Recitation Syllabus - Sociology 1022

Ethical and Social Issues in Health and Medicine

Fall 2006

 

 

Section 011 – Wednesday, 8:00-8:50 AM – LIBR M300D

Section 012 – Wednesday, 10:00-10:50 AM – HUMN 186

Section 013 – Friday, 8:00-8:50 AM – DUAN G2B21

Section 014 – Friday, 1:00-1:50 PM – EKLC E1B75

 

Teaching Assistant: Jeff Dennis

Jeffrey.dennis@colorado.edu

Office - Ketchum 8

Office Hours - Wednesday, 11:30 a.m. - 1:30 p.m. & by appointment

 

 

The Course will focus on health, ethical and medical issues from a sociological perspective. We will discuss the distribution of health services and resources, ethical decision-making, rights and responsibilities and gender and race issues in: health care delivery systems, disease control, research, reproductive health, birth and death issues, and legal and malpractice problems.  The recitation will provide a setting to discuss issues raised in the lectures and readings in an informed, thoughtful manner. 

 

Required Texts

 

There are no reading assignments in addition to those assigned for the lecture.   However, should articles or news reports present themselves during the course of the semester, I reserve the right  to assign additional reading.

 

Conrad, P., Editor, The Sociology of Health and Illness, St.Martin’s Press, 7th Edition, 2001.

 

Mappes, T. and D. DeGrazia. Biomedical Ethics. McGraw/Hill, 6thh Edition, 2006.

Occasional E reserve readings  as indicated.

 

Grading

 

Recitation constitutes 1/3 of your grade (200 points) for the course.  These 200 points are based on your class participation, attendance, weekly notes, and a short essay, broken down as follows.

 

Class participation – 50 points

Attendance – 50 points

Weekly notes – 70 points (5 points each)

Short Essay – 30 points

 

The standard CU grade scale will apply.

 

If you have any uncertainty related to assignments or don’t understand why you have received a certain grade, you may visit me during office hours or schedule another time for us to talk.  However, be aware that I will most likely NOT change any grades.  If you are uncertain of the parameters of course assignments, talk to me before the assignment is due.

 

*Note:  According to Sociology Department policy, no more than 25% of students in a lower division course can receive “A”s.  Thus, the grading of assignments will be based of students’ work relative to others.

 

Course Requirements

 

Class participation

 

Every student is expected to do all assigned readings prior to their recitation and participate in class discussions.  This course will be primarily, if not entirely, discussion-based.  I will pose questions, moderate/facilitate discussions and clarify points from the reading on occasion, but students should be prepared to participate.  My role in recitation is neither to provide answers nor explain “proper” understanding of the issues we discuss; the class, through discussion, will be the stimulus for unearthing the meaning and complexity of issues raised by the text.

 

You are responsible for everything said in recitations, including changes to assignments, so if you must miss, you should contact a fellow student to get the information.

 

Class Attendance

 

In order to participate in discussion, students must be present in class.  Students who miss three days lose 20 points, four days – 30 points, five days – 40 points, and six days (or more) – 50 points.  Excessive tardiness should be avoided.  Should this become a problem, the doors will be locked after class begins.  If there are circumstances, (such as a class on the other side of campus just before the recitation), that prevent you from making it to class on time, I should be informed as soon as possible. 

 

Weekly Notes

 

Starting the second week of recitation, students will submit brief, weekly notes of the assigned readings.   The notes have no specific format requirements; bullet points and outlines are sufficient.  You should shoot for roughly a page.  A third of these notes should be basic summarization of the text’s assertions and the evidence provided to support its claims.  Another third should evaluate the merit and validity of the arguments and discussions made in the text.  The final third of the notes should be an integration or assessment of the text relative to other readings, your life experiences, or health and health care in general.   I am providing a list of generic questions that you may use to organize your notes.

 

I reserve the right to change the topic/format of weekly assignments the week prior to when they are due.  I don’t intend to make them more time consuming, but rather hope to match the assignment to the time commitments required in the lecture section, i.e. tests, papers.

 

These assignments aren’t meant to be laborious.  During your reading, allow enough time to engage with the reading and evaluate the text.  Assuming you do a thoughtful, critical read of the text, the reading notes should take no longer than 30 to 45 minutes.  These notes should be emailed to me (Jeffrey.dennis@colorado.edu) by 2:00 pm on the day before your recitation.  Notes emailed after 2:30 will not be graded.   You should bring your notes to recitation to serve as your own personal reference during discussions.

 

Short Essay

 

One short essay (2-3 pages) will be due this semester.  This essay will require students to identify a current health-related issue and evaluate the exposition of this issue in the media, politics, interest groups, etc.  Remember that any assertion you present should be defended, and an idea that isn’t yours should be properly cited (according to ASA guidelines).  I will give more guidelines, advice, etc. later in the semester.  There are no requirements placed on the sources that you use.  HOWEVER, be aware that you will be graded on the quality of your evaluation, which will be undermined by too little evidence (i.e. no support for your argument) or reliance on questionable sources.  This assignment should be easy if you consider that a) the media’s presentation of public discussions and political discourse is often not complete and b) understand that research and arguments by scholars and experts exist in more specialized journals.  You will be welcome to turn in a draft of the paper early to make sure you are on the right track, and to work through any major problems.

 

Disability Statement

If you qualify for accommodations because of a disability, please submit to me a letter from Disability Services in a timely manner so that your needs may be addressed. Disability Services determines accommodations based on documented disabilities. Contact: 303-492-8671, Willard Hall 322, and www.colorado.edu/disabilityservices.

 

Religious services and holidays

Campus policy regarding religious observances requires that faculty make every effort to reasonably and fairly deal with all students who, because of religious obligations, have conflicts with scheduled exams, assignments or required attendance. In this class, please inform me before the event or holiday and I will accommodate you. If you inform me after the event or holiday, I will not accommodate you. Students can see full details of this policy at www.colorado.edu/policies/fac_relig.html.

 

Classroom Behavior and Lateness Policy

 

Students and faculty each have a responsibility for maintaining an appropriate learning environment. Students who fail to adhere to behavioral standards may be subject to discipline. Faculty have the responsibility to treat students with understanding, respect and dignity, to guide classroom discussion, and to set reasonable limits on the manner in which students express opinions.

 

There are topics in my classes that are controversial, medically oriented and occasionally personal and graphic.  Please understand that my intent is to provide information, not to influence your opinions, or make outrageous statements or assertions.  Every opinion is treated with respect and your right to hold that opinion is protected.

 

If you are going to be late with an assignment, absent for a test, or absent from a required presentation or class you MUST inform me prior to the event in question. This rule INCLUDES illness, deaths in the family, official university related absences, and any other event. No exceptions.

 

Honor Code Policy

 

All students of the University of Colorado are responsible for knowing and adhering to the academic integrity policy of the institution. Violations of this policy include:

a] cheating

b] plagiarism (document sources very carefully and rigorously)

c] aiding others in academic dishonesty,

d] fabrication and lying,

e] bribery and

f] threatening behavior.

All incidents of academic misconduct will be reported to the Honor Code Council. If you are found to be in violation of University policy, you will be subject to sanctions from the instructor and the University including but not limited to probation, expulsion, and suspension. The Honor code can be found at www.colorado.edu/policies/honor.html.

 

Sexual Harassment

 

The University of Colorado policy on sexual harassment applies to all students, staff and faculty. Sexual harassment is unwelcome sexual attention. It can involve intimidation, threats, coercion, or promises that create an environment that is hostile or offensive. Harassment can occur between members of the opposite sex, those of the same sex, students, staff, faculty or administrators, and may occur anywhere on the campus or related to campus activities. Any student, faculty or staff who believes that he/she has been sexually harassed should contact the Office of Sexual Harassment (OSH) at 303-492-2127 or the Office of Judicial Affairs at 303-492-5550. Further information may found at www.colorado.edu/sexualharassment.  

 

 

Class Schedule

 

Week

1                Orientation and class expectations

                  Critical Thinking Concepts (E reserve)

                   Medical Ethics (Mappes 1-58)

  • discuss class expectations, review the syllabus
  • Prepare an exercise in critical thinking
  • Develop an argument for an issue, and then attempt to defend the other side

                 

2                Social Epidemiology

                               Conrad 7-55, Mappes 628-644.

    • Discuss at length the Hayword and Link Article (E Reserve)

 

Week

3             Experience of Illness

                               Conrad 123-152, Mappes 76-90 144-149 70-72.

    • Discuss why Doctors Intervene and Metaphors and Models

 

4             Social Organization of Medicine

                               Conrad 167-230.                                        

             

    • Discuss McKinley and Steckle  pg 175-188 from Conrad (may be different page #’s in new edition)

 

5             Medical Workers/Healthcare Industry

                               Conrad 231-287, Mappes 170-192.

  • Doctoring as a business model, 283-280something
  • Social Organizations, 242-248

 

6             Death and Dying

                                Mappes 302-375, 417-444.

  • All articles on physician assisted deaths

 

                               

7             Research

                                 Mappes 224-275.

  • Discuss animal testing issues

 

                                                                                                               

8             Research II

                               Mappes 224-275.                   

  • Discuss animal testing issues

 

9              Medicalization and Alternative Care

                               Conrad 366-377, 472-481.

    • Discuss Renée Fox article - pp. 414-420 (page #’s may be different in new edition)

10               Abortion/Reproduction

                               Mappes 448-508, 521-532, 553-565.

    • Article from E reserve

 

11and 12     Genetics

                                Mappes  511-521, 577-612.

    • Genetic Engineering (E reserve)

 

Vacation

                              

 

13                Health Reform

                               Conrad 288-316, Mappes 645-672, 620-624.

    • Article from E reserve

 

14 and 15       Comparative Health Systems                          

                               Conrad 496-536, Mappes 624-627, 672-694.

                      Short essay for recitation due Thursday of Week 14 (details given in class)

    • Compare Health systems of other countries (E reserve)

 

16                      International Health

                                                             

 

Final             Dec. 16 @ 7:30 a.m. in the normal lecture classroom.