The Humanities and Social Sciences in Medicine
January 29, - February 23, 2001
Daily
8AM – 12PM
Course Director: Martin Donohoe
Monday, 1/29/2001
8:30am-9am:
Course Intro
Martin Donohoe
9am-12pm:
Contemporary Issues in Women’s Health Care: Violence Against Women, Rape, Teen Pregnancy, The
Family, Child Care, Sexual Harassment, Historical and Contemporary Ideals of Beauty, Female Genital
Mutilation, and International Human Rights Abuses
Martin Donohoe
Donohoe M. Contemporary Issues in Women’s Health Care (Handout).
Tuesday, 1/30/2001
9am-10am:
Minimata Disease: The Photography of W Eugene Smith
Martin Donohoe
Land Mines
Martin Donohoe
10am-11am:
Dancing Faeries and Popular Delusions in the Middle Ages; Links with Multiple Chemical Sensitivity
Loren Pankratz
No readings.
11am-12pm:
Munchausen Syndrome By Proxy
Loren Pankratz
Pankratz L. Munchausen syndrome by proxy 1997 (case study).
Wednesday, 1/31/2001
NO CLASS – Work on History of Medicine papers and student talks
Thursday, 2/1/2001
8am-10am:
The Development of the Starr-Edwards Heart Valve
Annette Mathews
Handout
10am-12pm:
Human Health and the Environment
Martin Donohoe
Humanities and Social Sciences in Medicine
Webster D. Inside the $10 billion black market in endangered animals. NY Times Mag 1997 (Feb 16):2633, 49, 53, 61.
Donohoe M. Handout: “The Health Consequences of Environmental Degradation and Social Injustice”
Friday, 1/2/2001
8am-9am:
Community Oriented Primary Care (“Here Comes Another Burnside Bum”)
Neil Rendelman
Link BG, Phelan J. Social conditions as fundamental causes of disease. J Hlth & Soc Behav 1995 (extra
issue):80-94.
Rendelman N, Feldstein A. Occupational injuries among urban recyclers. J Occup Envir Med
1997;39(7):672-5.
9am-10am:
Student Presentations
10am-11am:
Mandatory Reporting of Alcoholics in the Emergency Room (Room 11D-03)
Carol Bonnono
Videotape from Dateline, NBC TV.
The Cost of Alcohol-Related Traffic Crash Injuries: Fact Sheet, MADD, 1989.
Liu S, Siegel PZ, Brewer RD, Mokdad AH, Sleet DA, Serdula M. Prevalence of alcohol-impaired driving:
results from a national self-reported survey of health behaviors. JAMA 1997;277:122-5.
Chang G, Astrachan B, Weil U, Bryant K. Reporting alcohol-impaired drivers: results from a national
survey of emergency physicians. Ann Emerg Med 1992;21:284-90.
How an Idea becomes Law: A Simplified Version of the Oregon Legislative Process.
Reporting Intoxicated Drivers, ORS 676.260-676.280. Oregon Association of Hospitals and Health Systems
- Member Legal Services.
11am-12pm:
Commissioning Public Bioethics (Room 11D-03)
Patricia Backlar
National Bioethics Advisory Commission Executive Summaries on:
Human Stem Cell Research, Rockville, Maryland, September 1999.
Capacity Report, Rockville, Maryland, December 1998.
Monday, 2/5/2001
8am-9am:
Student Presentations
9am-10am:
History of Medicine Lecture: Boerhave and Aunbrugger
Pete Sullivan
Handout
10am-10:30am:
Student Presentation
10:30am-12pm:
Psychiatry and the Law: War Criminals
Landy Sparr
Sparr L. The Interface of Psychiatry and the Law at the International War Crimes Tribunal: Diminished
Responsibility or Perpetuation of Undiminished Confusion? pp. 6-20.
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Humanities and Social Sciences in Medicine
Tuesday, 2/6/2001
9am-10am:
Student Presentations
10am-11am:
Challenges of Treating Hematologic Disease in the Developing World
Tom Deloughery
Chandy M. Management of Hematological Diseases: Socio-Economic Aspects. Hematology 1999:73-76.
Williams JA, Marina N, et al. Developing a pediatric hematology/oncology partnership program (PHOPP)
in El Salvador. Abstract
11am-12pm:
Physician-Physician Relationships
Steven Jones
Lowenstein J. The Midnight Meal.
Wednesday, 2/7/2001
8:10am-9am:
Doctors in fiction – are they real? Do we know them?
Jack McAnulty
Chapter 6 from Run with the Horseman, by Ferrol Sams (New York: Viking-Penguin, 1982).
9am-10am:
Oregon’s Assisted Suicide Law - Ethical, Legal, and Clinical Aspects
Susan Tolle
Lee MA, Tolle SW. Oregon’s assisted suicide vote: the silver lining. Ann Int Med 1996;124:267-9.
Lee MA, Nelson HD, Tilden VP, Ganzini L, Schmidt TA, Tolle SW. Legalizing assisted suicide - views of
physicians in Oregon. N Engl J Med 1996;334:310-5.
10am-12pm
Leonard DaVinci’s Anatomical Drawings
June Ferar
Thursday, 2/8/2001
8am-10am:
Narrative ethics for clinicians
Merilee D. Karr
Karr MD. Of Mice and Women, a ten-minute play. 1998
Karr MD. Development notes from journal for the play Of Mice and Women, 1999
Wedekind A, Seebeck T, et al. MHC – dependent mate preferences in humans. Royal Society 1995:245-49.
10am-11am: (Hatfield, Room 11D-03)
Health Consequences of Tobacco/The Tobacco Industry
Martin Donohoe
11am-12pm: (Hatfield, Room 11D-03)
Health Issues of Migrant and Seasonal Farm Workers
Eric Hanson
Handout: Hanson E. The Health Issues of Migrant and Seasonal Farm Workers
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Humanities and Social Sciences in Medicine
Friday, 2/9/2001
8am-5:15pm:
Northwest Society of General Internal Medicine Conference
(Oregon Medical Association)
Monday, 2/12/2001
8am-9am:
The Limits of the Doctor-Patient Relationship
Martin Donohoe
“To Respond Always,” by Douglas R. Mailman, from M Lacombe (ed.), On Being a Doctor (Philadelphia:
American College of Physicians, 1995).
“The Consultation,” by Richard Selzer.
9am-10am:
Ethical Considerations of Complementary and Alternative Medicine in Western Medical Settings
Karen Adams
Handout
10am-11am:
Physician Moral Diversity and Conscientious Objection in the Provision of Abortion Services
Karen Adams
Meyers C, Woods RD. An obligation to provide abortion services: what happens when physicians refuse?
J Med Ethics 1996;22:115-120.
Lazarus ES. Politicizing abortion: personal morality and professional responsibility of residents training in
the United States. Soc Sci Med 1997;44(9):1417-1423.
Cole HM. Legal interventions during pregnancy: Court-ordered medical treatments and legal penalties for
potentially harmful behavior by pregnant women. JAMA 1990;264(20):2663-2670.
11am-12pm:
The Physician Faces Illness
Miles Edwards
Edwards MJ. Facing life-threatening illnesses. The Pharos. Summer 1997.
Edwards MJ, Garland M, et al. Medicine’s essential patient-centered ethic. The Pharos. Fall 1999.
Tuesday, 2/13/2001
8am-9am:
Dept. of Medicine Grand Rounds, OHSU Hospital 8B-60
Urine Trouble: Practical, Legal and Ethical Issues Surrounding Mandatory Physician Drug Testing
Martin Donohoe
Donohoe MT. Urine Trouble: Practical, Legal and Ethical Issues Surrounding Mandatory Physician Drug
Testing (Handout).
9am-9:30am:
Discussion of Physician Drug Testing
Martin Donohoe
9:30am-10am:
Student Presentation
10am-11am:
Pastoral Care
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Humanities and Social Sciences in Medicine
Jim Berry
Moyer FS. Pastoral care in the hospital. J Pastoral Care 1989:XLIII(2):171-83.
11am-11:30am:
Mandatory Reporting Laws and Doctor-Patient Confidentiality: Domestic Violence, Alcoholics in the ER,
Infectious Diseases, Violent Crimes, Substance-Abusing Pregnant Women, etc.
Martin Donohoe
Hyman A, Schillinger D, Lo B. Laws mandating reporting of domestic violence: do they promote patient
well-being? JAMA 1995;273:1781-1787.
11:30am-12pm:
Student Presentation
Wednesday, 2/14/2001
8am-10am:
Extending Access to Everyone in Oregon: Public Forum with Reflections
Michael Garland
Trigger Items for Discussion (please fill out before coming to class)
Kitzhaber J. “State of the State” address (1/21/00)
Data from “Uninsured in Oregon, 1998”
Project diagrams
“A Ritual to Read to Each Other” by William Stafford.
“Aunt Mabel” by William Stafford.
10am-12pm:
William Styron and Depression
Peter Hatcher
Excerpt from William Styron’s Darkness Visible.
Thursday, 2/15/2001
8am-9am:
Immigration and Health Care/California’s Proposition 187/Latino Health Care
Martin Donohoe
Lacombe MA. Gordian knot. Am J Med 1993;94:76-76.
Evans CA. Immigrants and health care: mounting problems. Ann Int Med 1995;122:309-310.
Flaskerud JH, Kim S. Health problems of Asian and Latino immigrants. Nursing Clinics of North America
1999;34(2):359-380.
Donohoe M. Handout on Latino health care.
9am-10am:
The Controversy over Oral Contraceptives and Thrombosis
Leon Speroff
Speroff L. Oral contraceptives and thrombosis. 1998
10am-11am:
Race and Health Care
Martin Donohoe
“The Sky is Gray,” by Earnest J Gaines, from Marion Gray Secundy (ed.), Trials, Tribulations and
Celebrations: African-American Perspectives on Health, Illness, Aging and Loss (Yarmouth, ME:
Intercultural Press, 1992).
Brandt AM. Racism and research: the case of the Tuskegee Syphilis Study. Hastings Center Report
1978;8(6):21-29.
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Humanities and Social Sciences in Medicine
Gamble VN. Under the shadow of Tuskegee: African Americans and health care. Am J Publ Hlth
1997;87:1773-1778.
Questionnaire: Research or Racism? Harper’s Magazine 1997 (Sept):18.
Jury Rigging Laid Bare. Harper’s Magazine 1997 (June):23-24.
11am-12pm:
Ethical Issues Related to Conjoined Twins
Martin Donohoe
Handouts: Court-Ordered Separation of Conjoined Twins
Handouts: Ethical and Moral Thinking/Analysis from Michael Garland
Friday, 2/16/2001
8am-9am:
Law/Psychiatry/Deinstitutionalization/Abuse of Psychiatry
Joe Bloom
“Introduction: The Shame of the Streets,” from RJ Isaac and VC Armat.
Madness in the Streets: How Psychiatry and the Law Abandoned the Mentally Ill (New York: The Free
Press, 1990).
Handouts on forensic psychiatry
9am-10am:
The History of Infant Nutrition and Breast Feeding vs. Formula in the Third World
Oliver Massengale
Radbill SX. Infant feeding through the ages. Clin Ped 1981;613-21.
Anderson GC. Science brought to mothering (review of Mothers and Medicine: A Social History of Infant
Feeding, 1890-1950, by Rima Apple). Science 1989;244:843-5.
Short SED. History in the medical curriculum: A clinical perspective. JAMA 1982;248:79-81.
10am-10:30am:
Break
10:30am-12:00pm (Hatfield Bldg, Room 11D03)
Monday, 2/19/2001
NO CLASS – Holiday
Tuesday, 2/20/2001
8am-9:30am:
Domestic Violence (Hatfield, Room 11D-03)
Christina Nicolaidis
Videotape: “The Voices of Survivors: Domestic Violence Survivors Educate Physicians”
9:30am-11am:
The Pharmaceutical Industry/Academia-Industry Relationships
Martin Donohoe
Donohoe M. The Pharmaceutical Industry.
11am-12pm:
Adolescence / Sexuality
Martin Donohoe
“If They Knew Yvonne,” by Andre Dubus (from the North American Review).
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Humanities and Social Sciences in Medicine
Warner DL, Boles J, Goldsmith J, Hatcher RA. Disclosure of condom breakage to sexual partners. JAMA
1997;278:291-2.
“The Christian Fright,” from Harper’s Magazine 1997(Oct):20-3.
Wednesday, 2/21/2001 (Bring 5 copies of history of medicine paper today)
8am-9:30am:
Poetry and Healing
Lisa Wiener
9:30-10:30am:
Child Abuse: Impact on Children and Families
Arlene Ritzen and Pam Crowe
10:30-11am:
Student Presentations
11am-12pm:
10:30am-12pm:
Death and Dying/DNR – Ethical Issues
Martin Donohoe
Kennedy AL. The Gift. Ann Intern Med 1996;125:513.
Kahlil Gibran (1993). The Prophet. New York: Alfred .A. Knopf
D.J. Enright (1983). The Oxford Book of Death. Oxford, New York: Oxford University Press, “The
Venerable Bebe” , Ecclesiastical History of the English People; “An Essay on Man” by Alexander Pope
(1688-1744); “Holy Sonnets” by Donne; “On the fear of Death” by William Hazlitt (1778-1830); “Do not
go gentle into that good night” by Dylan Thomas (1914-1953); “The Royal Way” by Andre Malraux
(1901-1976); “ Maxims” by La Rochefoucald (1613-1680); “Getting Even” by Woody Allen (b. 1935);
“Pensees” by Blaise Pascal (1623-1662); “ In Memoriam A.H.H.” by Alfred Lord Tennyson (1809-1892);
Anon. It’s Over Debbie. JAMA 1988;259:272.
Thursday, 2/22/2001
8am-9am:
Origins of critical care units
Alan Barker
9am-10am:
Man in Extreme Environments
Gary Rischitelli
10am-11:30am: (Hatfield, Room 11D-03)
The ethical, cultural, and clinical aspects of caring for gypsies
Barbara Glidewell
Maas, P. (1975). King of the Gypsies. New York: Viking Press.
Suthterland, A. (1975). Gypsises: The hidden Americans. London: Tavistock Publications.
Sway, M. (1988). Familiar strangers. Urbana, IL: University of Illinois Press.
Thomas, JD. (1985). Gypsies and American Medical Care. Medicine 102:842-45.
Gypsy culture protocol at OHSU – instructor to bring
In Search of History: The Curse on the Gypsy (video from the History Channel)
11:30am-12pm:
Student Presentation
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Humanities and Social Sciences in Medicine
Friday, 2/23/2001
8am-9am:
Charles Dotter and the History of Interventional Radiology at OHSU
Misty Paine
Handout
9am-10:30am:
Medical/Hospital Waste (Health Care without Harm)
John Krotchko
Greening Hospitals Chapter 2: Medical Waste Treatment.
Greening Hospitals Chapter 3: Mountains of Medwaste.
10:30am-12pm:
Discussion of Students’ History of Medicine Papers
Martin Donohoe
Catch-up and Evaluations
Martin Donohoe
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Humanities and Social Sciences in Medicine
Farewell Readings:
Dillard A. The wreck of time: taking our country’s measure. Harper’s Magazine 1998 (Jan):51-6.
Pastor Niemoller, “First they came for the Jews...”
“Work,” from Gibran K. The Prophet (New York: Alfred A Knopf, 1923)
Anonymous. “Desiderata” (1692).
Crawshaw R, Rogers DE, Pellegrino ED, et. al. Patient-physician covenant. JAMA 1995;273:1553.
Kornrich WJ. An old horse. JAMA 1989;262:2902.
Kleinman LC. Health care in crisis: a proposed role for the individual physician as advocate. JAMA 1991;265:19911992.
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Humanities and Social Sciences in Medicine
Potential Student Presentation Topics
medical student abuse
medical marriages, divorces, pregnancy during medical training
abortion / fertility - epidemiology
substance abuse policies
early discharge of mothers and newborns - data and policy
suicide
impaired physicians
physician fraud
culturally-defined illnesses
injury prevention - fires, helmets, etc.
auto safety
corporate welfare
literacy and health care
other countries’ health care systems - e.g., Canada, UK, Australia, Japan, Germany, Russia, etc.
child abuse
corporal punishment
capital punishment
torture / PTSD
vivisection
historical and cultural aspects of obesity and eating disorders
farming and health
breast feeding - international aspects of infant nutrition
diseases in history - e.g., plague, etc.
famous figures in the history of medicine, nursing, dentistry, and public health
history of contraception or childbirth
malpractice
space medicine
childhood lead poisoning
medical aspects of adoption
refugees
sex education in the schools
polygraph testing
funerary rituals and attitudes toward death historically or in other cultures
humor in medicine
architecture and the modern hospital
other...
Public Health and Social Justice Website
http://www.phsj.org
martindonohoe@phsj.org
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