Fawole2021

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Fawole2021
BibType ARTICLE
Key Fawole2021
Author(s) Adebola Abosede Fawole, Johannes Ratsitana Rammala
Title Rapport management in the opening sequence of African and Asian doctors in South Africa
Editor(s)
Tag(s) EMCA, foreign doctors, opening sequence, rapport management, South Africa, Betekenisvolle verbintenisse, openingsvolgorde, buitelandse mediese dokters, Suid-Afrika
Publisher
Year 2021
Language English
City
Month
Journal International Journal of Applied Linguistics
Volume 31
Number 3
Pages 406–420
URL Link
DOI 10.1111/ijal.12338
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

Communication issues occur when foreign doctors from different cultural backgrounds have to treat local patients and attempt to establish rapport across cultures in order to diagnose correctly and advise treatment in a way that is acceptable to the patient. This paper reports on strategies used by Iranian and Nigerian medical doctors in public hospitals in Limpopo, South Africa, to establish and manage rapport in the opening sequence of their first meetings with local rural patients. The study used a conversation analysis method to examine the interaction of Iranian and Nigerian doctors with local South African patients against the background of Spencer-Oatey's rapport management framework and cultural maxims of greetings and forms of address in the two countries. Recordings of opening sequences of consultations were examined to provide an understanding of the doctors’ linguistic behavior. Consultations conducted by six doctors were recorded, transcribed, translated where necessary and analyzed against the background of the Rapport Management Framework. All the Iranian doctors were found to adopt different strategies from the Nigerian doctors even though both countries are classified as high-context cultures and would be expected to use similar communication strategies. The findings have implications for the induction of foreign medical doctors in South Africa.

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