2_16_05_216j_rev - 21A.216J Dilemmas in Bio-Medical Ethics...

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2005/2/16 (W), Week 3, Class 5 Readings Byron Good, “How Medicine Constructs its Objects” in Medicine, Rationality, and Experience: An anthropological perspective , pp 65-87 Mary-Jo Good, American Medicine: The Question for Competence , Ch 6, “Narrative Strategies in Presentation and Performance” and Ch 7, “The Social Production of Physician Competence”, pp 125-167 Class Business Reflection Paper topic #1. Easy two pages. Look at handout. No more than 2 and a quarter pages. Be concise. Follow social science references, etc. No late papers, or it will be docked. Student presentation Start with Mary-Jo DelVecchio Good. Background: PhD Middle Eastern Studies, Harvard University. Prof of Social Medicine, Harvard Medical School (HMS). Mary-Jo DelVecchio Good, Professor of Social Medicine, Department of Social Medicine, Harvard Medical School, received her Ph.D. in Sociology and Middle Eastern Studies from Harvard in 1977. Her current research interests include cultural and comparative studies of biomedicine, bioethics, and biotechnology; globalization of medical knowledge and markets; and gender, health policy and international health. 1990 New Pathway at HMS – initially questionable results. Question: where “technical competence” depends on the impressions of others? Maybe or maybe not unique to medicine. In academia for example, it’s about what we produce, how well we get along with the people in our department. Team time. Doctors interacting with each other. Perfect medical student (MS) – cheerful and does anything for the residents. MS experience can be generalized. What do they care about? Students learned how to ask the right questions and more importantly learned how to give the right answers. Trust. How doctor-patient relationships progress over time. (We don’t cover malpractice in this course). Do doctors have a vested interest in what they disclose to patients? (We’ll see this in the disclosure section.) Yes, we’ll see this in malpractice issues. Hard to get a straight answer (for example, Prof James’s grandma’s wishy-washy diagnosis and hospice possibility). o House (TV show) example – HepC or Lupus; using the patient to test a medication to determine the disease and use lies. © 2005 MIT OCW
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This note was uploaded on 11/06/2011 for the course ANTHRO 216 taught by Professor James during the Fall '05 term at MIT.

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2_16_05_216j_rev - 21A.216J Dilemmas in Bio-Medical Ethics...

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