Survey of Iranian American Physicians, Dentists and Pharmacist in Southern California

Survey of Iranian American Physicians, Dentists and Pharmacist in Southern California
We, sociologists at UCLA’s Department of Sociology. We are acquiring information about physicians, dentists and pharmacist of Iranian birth or ancestry who practice medicine in Southern California. This information will permit an academic research article that bears on the integration of foreign medical practitioners in the USA. As you are no doubt aware, the USA depends heavily on foreign medical practitioners, but you may not be aware that very little is known about their medical practice, their experience or their skills. Our research will help to remedy this situation, Our research has been endorsed by the “The Academy of Persian American Physicians”.

Responses are confidential and original protocols will be destroyed once the research is published. Our questions will only take ten minutes of your time to complete. We know you are busy, and we thank you for your help and cooperation. If you write your email in the box below, you will receive an electronic copy of our publication when it appears.
example@example.com
Questions? Please email us:

Ivan Light, PhD . light@soc.ucla.edu

Parvin Shahlapour, PhD . parvinsh@ucla.edu
Your Medical Practice
Your Given (First) Name and initial of Surname (optional)
We will assign a Case Number
1. Sex

Male Female
2. Country of Birth

Iran USA
3.Year of Birth
4. Your medical education
Years abroad
Years in US
Highest degree (specify)
5. Please specify the specialty you trained in:
6. Where did you get your first medical residency?

USA Iran
7. If born abroad, when did you establish permanent residence in the US

Before 1970 1970-1979 1980-1989 1990-1999 2000-2009 2010-present
8. Postal zip codes in which you work and reside
Work zip code(s)
Residence zip code
9. Do you have a private practice? (If no, skip to question 12)

Yes No
10. If yes, how many offices do you have?
11. If in private practice, how many full-time employees do you retain?
Number
12. With how many hospitals are you affiliated?

None One Two Three or more
13. (a) Are you a member of the American Medical Association or the American Dental Association or any other association that serves American health practitioners in general (Please verify the name)?

No
(b) Are you a member of any medical/dental association of Persians/Iranians in the United States?

No
14. Other Iranians with whom you have frequent contact at work. Check all that apply.

Medical staff Non-medical staff None
15. Iranian health professionals: (check all with which you agree)

Need no separate representation in the medical community Need separate representation inside the AMA Need their own professional organizations Import a somewhat different skill set from American colleagues.
16. Please name up to four voluntary organizations in which you now hold active membership. (Active membership means personal participation at least once annually). Include only charitable, artistic, alumni/ae, environmental, and religious organizations.
1)
2)
3)
4)
Identity
17. Do you have an ethnic identification? Please check all that apply.

No, none. Not important Armenian Assyrian Turkmen Baluchi Gilak Lore Kurdish Azari Persian/Iranian
18. Marital Status

Married Live with partner Separated or divorced Single
19. If married, spouse’s origin

Spouse born in Iran Spouse born in USA of Iranian parents
20. Languages Spoken at Home

Only Farsi Only English Both
21. Have any of your American – born children ever visited Iran?

Yes, frequently Yes, once No, never No children born in USA Not applicable
22. What was your approximate individual gross income in 2017?

less than $100,000 $100,001 to $200,000 $200,001 to $300,000 $300,001 to $400,000 $400,001 or more
23. Please write in the first name and ethnicity of your three best friends who reside in Southern California.
Name 1
Ethnicity 1
Name 2
Ethnicity 2
Name 3
Ethnicity 3
24. How do you acquire news about Iran?

Persian language sources English language sources Both
25. Do you listen to KIRN 670AM Radio Iran programs?

Yes No
26. How do you prefer to listen to radio?

Digital Stream Mobile App Radio Don't listen to radio
27. When do you like to listen to the radio most?

AM Afternoon PM Late night Weekend Only
28. What type of radio programs do you enjoy most?

News Talk show Cultural & education Music Political
29. Is there something you’d like to tell us about your medical practice that our survey has overlooked? Please
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Survey of Iranian American Physicians, Dentists and Pharmacist in Southern California

Your Medical Practice

Identity