Resident Research in the History of Medicine for the Uninitiated

Resident Research in the History of Medicine for the
Uninitiated
Dawna M. Gilchrist MD FRCPC FCCMG DHMSA
and
Jenn Nelson, MA
I do not have an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
Je n’ai aucune affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Jenn Nelson
Date: October 25, 2014
I have/had an affiliation (financial or otherwise)
with a pharmaceutical, medical device or
communications organization.
J’ai (ou j’ai eu) une affiliation (financière ou autre)
avec une entreprise pharmaceutique, un fabricant
d’appareils médicaux ou un cabinet de communication.
Author: Dawna M. Gilchrist MD FRCPC
FCCMG DHMSA
Date: October 25, 2014
Barriers to HOM Research
Barriers to HOM Research
• It’s just not done in our program
• WHY NOT?
– It’s not real medical research
– We don’t have the infrastructure
It’s not real resident research
• Not bench research
– Ok. But not all academic physicians do bench
research
– What resident really does original bench
research?
It’s not real resident research
• Not from charts
– It could be.
– Requires careful structuring and HREB
• What other research can be done?
Examples of research projects
• Development of a technique
– Superglue in trauma in VietNam war
– Hand prosthetics
• Review of someone important (and why)
• Comparison of public attitudes to the ill – 1918
Influenza vs. SARS
• Physician opinions on abolition of death sentences
• Cocaine – from wonderdrug to proscription
• Development of surgical techniques for Down’s
syndrome babies and social evolution of attitude
changes
(Title: “Should we fix their broken hearts?”)
Overcome this barrier
• It’s all in the attitude
• Broaden the perspective
Lack of Infrastructure
• No History of Medicine program in our Faculty
– Create one! There are interested people everywhere
• No PhD Historian available to Faculty of Medicine
– While such individuals are helpful, they too are very
specialized.
– Is there someone in the Faculty interested in HOM from an
educational point of view?
– Are there Faculty members with HOM interests in their own
specific areas?
Developing the HOM Research Project
It’s NOT different
• Ask a question; answer it.
• There is a typical “Faculty of Arts” approach (particularly with
respect to Footnotes). This does not have to be used.
• The “Faculty of Medicine” approach
– Statement of research objective
– Materials
– Results
– Discussion
Refining the HOM Research Question
• You wouldn’t allow a resident research project in
– Finding the gene for cancer
– Review of all surgeries ever done at this hospital
• The research must be do-able for a resident and within their time
frame
• For example – “review of alternative therapies” becomes review of
nutrition based alternative therapies in late 1800’s America
– Did you know that Graham Wafers were developed as a
nutritional therapy? … the Grahamites
Finding an appropriate Mentor
• Might be more than one person
• A specialist/ sub-specialist in the appropriate
field
• =/- someone interested in HOM as an
educational tool
Setting the research parameters
• Often the research is done in the literature
• What journals, how much
• For example, a study on the “evolution of terminology to describe
mental handicap” became a review of the literature over 100 years
• Set number of journals e.g. Lancet, BMJ, NEJM
• One year every decade
• There may be scholarships e.g. Peter Warren Travelling Scholarship
Results
• In the previous example, terms were collected from each decade
and graphed for frequency
Discussion
• Interpretation may be more subjective and may have social
overtones
• However, there MUST still be research based observations
• In previous example, changing social attitudes towards terminology
for mental retardation are available
Uses of HOM Research
• Helps us to understand how techniques, attitudes, etc. have
evolved
• Makes us consider mistakes (not just advances)
• Forces us to acknowledge that medicine is not just black and white
science
Small Discussion Groups
Barriers in your program
Developing HOM Research Projects
(discussion groups)
It’s not just dusty books
Social Media…yada yada yada…
http://youtu.be/0eUeL3n7fDs
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Why social media is important
• Social Media is the new telephone and e-mail
• Stay current, keeps you in the loop
• Network with similar minded individuals
• Professional Development opportunities
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Benefits of exploring the history of
medicine through social media
International reach
Current trends
Easy to search
It’s Free!
Research resources
Newly published
materials
• Exhibits
• Collections
• Material culture
•
•
•
•
•
•
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First, let’s talk YouTube
•
•
•
•
Second largest search engine in the
world
Videos are 53 times more likely to
generate a first-page ranking
Average YouTube user visits the site
14 times per month
700+ YouTube Videos are shared
every minute
http://youtu.be/rZy6XilXDZQ
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Now onto Twitter…
#HistMed
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Key Accounts/Interesting People to Follow
• @DrLindseyFitz
• @SSHMedicine (Society for the Social History of Medicine)
• @HistMedCan
• @kleinalexandre (French)
#HistMed
• @RCPMuseum
• @HarvardHistMed
• @DittrickMuseum
• @jaivirdi
• @scitechcurator
• @MuseumofHealth
• @SurgeonsHall
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Avenues for Publication
•
The Canadian Bulletin of Medical
•
Psychiatry and History
History / Bulletin Canadien d’Histoire
•
Histoire, médecine et santé
•
Social History of Medicine
•
Histoire des sciences médicales
de la Médecine
•
Canadian Society for the History and
Philosophy of Science Communiqué
•
The Public Historian
•
Bulletin of the History of Medicine
(AAHM)
•
History of the Human sciences
•
Gesnerus
•
Journal of the History of Medicine and
Allied sciences
•
Medical History (Journal)
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Thank you!
Thank you!
Any questions?
Dawna Gilchrist – [email protected]
Jenn Nelson – [email protected]
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