Medical students talking in the hospital School of Medicine - Tulane University


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Interdisciplinary Seminar Series

History of Specialization

 
  Seminars offered per year: 3
Seminar Leader: Robert Martensen, MD, PhD.

Offered:

  • July 27th, 2005 at 1:00pm
  • November 30th, 2005 at 1:00pm
Sign up for this seminar.

General Objectives

  1. The overall goal is to provide students with historical and sociological perspectives on the nature of professional specialization as a complement to their experiences as clinical clerks on various specialties. The first objective is to enhance student ability to understand historical factors that have shaped medical specialization in general
  2. Enhance student historical knowledge of a particular specialty or sub-specialty of their individual choice
  3. Provide a general framework for understanding the division of medical work by specialization, including the differential impact of technology, scientific frameworks, social developments, and hospital organization on specialty development.
  4. Provide students with an analytical framework for understanding jurisdictional issues between specialties concerning the diagnosis and treatment of diseases of particular organ systems, e.g. debates between cardiologists and cardio-thoracic surgeons over appropriate interventions for ischemic coronary artery disease.

Students
Minimum Number: 4
Maximum Number: 6

Agenda
Total time of seminar = 180 minutes

  • Lecture = 20 minutes
  • Reading assigned articles = students expected to spend 1-2 hours in advance of seminar reading on the history of a specialty of their choice. Students expected to consult with instructor in advance of seminar concerning their choice/readings and arrive in class prepared to talk approximately 15 minutes about their exploration.
  • Working in pairs = 0
  • Working in small group = 120 minutes
  • Total group discussion = 120 minutes
  • Break = 10 minutes
  • Time allotted as needed = 25 minutes
Instructor will provide general historical background on the emergence of medical/surgical specialization as a central feature of U.S. medicine in the 20th-21st centuries. Then each student will discuss her/his readings in a particular specialty for 15 minutes each. A general discussion will follow concerning common themes in the history of specialization.

Prior to the seminar: students are expected to spend 1-2 hours in advance reading on the history of a specialty of their choice. The seminar leader will discuss choices and bibliographic resources with participants on an individual basis.

20 minutes: the seminar leader will provide general remarks on the history of medical specialization in the U.S. His talk will provide an analytical framework about the general process of specialty formation and the ways in which specialties gain and lose adherents and control over their work.

120 minutes: a small group discussion in which each participant will talk for approximately 15 minutes about her/his interest in a specific specialty and what he has learned in reading about its history.

10 minutes: break

25 minutes: in an interactive way, the seminar leader will comment on common themes in the presentations and provide additional references whereby participants may develop additional insights into specific specialties and the process of specialization itself.

 
   
 

 

 

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