The Transformational Trends of Doctors’ Professional Identity in the Terms of Precariation in Russian Megapolises (the Example of Moscow and Kazan)
How to Cite
Nor-Arevyan O.A., Mosienko O.S. The Transformational Trends of Doctors’ Professional Identity in the Terms of Precariation in Russian Megapolises (the Example of Moscow and Kazan). Humanities of the South of Russia. 2018. Vol. 7. No. 2. P. 83-99. DOI: https://doi.org/10.23683/2227-8656.2018.2.7 (in Russ.).
Abstract
This article analyzes the results of a sociological study aimed at the identifying of social, group, structural and typological features of the professional identity of representatives of the budgetary sphere (including doctors) in conditions of precariation in Russian megacities.In spring2017, astandardized questionnaire was conducted by the research team using a quota-proportional sample with a statistical error of no more than 4-5% (468 doctors from Moscow and 402 doctors from Kazan were interviewed) and 14 in-depth interviews,7 ineach city were conducted. The sociological analysis of the received empirical information has allowed to conceptualize representations about professional identity of doctors in the precariatizing environment of the Russian megacities -MoscowandKazan. A comparative research source base was compiled, including data from Rosstat, VCIOM and data obtained by in-depth interviews.The sociological research was conducted with the purpose of revealing the social-group, structural and typological features of the professional identity of doctors as a socially-oriented professional group, in conditions of precariation in Russian megacities. The developed author's sociological toolkit allowed to fully analyze the level of material satisfaction of doctors and to investigate the perception by doctors of their socioeconomic status; to study the structure of the social identity of doctors and determine the importance of professional identity; to reveal the influence of precariatization processes on the transformational tendencies of professional prodigality.In the course of the study, the criteria for the success of the formation of the professional identity of doctors were identified and described, among them an emotionally positive attitude toward the profession of the doctor and satisfaction with his choice of profession, a high level of assessment of the social well-being of doctors. The theoretical and methodological and applied sociological research conducted, as well as a series of in-depth interviews, showed that the type of professional identity of doctors can be formed in absolute or mixed form. The obtained results allowed to speak about a sufficiently high level of corporate professional identity of Russian doctors, assuming a high degree of loyalty to their place of work. At the same time, it has been established that for the doctors of large Russian megacities mixed types are characteristic, which in general corresponds to the all-Russian tendencies of the formation of the professional identity of doctors.
Keywords:
professional identity of doctors, metropolis, precarious employment, pseudo-positive professional identity, risks of precariation
References
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Opinion Monitoring (VCIOM): November – December 2016 (2016). Monitoring of public opinion: Economic and social changes, no. 6, pp. 125-155.
Mosienko O. S. (2017). The influence of precariatization of labor relations on the professional identity of doctors (on the example of Kazan). Gumanitariy Yuga Rossii. No. 5. pp. 206-220.
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Prisyazhnyuk, D.I. (2012). Transformation of the profession of a doctor in the context of health care reform: author's abstract dis. … cand. sociol. sciences. Moscow. Available at: http://cheloveknauka.com/transformatsiya-sotsioprofessionalnoy-identichnosti-v-meditsine#ixzz4qEvpT68P
Professional Identity in Russian Society (Issues of History, Theory and Practice) (2017) / J.P. Isaev, L.V. Klimenko, O.A. Nor-Arevyan, O.Yu. Posukhova, N.A. Trapsh, A.S. Frolova. Rostov-on-Don: Southern Federal University Publishing House.
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Fitmova, A. A. (2012). Development of professional motivation of future doctors in the process of training in the university: the author's abstract dis. … cand. psychol. sciences. Stavropol. Available at: http:// cheloveknauka.com/transformatsiya-sotsioprofessionalnoy-identichnosti-v-meditsine#ixzz4qEvhb7tH.
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Creed, W. E. D. and Saporta, I. (2003). Unmet expectations: The effect of status inconsistency on quitting and internal job changing. Research in Social Stratification and Mobility. Vol. 20. pp. 285-323.
Eisenberg, E. (2001). Building a mystery: toward a new theory of communication and identity. Journal of Communication. No. 51. pp. 534-552.
Kenny, N. P., Mann, K. V., MacLeod, H. (2003). Role modeling in physicians' professional formation: reconsidering an essential but untapped educational strategy. Acad Med. No. 78(12). pp. 1203-1210.
Mann, K. V. (2011). Theoretical perspectives in medical education: past experience and future possibilities. Med Educ, No. № 45(1), pp. 60-68.
Mann, K. V., Ruedy, J., Millar, N., Andreou, P. (2005). Achievement of non-cognitive goals of undergraduate medical education: perceptions of medical students, residents, faculty and other health professionals. Med Educ, No.39(1), pp. 40-48.
Niemi, P. (1997). Medical students’ professional identity: self reflection during the preclinical years. Medical Education, No.31, pp. 408-415.
Niemi, P. M. and Vainiomäki, P. T. (2006). Medical students' distress – quality, continuity and gender differences during a six-year medical programme. Med. Teach, No. 28(2), pp. 136-141.
Niemi, P. M., Vainiomäki, P. T., Murto-Kangas, M. (2003). «My future as a physician» – professional representations and their background among first-day medical students. Teach Learn Med, No. 15(1), pp. 31-39.
Oelschlager, A. M., Smith, S., Tamura, G., Carline, J., Dobie, S. (2011). Where do medical students turn? The role of the assigned mentor in the fabric of support during medical school. Teach Learn Med, No. 23(2), pp. 112-117.
Ryynanen, K. (2001). Constructing physician’s professional Identity – explorations of students’ critical experiences in medical education [doctoral dissertation]. Oulu, Finland.
Winslade, J. (2002). Storying professional identity: from an interview with John Winslade. International Journal of narrative therapy & community work, No. 4, pp. 33-38.
Winslade, J., Crocket, K., Monk, G., Drewery, W. (2000). The storying of professional development. Preparing counselors and therapists: Creating constructivists and developmental programs.
Vodyaha, A. A. (2009). Value-semantic components of the professional identity of the doctor: avtoref. dis. … cand. psychol. sciences, Khabarovsk. Available at: http:// cheloveknauka.com/transformatsiya-sotsioprofes sionalnoy-identichnosti-v-meditsine#ixzz4q EvKPEye.
Vodyaha, A. A. (2008). Value-semantic orientations in the structure of the professional identity of doctors. Vestnik kemerovskogo gosudarstvennogo universiteta. No. 1.
Galkin, K. A., Malakhov, I. N. (2016). From love to dissatisfaction. Satisfaction and professional identity of staff and young doctors of the centers of outpatient surgery in St. Petersburg. Azimut nauchnykh issledovaniy: pedagogika i psikhologiya, Vol. 5, No. 4 (17).
Ermolaeva E. P. (2001). Psychology of the professional marginal in socially significant kinds of work (article the second). Psikhologicheskiy zhurnal. No. 5. pp. 69-78.
Zmanovskaya, E. V. (2006). Psychology of deviant behavior: the structural-dynamic approach: dis. ... dr. sciences. St. Petersburg.
Klimenko, L. V., Posukhova, O. Yu. (2017). Gender aspects of labor precariation in Russian society. Zhenshchina v rossiyskom obshchestve. No. 1 (82). pp. 29-40.
Maysak, N. V., Velikanova, L. P. (2013). Deviative tendencies in the professions: a comparative analysis. Fundamental'nye issledovaniya. No. 10, pp. 879-885.
Mayakovskaya, N. V. (2012). Professional education of the future doctor in a medical college on the basis of an axiological approach. The dissertation author's abstract on competition of a scientific degree of the candidate of pedagogical sciences. Available at: http://l.120-bal.ru/doc/49925/ index.html.
Mironenko, T. A., Kapustina, Т. V. (2016). Professional identity of doctors. Student. Aspirant. Issledovatel'. No. 1 (7). pp. 46-55.
Opinion Monitoring (VCIOM): November – December 2016 (2016). Monitoring of public opinion: Economic and social changes, no. 6, pp. 125-155.
Mosienko O. S. (2017). The influence of precariatization of labor relations on the professional identity of doctors (on the example of Kazan). Gumanitariy Yuga Rossii. No. 5. pp. 206-220.
Nedurueva, Т. V. (2012). Professional health of medical workers: structural and criterial approach. Uchenye zapiski Rossiyskogo gosudarstvennogo sotsial'nogo universiteta. No.2. pp. 175-180.
Nor-Arevyan, O. A. (2017). Professional identity of doctors in Moscow in conditions of precariatization of social and labor relations in Russian society. Gosudarstvennoe i munitsipal'noe upravlenie. Uchenye zapiski SKAGS. No. 3. pp. 204-214.
Prisyazhnyuk, D.I. (2012). Transformation of the profession of a doctor in the context of health care reform: author's abstract dis. … cand. sociol. sciences. Moscow. Available at: http://cheloveknauka.com/transformatsiya-sotsioprofessionalnoy-identichnosti-v-meditsine#ixzz4qEvpT68P
Professional Identity in Russian Society (Issues of History, Theory and Practice) (2017) / J.P. Isaev, L.V. Klimenko, O.A. Nor-Arevyan, O.Yu. Posukhova, N.A. Trapsh, A.S. Frolova. Rostov-on-Don: Southern Federal University Publishing House.
Rumyantseva, Т. V. (2005). Transformation of the identity of medical students in changing social conditions: author's abstract dis. … cand. psychol. sciences. Yaroslavl. Available at: http://cheloveknauka.com/transformatsiya-sotsioprofessionalnoy-identichnosti-v-meditsine#ixzz4qEvW2tJv.
Fitmova, A. A. (2012). Development of professional motivation of future doctors in the process of training in the university: the author's abstract dis. … cand. psychol. sciences. Stavropol. Available at: http:// cheloveknauka.com/transformatsiya-sotsioprofessionalnoy-identichnosti-v-meditsine#ixzz4qEvhb7tH.
Schneider, L. B. (2001). Professional identity. Moscow: MOSU.
Baernstein, A., Oelschlager, A. M., Amies, E., Chang, T. A., Wenrich, M. (2009). Learning professionalism: perspectives of preclinical medical students. Acad. Med. No. 84(5). pp. 574-581.
Creed, W. E. D. and Saporta, I. (2003). Unmet expectations: The effect of status inconsistency on quitting and internal job changing. Research in Social Stratification and Mobility. Vol. 20. pp. 285-323.
Eisenberg, E. (2001). Building a mystery: toward a new theory of communication and identity. Journal of Communication. No. 51. pp. 534-552.
Kenny, N. P., Mann, K. V., MacLeod, H. (2003). Role modeling in physicians' professional formation: reconsidering an essential but untapped educational strategy. Acad Med. No. 78(12). pp. 1203-1210.
Mann, K. V. (2011). Theoretical perspectives in medical education: past experience and future possibilities. Med Educ, No. № 45(1), pp. 60-68.
Mann, K. V., Ruedy, J., Millar, N., Andreou, P. (2005). Achievement of non-cognitive goals of undergraduate medical education: perceptions of medical students, residents, faculty and other health professionals. Med Educ, No.39(1), pp. 40-48.
Niemi, P. (1997). Medical students’ professional identity: self reflection during the preclinical years. Medical Education, No.31, pp. 408-415.
Niemi, P. M. and Vainiomäki, P. T. (2006). Medical students' distress – quality, continuity and gender differences during a six-year medical programme. Med. Teach, No. 28(2), pp. 136-141.
Niemi, P. M., Vainiomäki, P. T., Murto-Kangas, M. (2003). «My future as a physician» – professional representations and their background among first-day medical students. Teach Learn Med, No. 15(1), pp. 31-39.
Oelschlager, A. M., Smith, S., Tamura, G., Carline, J., Dobie, S. (2011). Where do medical students turn? The role of the assigned mentor in the fabric of support during medical school. Teach Learn Med, No. 23(2), pp. 112-117.
Ryynanen, K. (2001). Constructing physician’s professional Identity – explorations of students’ critical experiences in medical education [doctoral dissertation]. Oulu, Finland.
Winslade, J. (2002). Storying professional identity: from an interview with John Winslade. International Journal of narrative therapy & community work, No. 4, pp. 33-38.
Winslade, J., Crocket, K., Monk, G., Drewery, W. (2000). The storying of professional development. Preparing counselors and therapists: Creating constructivists and developmental programs.
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APA
Nor-Arevyan, O. A., & Mosienko, O. S. (2018). The Transformational Trends of Doctors’ Professional Identity in the Terms of Precariation in Russian Megapolises (the Example of Moscow and Kazan). Humanities of the South of Russia, 7(2), 83-99. https://doi.org/10.23683/2227-8656.2018.2.7
Section
SOCIAL STRUCTURE AND SOCIAL INSTITUTIONS IN MODERN SOCIETY
