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United Campus Ministry papers, 1970-1972
1971-10-30 Summary Report from Roger Simpson Page 7
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-I- I) Leslie Falk, MD, Prof., Chmn Dept. Family & Community Health Meharry Med., College, Nashville, Tenn. (Short CBS film on their community service teams) Falk background: developed HC delivery system for 3 communities in Applachia with mine workers VA. Societal causes of illness vs man-made causes. Poverty, malnutrition, housing, war, drug abuse, unemployment, personal disorganization, social disorganization Quality of life violated by men-in-systems (nature of man conflicts with corporate interests). Any gains easily lost due to pressures of budgets, routiness and failure of spirit. Basic issue: health rights. H. is not based primary on prevents some deaths (infants) patch up persons. New forms are in process: National Health Ins. Health MO (pre-paid, group, neighborhood, regionalization) Racism deeply ingrained in our society. At Meharry: Dept. of Community Health intended offices in Comm. Health Center rather than on campus. students involved in problem solving approaches. Focus: somprehensive care and primary care. Definition of Health Care; organized of provisions for health services to entire family, in full spectrum of services from prevention through rehabilitation, with continuinty of care for all social services and personal aspects of disease, using the health team concept with coordination of diverse elements of society with medical practice Primary Care Teams: MD, (pediatrician?) nurses, aides, Comm. Health workers who are residents to the area. 1st year. Med Schl: home visits to slum landlord homes, to neighborhoods with health workers, Get family view, see rats, garbage, paint, poor housing. Focus on inability a person to help make basic change needed. Role in sick room. begin to see frustration a person re: hospital, etc. 2nd yr: 6 wk rotations, clerkships in Comm Centers. Tackle problems in home Nutrition, social problems, (jobs) learn about agencies) Grand rounds- case reports made out there. Society treats person as animal (prison-no job-no $$-no food) then person becomes animal. Society tolerates HC improvements as long as don’t confront society and systems with demands for change: some say when HC gets basic it won’t be tolerated. (MD now chief profiteers of HC systems) This view comes only by learning experiences including student on scene. Respondants: John Fletcher: struggle to get clergy out of church into world: paralle of MD & Hospital. When clergy qui preaching, go to meddling, get fire. Ed. process always been socializing: form persons in old images. Only way to change is via pressures on systems. Theol. Ec. won’t reform Chs. got to get out an organize new efforts. Consider “process theology” need “process med. - HC?” Moving to contract for services for education: will demand relevance, on job Academic setting has run its course: lost soul long ago. Our Contracting with MD for services – working Academic setting has run its course: Ed. Pellegrino: How do you teach human values? Answer: Don’t lecture, no seminars. Show concern and get involvement of all. Get exposure to problems. Medicine is part of social process: must change and be changed. Ethical system: basically, one-four-one, but this is not adequate. Social and moral failings is person not getting fair distribution of HC: total community fails to and each of us is diminished as a person. “Badley need now medical ethics” (CONT. OVERLEAF)
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-I- I) Leslie Falk, MD, Prof., Chmn Dept. Family & Community Health Meharry Med., College, Nashville, Tenn. (Short CBS film on their community service teams) Falk background: developed HC delivery system for 3 communities in Applachia with mine workers VA. Societal causes of illness vs man-made causes. Poverty, malnutrition, housing, war, drug abuse, unemployment, personal disorganization, social disorganization Quality of life violated by men-in-systems (nature of man conflicts with corporate interests). Any gains easily lost due to pressures of budgets, routiness and failure of spirit. Basic issue: health rights. H. is not based primary on prevents some deaths (infants) patch up persons. New forms are in process: National Health Ins. Health MO (pre-paid, group, neighborhood, regionalization) Racism deeply ingrained in our society. At Meharry: Dept. of Community Health intended offices in Comm. Health Center rather than on campus. students involved in problem solving approaches. Focus: somprehensive care and primary care. Definition of Health Care; organized of provisions for health services to entire family, in full spectrum of services from prevention through rehabilitation, with continuinty of care for all social services and personal aspects of disease, using the health team concept with coordination of diverse elements of society with medical practice Primary Care Teams: MD, (pediatrician?) nurses, aides, Comm. Health workers who are residents to the area. 1st year. Med Schl: home visits to slum landlord homes, to neighborhoods with health workers, Get family view, see rats, garbage, paint, poor housing. Focus on inability a person to help make basic change needed. Role in sick room. begin to see frustration a person re: hospital, etc. 2nd yr: 6 wk rotations, clerkships in Comm Centers. Tackle problems in home Nutrition, social problems, (jobs) learn about agencies) Grand rounds- case reports made out there. Society treats person as animal (prison-no job-no $$-no food) then person becomes animal. Society tolerates HC improvements as long as don’t confront society and systems with demands for change: some say when HC gets basic it won’t be tolerated. (MD now chief profiteers of HC systems) This view comes only by learning experiences including student on scene. Respondants: John Fletcher: struggle to get clergy out of church into world: paralle of MD & Hospital. When clergy qui preaching, go to meddling, get fire. Ed. process always been socializing: form persons in old images. Only way to change is via pressures on systems. Theol. Ec. won’t reform Chs. got to get out an organize new efforts. Consider “process theology” need “process med. - HC?” Moving to contract for services for education: will demand relevance, on job Academic setting has run its course: lost soul long ago. Our Contracting with MD for services – working Academic setting has run its course: Ed. Pellegrino: How do you teach human values? Answer: Don’t lecture, no seminars. Show concern and get involvement of all. Get exposure to problems. Medicine is part of social process: must change and be changed. Ethical system: basically, one-four-one, but this is not adequate. Social and moral failings is person not getting fair distribution of HC: total community fails to and each of us is diminished as a person. “Badley need now medical ethics” (CONT. OVERLEAF)
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