility towards migrants: Global perspectives