SOCIOLOGY 3362—MEDICAL SOCIOLOGY SPRING 2005 CLASS SYLLABUS DR. CHERYL HOWARD/choward@utep.edu OLD MAIN 302 747-6530/ choward@utep.edu OFFICE HOURS: /TT 8:30-9:00; 12:00-12:30; W 10:00-11:30 OR BY APPOINTMENT COURSE OBJECTIVES: In this course, we will examine our health and disease history, beliefs, and experiences, and the institutions we maintain that are in consonance or conflict with our beliefs. Through readings, class discussion, guest lectures, films, and field projects, we will confront the myriad of issues that surround us. Special emphasis will be placed on issues relevant to the U.S.-Mexican border. Throughout the class, we will maintain an “upstream” (sociological/public health) focus, as opposed to a clinical or “medical” perspective. The class is also designed, through targeted assignments, to improve general academic skills in the following areas: --reading comprehension and test-taking skills --understanding and interpreting statistics --accessing academic literature and internet resources --linking scientific evidence to lived experience and constructing new knowledge --honing observational and critical thinking skills --enlarging your vocabulary --encouraging self expression in oral and written communications These skills are connected to each other and portable to other classes and many job settings. TEXT: The Sociology of Health, Illness, and Health Care by Rose Weitz An additional book will be required. You may choose from a list of books I have compiled. After reading the book, you will write a 4-6 page reaction paper to it. That assignment may be turned in any time during the semester. The reaction paper will be worth 10% of your final grade. EXAMINATIONS: There will be an in-class midterm consisting of short answer and short essay questions, focusing on the text, readings, class lectures and presentations. You will have a choice of a final exam or a group project at the end of the semester. Each will be worth 15% of your final grade. JOURNAL: You will be asked to keep a journal, consisting of reading notes, homework assignments, vocabulary, independent observations, class notes, and reflections. I will occasionally give in class writing assignments. The journal will be worth 45% of your grade (15% homework, 15% reading notes, 15% everything else). Reading Notes. As you read the assigned chapters, outline what you think are the important points. During the first few weeks, I will give a formal lecture with an opportunity for you to check your notes with my assessment of key information. After that, our discussions will be less formal, and I will assume that you have read the chapter, and that we are “on the same page.” As you read and take notes, record any questions you have or note concepts that are unclear. Use these observations to enrich our classroom discussions by asking questions or connecting what you have read to something you have observed or experienced. Homework Assignments. On most weeks, you will be assigned a task designed to relate the readings to every day experiences, or to retrieve and interpret information from the library or the internet. These assignments are normally given on Thursdays so that you have the weekend (or you could plan ahead!) to complete the assignment. The small group sessions on Tuesdays are times for you to share your findings with a few of your classmates, and then designate someone to share your group’s observations with the rest of the class. We will discuss each assignment ahead of time in class. No assignment is complete without a reflection on what you have learned. GRADING: The remaining 15% of your grade will be based on attendance, preparation, and participation. PHILOSOPHY: I EXPECT EACH STUDENT TO BE AN “ACTIVE” LEARNER, TO COME TO CLASS PREPARED TO DISCUSS, DEBATE, SHARE EXPERIENCES, AND TO ASK QUESTIONS OF THEMSELVES, EACH OTHER AND ME. WEEKLY SCHEDULE 1/11 1/13 Introduction to Course Lecture (check reading notes) HW: Chapters 1 and 2, Reading Notes HW: Interview someone who smokes, drinks excessively, has unsafe sex, or is overweight 1/18 1/20 Small group discussion Lecture (check reading notes) HW: Chapter 3, Reading Notes HW: Find, Read and Summarize and academic article pertaining to minority health or the health of a special population, such as the homeless or veterans 1/25 1/27 Small group discussion Lecture/Discussion HW: Chapter 4, Reading Notes HW: Find statistics on the Internet about a disease/condition that disproportionately affects developing countries (eg. AIDS, malaria, conflict, natural disasters) 2/1 2/3 small group (statistics) Discussion HW: Chapter 5, article on Cultural Competence HW: Cultural Competence Stories 2/8 2/10 small group guest lecture HW: Chapter 6 HW: Interview a handicapped person or someone with a serious chronic illness 2/15 2/17 small group lecture/discussion HW: Chapter 7 HW: Watch and reflect on one of the following films: A Beautiful Mind, Girl Interrupted, One Flew Over the Cuckoo’s Nest, etc. 2/22 2/24 small group discussion HW: Chapter 8 HW: Interview someone involved in the health care system (e.g. a provider, a human resource person, insurance company) 3/1 3/3 small group midterm exam 3/8 3/9 guest lecture “Health Care System in Mexico” lecture 3/15 3/17 small group lecture SPRING BREAK HW: Chapter 9 HW: Chapter 10 HW: Spend an hour in an ER, with a sick friend or relative in a hospital, nursing home or hospice HW: Chapter 11 3/29 3/31 film “The Making of a Doctor” film (cont’d) 4/5 4/7 lecture small group 4/12 4/14 guest lecture (midwife, curandera or acupuncturist) film “Tuesdays With Morrie” HW: Chapter 13 4/19 discussion 4/21 open 4/26 4/28 open open 5/5 FINAL EXAM (10-12:45) HW: relate film to Chapter 11, read Chapter 12 HW: interview a non-physician health care provider HW: Choose a bioethics issue, and gather information about it, take a position and defend it READING LIST MEDICAL SOCIOLOGY 3362 DR. CHERYL HOWARD Life, Death, and In-Between on the U.S.-Mexico Border: Asi es la vida. Edited by Martha Oehmke Loustaunau and Mary Sanchez-Bane The Coming Plague, by Laurie Garrett The Spirit Catches You and You Fall Down, by Anne Fadiman Who Gave the Pinta to the Santa Maria?, by Robert Desowitz New Guinea Tapeworms and Jewish Grandmothers, by Robert Desowitz Spontaneous Healing by Andrew Weil Medicine Women, Curanderas, and Women Doctors, by Perrone, Stockel and Krueger Healing and the Mind, by Bill Moyers The Social Transformation of American Medicine, by Paul Starr. My Own Country, by Abraham Verghese And the Band Played On, by Randy Shilts Mental Health and Social Policy (3rd ed.), by David Mechanic The Role of Medicine: Dream, Mirage, or Nemesis?, by Thomas McKeown Rachel and Her Children: Homeless Families in America, by Jonathan Kozol Bad Blood: The Tuskegee Syphilis Experiment by James H. Jones