Lecture 2: What is Medical History? Flashcards

1
Q

Name a few ways that the history of health is different from the history of medicine?

A
  • medicine seems more prestigious than health
  • health can be more individualized, medicine more professional
  • Health is more social or cultural, medicine is more scientific
  • health outcomes are different form place to place, time to time. Medicine is more universal.
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2
Q

What’s the World Health Organization defined health as?

A

A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.

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3
Q

Does medicine define health?

A

No

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4
Q

Should we study the history of health or the history of medicine? Does it matter?

A

How would we know about breakthrough medical discoveries if it did not improve health?

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5
Q

Traditionally, who predominately wrote medical history?

A

doctors as they recorded important discoveries, innovations. They also recorded information about the leaders in medicine.

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6
Q

Why did doctors record medical history?

A

It was important to commemorate achievements as well as record them, and medical biographies gave medical students and junior physicians role models.

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7
Q

Who was William Osler?

A

A Canadian physician and one of he four founding professors of Johns Hopkins Hospital.

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8
Q

Who is considered the father of modern medicine?

A

Sir William Osler

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9
Q

What does William Osler use as an inspiration? How?

A

History as an inspiration.
Combined history and medicine because he would argue that we should use history to inspire young doctors to do great things.

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10
Q

What is William Osler’s concept of “books and bedside”?

A
  • Reading and listening

- Being at the bedside. Hands on.

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11
Q

What was history used as a critical device for? 2 examples?

A

Interpreting the relationship between medicine and society and informing policy.

  • i.e to understand the effects of disease on a population
  • the power of doctors over patients
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12
Q

When did Henry Sigerist live from? Where was he born? Where did he receive his MD and when?

A
  • 1891-1957, born in Paris

- MD from Zurich in 1917

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13
Q

When was Henry Sigerist director at JHU Institute for the History of Medicine?

A

1932-47

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14
Q

What did Sigerist encourage medical students to study?

A

disease patterns over time

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15
Q

What were the main things Sigerist believed impacted disease outcomes? What did he refer to these things as?

A

-wealth
-nutrition
-literacy
“Social determinants of health”

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16
Q

Sigerist saw health as a___device or right of___.

A
  • political

- citizenship

17
Q

What was Sigerist known for?

A

His controversial views on “socialized” medicine.

18
Q

What Sigerist a political advocate for equality?

A

yes

19
Q

Who was Thomas McKeown (1912-1988)?

A

British physician and medical historian

20
Q

What did Thomas McKeown believe medicine had a limited impact on?

A

improving the health of a population
-he was radical for arguing that medicine does a terrible job of improving our health outcomes. He said that social things have a larger impact.

21
Q

What did Thomas McKeown believe had nothing to do with high or low death rate? What did he believe played a role?

A
  • Major advancements in medicine had nothing to do with it.

- It had to do with levels of wealth in society.

22
Q

What did Thomas McKeown believe in?

A
  • nutrition (changing agricultural practices improved nutrition)
  • general wealth
  • water quality and sewage disposal
  • public health and sanitation
23
Q

By the___social historians (PhDs, not MDs) increasingly examined history of medicine.

A

1970s

24
Q

What was the social history of medicine less/more interested in?

A
  • Less interested in “great discovers, doctors, etc.”
  • More interested in expanded concepts of health, populations, and organized medicine. The ways the that health/medicine shaped culture (race, class , gender)
25
Q

In what ways were social historians critical of organized medicine?

A
  • some argued that the “medicalization” of society led to the empowerment of doctors over patients
  • Technology in the hospital benefited doctors, but made patients into automatons, or objects of medicine rather than its subjects.
  • (critical recuasse they wanted to contextualize the guys that made discoveries)
26
Q

Who do social historians believe we should look more at to understand the history of medicine?

A

They look more at patient. How should we understand the history of medicine if we look at it from the patient’s perspective?

27
Q

With medical history, who is there a division between within the discipline?

A

Between the histories that celebrate “great moments”, “great doctors” and “great discoveries” and histories that focus on the intersections of medicine/health and society/culture.

28
Q

What has the split within the history of medicine reflected a split between what two groups?

A

MD-historians and PhD-historians

29
Q

What did the long tradition of recording the history of medicine focus on?

A

-Professional developments (technologies, discoveries, “great doctors”)

30
Q

What did the relatively shorter tradition of history of health and medicine focus on?

A

-public health and medicine in relation to society (social determinant of health–nutrition,e education, wealth, sanitation)