Med 90Q - Weekly Readings

A Dangerous Profession

Medicine 90Q -- Fall, 1999

Weekly Readings Updated 9.6.99

Week 1: Sept 28, 1999 Radical changes in medicine - economics, ethics, and the physician

Manson, A. Status panic among physicians. JGIM 1991;6:480-482.

Friedman, E. Capitation, integration, and managed care. JAMA 1996;275:957-962.

Smith, R. The future of healthcare systems. BMJ 1997;314:1405-1406.

Sulmasy, DP. Physicians, cost control, and ethics. Ann Intern Med 1992;116:920-926.

American College of Physicians, American College of Physicians Ethics Manual. Fourth Edition. Ann Intern Med 1998;128:576-594. [for reference only]

Week 2: Oct 5, 1999 Advancing the art and science of medicine

Charon, R et al. Literature and medicine: contributions to clinical practice. Ann Intern Med 1995;122:599-606.

Stegner, Wallace. The double corner,. in Collected Stories of Wallace Stegner. (New York: Random House, 1987), pgs. 159-178.

Evidence-based medicine working group, Evidence-based medicine JAMA 1992;268:2420-2425.

Howell, T, Watts, DT. Behavioral complications of dementia: a clinical approach for the general internist. JGIM 1990;5:431-437.

Reiser, SJ. The clinical record in medicine part 1: learning from cases: Ann Intern Med 1991;114:902-907.

Week 3: October 12, 1998 Defining the profession of medicine

Hughes, EC. The study of occupations., in Sociology Today, eds. Merton, RK, Broom, L, Cottrell (New York: LS. Basic Books, 1959), pgs 442-460.

Hippocrates. The Oath of Hippocrates.

Oberhelman, SM. The hippocratic corpus and greek religion, in The body and the text, eds Clark, B, Aycock, W. pgs 141-161. Lubbock: Texas Tech University Presss. 1990.

Pellegrino, ED. Thomasma, DC. Medicine as a moral community. in The virtues in medical practice. 1993. Oxford University Press pgs 31-50.

Starr, P. The social origins of professional sovereignty, in The Social Transformation Of American Medicine, (New York: Basic Books, In., 1982), pgs 3-29. 1982.

Week 4: Oct 19, 1998 The patient experience

Broughton, TA. Duck Season, in Ploughshares Reader, ed. Henry, D. pgs 128-145. New York: New American Library. 1985.

Fitzgerald, FT. The tyranny of health. N Engl J Med 1994;331:196-198.

Meador, CK. The last well person. N Engl J Med 1994;330:441-441.

Weaver, G. Finch the spastic speaks, in Despite this Flesh, ed. Miller, V. pgs. 35-45. Austin: University of Texas Press. 1985.

Week 5: Oct 26, 1999 What is healing? Who is the healer?

Kinsley, D. Theories of disease and types of healers, in Health, Healing, And Religion, (Upper Saddle River: Prentice-Hall, 1996), pgs 5-11.

Kinsley, D. Central themes in traditional healing, in Health, Healing, And Religion, (Upper Saddle River: Prentice-Hall, 1996), pgs 71-83.

Kinsley, D. The ideology of modern medical culture, in Health, Healing, And Religion, (Upper Saddle River: Prentice-Hall, 1996), pgs 168-176.

Week 6: Nov 2, 1999 When the physician fails

Bovbjerg, RR. Medical malpractice: folklore, facts, and the future. Ann Intern Med 1992:117:788-791.

Leape, LL. Error in medicine JAMA 1994;272:1851-1857.

Brennan, TA, Sox, CM, Burstin, HR. Relation between negligent adverse events and the outcomes of medical-malpractice litigation. N Engl J Med 1996;335:1963-7.[abstract only]

Localio, AR et al. Identifying adverse events caused by medical care: degree of physician agreement in a retrospective chart review. Ann Intern Med 1996;125:457-464.[abstract only]

Levinson, W et al. Physician-patient communication. JAMA 1997;277:553-559. [abstract only]

Week 7: Nov 9, 1999 Elements of the patient-physician relationship: Compassion

Pellegrino, ED, Thomasma, DC. Compassion, in The virtues in medical practice. New York: Oxford University Press, 1993. Pgs 79-83.

Maclean, N. Young Men and Fire. Chicago: University of Chicago Press. 1992. Pgs xii, 296-301.

Week 8: Nov 16, 1999 Elements of the patient-physician relationship: The relief of suffering.

Cassel, EJ. The nature of suffering and the goals of medicine. N Engl J Med 1982;306:639-45.

Charach, R. In dark tangled woods: psychotherapy. N Engl J Med 1991;324:568.

Rosenberg, C. How do I sign? N Engl J Med 1990;322:1400.

Week 9: Nov 23, 1999 Elements of the patient-physician relatonship: Focusing on the experience of the patient.

Delbanco, TL. Enriching the doctor-patient relationship by inviting the patient's perspective. Ann Intern Med 1992;116:414-418.

Week 10: Nov 30, 1999 The life experience of the physician

Berger, J, Mohr, J. A Fortunate Man, Cambridge: Granta Books, 1967.

Morton, JA, Jacobs, MB. A dangerous profession. West J Med 1996;164:276.

Tierney, WM Miles. JAMA 1985;253:1268.

Finals Week: Dec 7, 1998 Course evaluation

Evening dinner discussion (date to be announced) Surviving the career

Bandura, A. Exercise of personal and collective efficacy in changing societies, in Bandura, A. Editor. Self-Efficacy In Changing Societies, pgs. 1-45, Cambridge: Cambridge University Press. 1995.

Covey, SR. Put first things first, in The 7 Habits Of Highly Effective People, pgs. 145-182, New York: Simon and Schuster, 1990.