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140.04: MEDICAL HUMANITIES AREA OF CONCENTRATION
Pre-meeting 1:
Bring to the first meeting a piece of writing that pre-dates the year 1900, whether it is a poem, a play, a piece of fiction, a Bible verse, a song: any piece of writing.
Meeting 1: September 25
Tuesday ( applied humanities)
The Craft of Writing
Guest: Cherylene Lee, SF Playwright, on the craft of writing and developing character.
Topic: Writing exercises and ‘thought experiments’ to help generate ideas for character development, plot, voice and tone. The focus is on nuance and detail, rather than broad organizational structure.
Materials:
Ruth Behar,The Vulnerable Observer (two chapters)
Abraham Verghese, “The physician as storyteller.” Ann Intern Med. 2001;135:1012-1017.
Vocabulary: Think critically about how you would begin to define your own legacy project according to the following terms. (You may want to surf for some sites that elaborate on literary analysis; I found one basic site that runs through various terms:
http://www.rscc.cc.tn.us/owl&writingcenter/OWL/ElementsLit.html)
Plot
Thesis
Audience
Tone
Voice
Purpose
Medical Themes: This is an open-ended writing exercise to help develop basic skills as a foundation for writing your AoC legacy. You will be asked to reflect on your experiences of encountering new situations as they relate to:
clinical experiences
patient care
Meeting 2: September 27
Thursday (interpretive humanities)
Line by Line
Guest: Guy Micco, MD, JMP, UC Berkeley. Expression in poetry.
Topic: During this class students will learn the skills of conducting a ‘close reading’ of literature and how to analyze meaning in different literary genres.
Materials: Pre-set readings as below (with some questions to reflect upon):
Assorted Poems.
PLUS:
1) Leslie Fiedler, “The Tyranny of the Normal ”, pp. 3-11
2) William Hoskin, “Neurology Rounds”, pp. 262-3
Both from The Tyranny of the Normal : An Anthology, Carol Donley and Sheryl Buckley, eds. (Kent State,1996)
• Does Leslie Fielder have any legitimate authority to talk about normal and deviant?
• Public obsession with ‘freaks': why does there seem to be a pop culture surrounding the abnormal?
• (Neurology rounds): Why are medical references placed in quotation marks?
• Why do patients get put into “categories of anonymity”?
More readings TBA.
Russer, "Loss", Annals of Medicine
Coulehan, "Emotions"
Vocabulary:
Deconstruction
Medical Themes:
Medical communication
Humanism
Meeting 3: October 2
Tuesday (applied humanities)
Writing the Scene
B. Dolan. “Writing the scene”
Topic: This session examines issues in translating information between genres and highlights the diversity of perception and the articulation of objectivity. Students will be asked to write a textual description of a movie clip and a painting which will be compared against others’ textual representations, including that of the original author/screenwriter. We will then relate the results of this exercise to theories in literary criticism and film theory.
Materials: You will be asked to watch a video clip (on-line) and then to write the scene as you imagine it would have been written in a script or novel. You will be asked to textually describe a selected painting. We will then compare our representations.
Watch this clip.
Dobson, Roger. “Can medical Students learn empathy at the movies?” BMJ, 329, 2004, 1363.
O’Connor, M. “The Role of the Television Drama ER in Medical Student Life: Entertainment or Socialization?” JAMA, 1998 280.9 845-7.
Diem, Susan, Lantos, John, Tulsky, James. “Cardiopulmonary resuscitation on television: miracles and misinformation” NEJM, 1996, 1578-82.
Handouts:
John Darnton, “A Vigil Worth Keeping”—Published essay and draft. Please see the questions at the end of the draft essay which we will discuss. The point of this article is to raise awareness of establishing a thesis.
Richard Selzer, “Mercy”—published essay and four manuscript drafts. Please see the questions at the end of the drafts which we will discuss. The point of this reading is to talk about ways that words get “pushed around on a page until you like the way they look.”
Vocabulary:
Gestalt shift
Representation
Social Construction
Medical Themes:
Visual evidence/Imaging
Subjective/Objective notes
Meeting 4: October 4
Thursday (interpretive humanities)
Bedside Manners
Guest: David Watts, MD, UCSF: 3:00pm – 4:30pm: Discussion of his book, Bedside Manners.
Topic: Discussion with the author about non-fiction writing, medical ethics and exploring medicine from the points of view of physicians, patients, residents, students, and staff.
Materials: Read Bedside Manners by David Watts (not provided). Also:
Anatole Broyard, “Doctor, Talk to Me”, 166-172 PDF available
• What kind of doctor does Broyard want? Is this the desire of a ‘mad' patient?
David Hilfiker, “Mistakes”, 325-36 PDF available.
Vocabulary:
Bioethics (as opposed to ‘medical ethics’)
Medical Themes:
Medical error
Empathy
Doctor/patient relationship
Medical communication / public understanding of medicine
Medical decision making
Meeting 5: October 9
Tuesday (applied humanities)
Methods in the Humanities
B. Dolan – Methods in the humanities.
Topic: In this class students will be introduced to the basic methods of research in the humanities and social sciences, including historical research, qualitative methods of investigation (interviewing, survey, ethnography), and data analysis. We will discuss ways this can be applied to proposed student AoC legacy projects and medical research projects generally.
Materials:
Beverly Ann Davenport, “Witnessing and the Medical Gaze: How Medical Students Learn to See at a Free Clinic for the Homeless”, Medical Anthropology Quarterly 14 (2000), 310-327.
Jon Stewart, “The shared terrain of narrative medicine and advocacy journalism.” The Permanente Journal, Spring 2004, Vol 8 No.2.
Carol A Horowitz et. al., “What do doctors find meaningful about their work?” Ann Intern Med. 2003;138:772-775.
Jacalyn Duffin, “A Hiippocratic Triangle: History, Clinical Historians, and Future Doctors”, in Frank Huisman and John Harley Warner, eds, Locating Medical History (Baltimore: The Johns Hopkins University Press, 2004), pp. 432-450. PDF available.
Jonathan Moreno, “Call Me a Doctor? Confessions of a Hospital Philosopher”, Journal of Medical Humanities 12 (1991), 183-196.
• “ ‘No one is trained for this', I repeated to myself.” (p. 184) Would a difference between a pure clinical training or a pure philosophical training make any difference to the author's dilemma?
• What is the difference between medical humanities and medical ethics?
Vocabulary:
Ethnography
Grounded Theory
Fieldwork
Qualitative Research
Medical Themes: As they apply to analyzing the patient experience, clinical encounter, and the production of biomedical knowledge.
Meeting 6: October 11
Thursday
Assessing Impact
B. Dolan. Legacy Project Review.
Topic: This session is devoted to reading the latest plans-in-development for each student legacy project, and working on revisions, timelines, budget statements, and research plans.
Materials: We will read pre-circulated materials written by each student, review past-AoC legacies as appropriate, review AoC guidelines for legacy preparation and read any supporting materials that will serve to advance our understanding of the context of each legacy project.
Vocabulary: TBA
Medical Themes: Elaborated on according to student legacy projects.
Meeting 7: October 16
Tuesday
Health through the Lens
Guest: Jeffrey Schonberg, PhD Program, Medical Anthropology, on Photo-Ethnography: what does looking through a camera tell us about health?
Topic: An exploration of how participant-observation fieldwork among mulit-enthic homeless heroin addicts can be documented for analysis through the use of photography
Materials: Background reading:
Philippe Bourgois and Jeffrey Schonberg, “Intimate Apartheid: Ethnic Dimensions of Habitus among Homeless Heroin Injectors”, Ethnography 8 (2007), 7-31. PDF available.
Jeffrey Schonberg and Philippe Bourgois, “The Politics of Photographic Aesthetics: Critically documenting the HIV epidemic among heroin injectors in Russia and the United States”, Drug Policy 13 (2002), 387-392. PDF available.
Vocabulary: Define the following and be able to cite prominent authors associated with its conceptual or methodological uses:
Ethnography
Habitus
Medical themes:
Intravenous versus intramuscular or subcutaneous heroin injection
Health disparities and poverty
Genetic predisposition
Cultural theories about race
Wednesday
On Anatomy
Guest: Bill Hayes, San Francisco author, on narrative style and research methods.
Topic: We will read excerpts from his forthcoming book The Anatomist, a history of Gray’s Anatomy and the author will discuss how he wove history and his personal experiences into the story. We will also discuss the uses of history of medicine for clinical practice.
Materials: Readings to be distributed from Bill Hayes relating to his book-in-press. Also:
Roger French, “The Anatomical Tradition” in W. Bynum and R. Porter (eds.) Companion Encyclopedia of the History of Medicine (London: Routledge, 1993), pp.81-101.
Byron Good, “How medicine constructs its objects”, Medicine, Rationality and Experience: An anthropological perspective (Cambridge: Cambridge University Press, 1994). PDF available.
Vocabulary: The discipline of history has developed a vocabulary to describe (condemn) certain ways that historical narrative is done, especially when written by MDs.
Presentist
Whiggish
Inernalist (not relating to internal medicine)
Note bene: these terms are drawn from Duffin’s article—and do not characterize Hayes’s work!
Medical Themes:
Gross anatomy
Meeting 9: October 18
Thursday
3:30-5:00 Social Medicine Grand Rounds
"Unhealthy Charity? The Responses of Women with Breast Cancer to Pink Ribbon Fundraising" by Samantha King, PhD, Queen's University, Canada
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