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The Professional Self-Evaluation of Immigrant Physicians from the Former Soviet Union in Israel

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Abstract

This study tests the hypothesis that the personal construction of a positive professional identity is central to immigrant physicians' psychosocial well-being. Data are derived from responses to structured questionnaires from the first and third stages of a 5-year, three-stage cohort study of physicians who immigrated to Israel from the former Soviet Union in 1990. At the third stage of the study, in 1995, 387 physicians were working as physicians of a total of 519 respondents. Previous analyses of this research population showed that the immigrants who obtained work in their profession had significantly higher scores on a variety of indicators of psychosocial well-being than those who did not. In this paper, which narrows its focus to those who were working as physicians in 1995, significant positive relationships were found among three measures of self-evaluation, and between professional self-esteem, global self-esteem, and work satisfaction, and adaptation to life in Israel. General practitioners and specialists scored higher on professional self-evaluation than residents. Women scored higher than men, and older respondents (age's 36–45) scored higher than younger respondents (ages 25–35). The immigrant physicians viewed themselves as similar to their Israeli-trained colleagues in terms of their professional role behavior and were particularly positive about their diagnostic skills and the quality of their relationships with their patients. These findings are discussed in terms of role theory, which suggests that the work role of professionals is the most salient component of their self-identify.

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REFERENCES

  1. Rosen B, Nirel N: Immigration and Medical Personnel in Israel. Some Questions and Answers. Jerusalem: JDC–Brookdale Institute of Gerontology and Human Development; 1995 (Hebrew)

    Google Scholar 

  2. Ofer G, Flug K, Kassir N: The absorption in employment of immigrants from the Soviet Union: 1990 and beyond. Econ Q 1991; 148:135-171 (Hebrew)

    Google Scholar 

  3. Kats R: Occupational mobility of immigrants and their job satisfaction.A secondary analysis. Int Migrat 1983; 21:345-357

    Google Scholar 

  4. Kraus E: How important is vocational success to the overall satisfaction of immigrants? J Appl Soc Psychol 1983; 13:473-495

    Google Scholar 

  5. Burke PJ: Identity processes and social stress. Am Sociol Rev 1991; 56:836-749

    Google Scholar 

  6. Thoits PA: Multiple identities and psychological well-being. Am Sociol Rev 1983; 18:174-187

    Google Scholar 

  7. Bernstein JH, Shuval JT: Occupational continuity and change among immigrant physicians from the former Soviet Union in Israel. Int Migrat 1995; 33:3-29

    Google Scholar 

  8. Bernstein JH, Shuval JT: The occupational integration of former Soviet physicians in Israel. Soc Sci Med 1998; 47:809-819

    Google Scholar 

  9. Bernstein JH, Shuval JT: Gender differences in the process of occupational integration of immigrant physicians in Israel. Sex Roles 1999; 40:1-23

    Google Scholar 

  10. Orzack LH: Professions and world trade diplomacy: National systems and international authority. Paper presented at the Bi-Annual International Conference on Professions in Comparative Perspective. Onati International Institute for the Sociology of Law, Spain, Apr 25–26, 1996

  11. Basok T: The admission and licensing of immigrant physicians in Canada. In: Shuval JT, Bernstein JH, eds. Immigrant Physicians: Former Soviet Doctors in Israel, Canada and the United States. Westport, CT: Greenwood Press; 1997;83-92

    Google Scholar 

  12. Rosenthal MM, Young RF, Schecter K: Immigrant physicians in a saturated market. In: Shuval JT, Bernstein JH, eds. Immigrant Physicians: Former Soviet Doctors in Israel, Canada and the United States. Westport, CT: Greenwood Press; 1997:119-113

    Google Scholar 

  13. Bernstein JH, Shuval JT: Emigrant physicians evaluate the health care system of the former Soviet Union. Med Care 1994; 32:141-149

    Google Scholar 

  14. Field MG: Noble purpose, grand design, failing execuation, mixed results. Soviet socialized medicine after seventy years. Am J Public Health 1990; 30:144-145

    Google Scholar 

  15. Paton CR: Perestroika in the Soviet Union's health system. BMJ 1989; 299:45-46

    Google Scholar 

  16. Schultz DS, Rafferty MP: Soviet health care and perestroika. Am J Public Health 1990; 80:193-197

    Google Scholar 

  17. Remennick LI, Shtarkshall RA: Technology versus responsibility: Immigrant physicians from the former Soviet Union reflect on Israeli health care. J Health Soc Behav 1997; 38:191-202

    Google Scholar 

  18. Shuval JT: Social functions of medical licensing; A case of Soviet immigrant physicians in Israel. Soc Sci Med 1985; 20:901-909

    Google Scholar 

  19. Field MG: Success and Crisis in National Health Systems: A Comparative Approach. London: Routledge; 1989

    Google Scholar 

  20. Shuval JT, Bernstein JH (eds): Immigrant Physicians: Former Soviet Doctors in Israel, Canada and the United States. Westport, CT: Greenwood Press; 1997

    Google Scholar 

  21. Wheat ME, Brownstein H, Kvitash V: Aspects of medical care of Soviet Jewish emigres. West J Med 1983; 139:900-904

    Google Scholar 

  22. Cooley CH: Human Nature and the Social Order. New York: Schocken Books; 1994 (1902)

    Google Scholar 

  23. Gecas V: The social psychology of self-efficacy. Annu Rev Sociol 1989; 15:291-316

    Google Scholar 

  24. Gecas V, Schwalbe ML: Beyond the looking-glass self: Social structure and efficacy-based self-esteem. Soc Psych Q 1983; 46:77-88

    Google Scholar 

  25. Rosenberg M, Schooler C, Schoenbach C, Rosenberg F: Global self-esteem and specific self-esteem: Different concepts, different outcomes. Am Sociol Rev 1995; 60:141-156

    Google Scholar 

  26. Shenkar Y: Outcome of the medical licensing examination, 1988-1991. Harefuah 1993; 124:638-640 (Hebrew)

    Google Scholar 

  27. Carmel S: The professional self-esteem of physicians scale, structure, properties, and the relationship to work outcomes and life satisfaction. Psychol Rep 1997; 80:591-602

    Google Scholar 

  28. Rosenberg M: Society and the Adolescent. Princeton; NJ: Princeton University Press; 1965

    Google Scholar 

  29. Kalleberg A: Work values and job rewards: A theory of job satisfaction. Am Sociol Rev 1977; 42:124-143

    Google Scholar 

  30. Lawler EE, Hall DT: Relationship of job characteristics to job involvement, satisfaction and intrinsic motivation. J Appl Psych 1970; 54:305-312

    Google Scholar 

  31. Nirel N: The employment of immigrant physicians from the former Soviet Union in 1998: Summary of findings from a follow-up study, Research Report 339-99. Jerusalem: JDC–Brookdale Institute; 1999 (Hebrew)

    Google Scholar 

  32. Remennick LI, Ottenstein-Eisen N: Reaction of new Soviet immigrants to primary health care services in Israel. Int J Health Serv 1998; 28:555

    Google Scholar 

  33. Brown JV, Rusinova NL: Russian medical care in the 1900's: A user's perspective. Soc Sci Med 1997; 45:1265-1276

    Google Scholar 

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Bernstein, J.H. The Professional Self-Evaluation of Immigrant Physicians from the Former Soviet Union in Israel. Journal of Immigrant Health 2, 183–190 (2000). https://doi.org/10.1023/A:1009536212233

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