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The medical journals and the politics of public health 1918-90
Published in William F. Bynum, Stephen Lock, Roy Porter, Medical Journal’s and Medical Knowledge, 2019
The BMJ published Sir Farquhar Buzzard’s endorsement of social medicine in 1942 in which he described centres for social medicine undertaking research in the promotion and preservation of health, coordinating social and health services and encouraging the reorientation of the medical curriculum.39 In its editorial column, the journal welcomed the subsequent setting up of the Institute for Social Medicine at Oxford and noted approvingly its clinical orientation: ‘This imaginative move has not had its origin in the public health service or in the Government Department officially concerned with health’.40 The first professor of social medicine at Oxford, John Ryle, followed Buzzard with a letter to the BMJ in which he attempted to flesh out his definition of social medicine as ‘applied aetiology’: Social medicine is clinical medicine activated in its aetiological inquiries by social conscience as well as scientific interest and having as its main purpose the education of progressive and lay thought and the direction of legislation on behalf of national health and efficiency.41
Health Care, Medical Care, and the Biomedical Approach
Published in John B. Davis, Robert McMaster, Health Care Economics, 2017
John B. Davis, Robert McMaster
These references to the social dimensions of health draw our attention to the social medicine movement. This sought, and seeks, to emphasize the social and structural influences on health, and notably found expression in the pioneering works of Rudolf Virchow and more recently in South America during the 1970s under the auspices of Salvador Allende while president of Chile.
International policy *
Published in Jamie Bartram, Rachel Baum, Peter A. Coclanis, David M. Gute, David Kay, Stéphanie McFadyen, Katherine Pond, William Robertson, Michael J. Rouse, Routledge Handbook of Water and Health, 2015
Jamie Bartram, Georgia Kayser, Bruce Gordon, Felix Dodds
Water (or “drinking-water”, meaning water for domestic purposes), often combined with sanitation and sometimes hygiene, has been a component of international development policy since 1936, with the Report of the League of Nations Health Organization (the predecessor of the WHO) on water supply and sewage treatment under its rural hygiene programme. This coincided with the LNHO emphasis on “social medicine” (i.e., public health) in the 1930s.
Systems thinking: advancing health advocacy training; a perspective from junior family physicians in the Middle East
Published in Education for Primary Care, 2020
Reina Alameddine, Rim Taleb, Khairat Al-Habbal, Kunal D Patel
Health advocacy is not exactly a stranger to the Lebanese medical curriculum. Several schools prime their students on the social determinants of health and introduce concepts of social medicine early in the medical years [6–9]. Yet, the teaching has traditionally taken the form of didactic lectures within classrooms. Rarely did students ‘experiment’ with advocacy. This, however, has changed as more family doctors are recognising the need for strong primary care and improved health access. This has resulted in an increasing number aiming to join academia and contribute to research. They have also widened clinical encounters from the hospital setting to outpatient dispensaries in underprivileged areas, allowing a more concrete exposure to social determinants of health within an academic supervised setup [10]. While recognising that vulnerability and advocacy are not restricted to the underprivileged, it may be easier for students to understand health needs in deprived settings. Advocacy and advocacy training, we believe, should be compulsory within undergraduate medical curricula if we want students to become future agents of change. This is not just in the Middle Eastern context, but globally.
The truth will out: a reflection on the life and times of Alice Stewart
Published in International Journal of Radiation Biology, 2022
In the background, the discipline of social medicine was developing as distinct from that of public health. In 1942, the Royal College of Physicians of London set up a Committee to ‘consider the subject of social and preventive medicine and to make recommendations for its future.’ The Committee’s 1943 report recommended that every medical school should establish a department of social and preventive medicine with a full-time professor, and undertake research. Some of the difficulties in establishing the new approach surrounded the need to ‘build a team in which specialists…could work together on various aspects of a common problem’ (Pemberton 1988).
A review of longitudinal clinical programs in US medical schools
Published in Medical Education Online, 2018
Galina Gheihman, Tomi Jun, Grace J Young, Daniel Liebman, Krishan Sharma, Eileen Brandes, Barbara Ogur, David A. Hirsh
Providing students with exposure to specific topics or practice settings was the most common major programmatic goal (70/89, 78.7%). For example, 40.4% of programs (36/89) emphasized exposure to social medicine including the social determinants of health, psychosocial aspects of health, and engaging with the healthcare system. Exposing students to specific patient demographics, such as geriatric patients, rural patients, and individuals with chronic disease, was a stated goal for 37.1% of programs (33/89).