EEH 530 10_03
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University Of Arizona *
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1364
Subject
Medicine
Date
Apr 3, 2024
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3
Uploaded by ElderThunderQuail37
10/03/2023
“All ABOUT THE EVOLUTION”
: The Evolution of Medical Education From Pre Colonial -
Present
Identify at least 3 lessons that the American medical profession could learn from it’s history
Something we can continue to learn from our history is the importance of education and
apprenticeship. We saw that in the past educational reform caused this “level of maturity” and
really helped in the growth and development of medical professionals
The American medical profession can learn to understand the context of their patients and their
needs. Physicians should not simply hand out orders and medication and look into the root
causes of their issues and provide them with a unique course of action for their treatment.
To learn from the unethical decisions that once took place in our history and learn from them.
Understand what is ethical and what isn’t and how that affects the people they are trying to help.
Puspa Sabu
In class activity 5
1
a)
During the Cholera outbreak, “physicians” most likely trained through an apprenticeship
system in which they watched other physicians practice and learn from them. There was
no educational system and the only people accepted to shadow doctors to become one
themselves were white males. On the other hand, during the COVID-19 pandemic, at that
point doctors were trained through a uniformed standardized system which includes
education, fellowships, and residency which required exams and licenses to be able to
practice medicine. The physicians during this time are highly trained in comparison to
during the Cholera outbreak.
b)
During the cholera outbreak, there really was no educational institution responsible for
governing quality medical education. This system was more of shadowing physicians
until you pick up their ways of practicing medicine. However during the COVID-19
outbreak, there are more reformed and standardized medical institutions that are ensuring
quality medical education.
c)
During the Cholera outbreak, the level of expertise acquired among new physicians was
little to none. Many of the teachings were not evidence based, there was no education
system, rather it was just learning as you go while you watch the person you are
shadowing. During the COVID-19 pandemic, the level of expertise acquired among new
physicians would be high. This is due to the fact that these physicians have gone through
a rigorous standardized curriculum, have passed multiple exams, have received licenses
and gone through many years of education.
2
a)
Marginalized communities during the Cholera outbreak were treated very poorly. Often
the poor did not even get to see a physician due to not being able to afford it, and the
enslaved may have been seen but were not very cared about outside of the loss of labor.
However for the purposes of containing the disease, these marginalized individuals were
placed in pest houses which were unsanitary as a means to contain disease, not
necessarily treat it. Additionally these communities were often blamed for the disease and
the spread of the disease. During the covid-19 marginalized communities, especially
Asian Americans were blamed and targeted due to misinformation for covid-19 and the
spread of it. This was often done by the population, and possibly at institutional places
like hospitals.
b)
During the cholera outbreak, policymakers did not do anything to reduce the social
stigma and bias towards the marginalized groups, they most likely just did not care
enough to. However during the covid-19 pandemic a legislation was passed to reduce the
social stigma and bias towards marginalized groups and give people the ability to report
hate crimes in addition to being aware of them.
3
a)
During the 1830s, the elite, who are people who had money and power had access to
what was known to be quality healthcare access and treatment services. With the changes
to our healthcare system and introduction of insurance since then, access to healthcare
services has widened to more people including those that are low income and
disadvantaged.
b)
During the cholera outbreak, medical services were most likely paid for by directly
handing cash to the physician doing the service or some equivalent such as gold or
valuable items. In comparison to now, medical services are often paid for by insurance
companies.
c)
During the cholera outbreak, I don't believe that the underserved had access to any kind
of prevention care or treatment resources. During that time, the underserved were not
really cared about and preventative care was not as focused on. In terms of treatment
resources, when it comes to the underserved, I feel like medical “professionals” were
more focused on containing the disease and stopping it from spreading, rather than
actually treating people. I feel like during the covid-19 there has been a lot of
improvement in underserved communities having access to prevention care and treatment
resources. One specific example that sticks out to me is the delivery of covid-19 vaccines
in underserved communities, often making the vaccine free and locally available.
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