Social Dimensions of Illness & Doctoring
Medical Ethics & the Health Care System
Professional Development 1 and 2 (PD1/2) are taught in weekly seminars throughout the first medical school year. This introductory portion of the PD course covers three broad areas: (1) social, cultural, and historical forces that shape health and disease, experiences of patients, roles of physicians, and technologies of care; (2) ethical dimensions of medical professional work; and (3) political and economic forces that influence the organization and delivery of health services. Overall, the course teaches students to think critically about social contexts and conditions of health care and medical work.
Because the range of course topics summons expertise from a range of disciplines across humanities and social sciences, as well as from clinical medicine and public health, it is taught by a multidisciplinary faculty using a broad range of reading materials—ranging from family case studies to policy analyses to poems and short stories—addressing how illness, medicine and medical practice are influenced by social, cultural, political, and economic forces. The “textbook” for PD1/2 is The Social Medicine Reader, a 3-volume collection edited by faculty members of the Department and published by Duke University Press. Selections from the Reader are supplemented each week by other, current selections from scholarly, journalistic, and literary writing.
Students write several papers during the year and hone verbal presentation skills around controversial topics. One culminating element of this course is a health care reform exercise that introduces students (through stakeholder role-playing in a Senate committee debate) to issues and interests involved in US health care politics.