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The Daily Practice of Compassion
Published in honor of the fiftieth anniversary of the founding of the University of New Mexico School of Medicine, this book provides more than an institutional history. Rich with anecdotes and personality, Dora Calott Wang's account is a must-read for anyone curious about health care in New Mexico.
Celebrated for its innovations in medical curricula, UNM's medical school began as an audacious experiment by pioneering educators who were determined to create a great medical school in a state beset by endemic poverty and daunting geographic barriers. Wang traces the enactment of the school's mission to provide medical education for New Mexicans and to help alleviate the severe shortage of medical care throughout the state. The Daily Practice of Compassion offers a primer for policy makers in medical education and health-care delivery throughout the country.
eBook
Gender, State, and Medicine in Highland Ecuador
In 1921 Matilde Hidalgo became the first woman physician to graduate from the Universidad Central in Quito, Ecuador. Hidalgo was also the first woman to vote in a national election and the first to hold public office.Author Kim Clark relates the stories of Matilde Hidalgo and other women who successfully challenged newly instituted Ecuadorian state programs in the wake of the Liberal Revolution of 1895. New laws, while they did not specifically outline women's rights, left loopholes wherein women could contest entry into education systems and certain professions and vote in elections. As Clark demonstrates, many of those who seized these opportunities were unattached women who were socially and economically disenfranchised.Political and social changes during the liberal period drew new groups into the workforce. Women found novel opportunities to pursue professions where they did not compete directly with men. Training women for work meant expanding secular education systems and normal schools. Healthcare initiatives were also introduced that employed and targeted women to reduce infant mortality, eradicate venereal diseases, and regulate prostitution.Many of these state programs attempted to control women's behavior under the guise of morality and honor. Yet highland Ecuadorian women used them to better their lives and to gain professional training, health care, employment, and political rights. As they engaged state programs and used them for their own purposes, these women became modernizers and agents of change, winning freedoms for themselves and future generations.
eBook
Carving a niche : the medical profession in Mexico, 1800-1870
The first comprehensive analysis of the professionalization of medicine in postcolonial Mexico.
Book
Captive on a carousel: discourses of ‘new’ in medical education 1910–2010
Medical educators aim to train physicians with sound scientific knowledge, expert clinical skills and an ability to work effectively with patients, colleagues and health systems. Over the past century, educators have devoted considerable thought and effort to how medical education might be improved. Analysing the language used to describe these initiatives provides insight into assumptions and practices. The authors conducted a Foucauldian critical discourse analysis of prominent recurrent themes in the North American medical education literature. The assembled archive of texts included works of Abraham Flexner, articles from the journal
Academic Medicine
(including its predecessor journals) and major medical education reports. A series of recurring themes were identified, including the need to avoid over-specialization, the importance of generalism, and the need to broaden criteria for medical student selection. Analysis of these recurring themes allowed identification of a prominent and recurrent discourse of ‘new.’ This discourse places focus on the future, ignores the ongoing historical nature of issues, suggests a sense of urgency and enables the proposal of modest solutions. It emphasizes changes for individual future doctors, thereby limiting consideration of institutional and systemic factors. Using the image of a carousel, the regular return of themes can be seen as carousel ponies circling around repeatedly in medical education. Identification of this medical education carousel provides an opportunity for medical educators to understand the historical nature of calls for change, and to consider what kinds of reform might be required if they wish to avoid this repetition in the future.
Journal Article