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Joint Degree in Medicine and Bioethics

Students enrolled in the University of Pittsburgh School of Medicine may elect to earn the Master Degree in Bioethics in conjunction with their medical degree. Graduates of the program receive the Medicinae Doctor (MD) degree, the basic professional degree in medicine, and the Master of Arts (MA) degree from Faculty of Arts and Sciences, with a concentration in bioethics. The joint degree program has been established in recognition of the extensive and increasing overlap between medicine and bioethics. Physicians are increasingly aware that the practice of medicine often entails balancing conflicting interests and making difficult decisions that involve an appreciation of their ethical dimensions and cultural contexts. The objective of this educational program is to provide the interdisciplinary background in medicine and medical ethics to address those issues and situations that require knowledge of and expertise in both. Graduates will be academically prepared for professional roles as bioethicists in healthcare institutions, in public policy working for government or voluntary associations, or in the practice of medicine. This joint degree program permits students to earn the two degrees in a shorter period of time than if pursued separately. Students wishing to enter this program may apply before matriculation in the School of Medicine or while enrolled in the MD program.

For more information on this program (including an informative brochure), contact the Director of Admissions, Center for Bioethics and Health Law, 300 Medical Arts Building, 3708 Fifth Avenue, Pittsburgh, PA 15213-3405 (412/647-5700). For a downloadable Application Materials Checklist (PDF file), click here


Medical Humanities Area of Concentration

In collaboration with the Center for Bioethics and Health Law, the School of Medicine offers an area of concentration in medical humanities for interested and qualified students. Just as medical science draws from a number of sciences to understand and address disease and disability, the interdisciplinary field of medical humanities draws from the humanities to enable physicians to provide more humane, sensitive care to diverse patients. To enhance medical science and its clinical application, medical humanities draws from the diverse domains of anthropology, cultural studies, ethics, history, law, literature, philosophy, religion, writing, and women's studies. Through this Area of Concentration (AoC) in Medical Humanities, students gain an enriched appreciation of the social context in which bioscience interventions and debates take place. They explore how medicine and culture interact to shape provider and patient identities, healthcare practices, and healthcare institutions. In addition, they gain critical analytical skills needed to participate in the broader public conversation about health care.

Students work with a mentor to tailor the content of their AoC to fulfill their interests and to apply medical humanities perspectives within clinical contexts. The AoC is designed to allow students to continue to pursue interest in the humanities that they may miss from their college studies, and to help them become a part of a broader community of medical humanities scholars and practitioners both locally, in the School of Medicine and the University, and nationally through participation in the American Society for Bioethics and Humanities.

Requirements are designed to expose students to the breadth and depth of the medical humanities, to allow them to pursue their particular interests, and to help them become members of the local and national communities of those interested in the medical humanities. Students will:

  • Select and meet with a mentor
  • Attend six local medical humanities professional educational activities during each of three years. Examples include: Bioethics and Health Law Grand Rounds, Health Policy Institute Lectures, Literature and Medicine Reading Group, and Reynolds History of Medicine Lectures.
  • Maintain membership in the American Society for Bioethics and Humanities for at least three years and attend one national meeting.
  • Complete two graduate-level medical humanities courses (typically one during the first two years, and a second during the third or fourth year).
  • Complete two fourth-year medical humanities electives.
  • Apply medical humanities approaches within one clinical rotation.

Clinical Ethics Training Program

The Clinical Ethics Training Program, established in 1987 with a grant from the Vira I. Heinz Endowment, integrates clinical training in bioethics into the third- and fourth-year curricula of the University of Pittsburgh School of Medicine and into postgraduate training. The methods of instruction emphasize a case-oriented clinical approach, rounds, and case conferences, all supplemented by didactic teaching techniques. In the third year of medical school, the program integrates clinical ethics into the clerkships in medicine, pediatrics, obstetrics and gynecology, psychiatry, and surgery. A month-long elective in clinical medical ethics is available for fourth-year medical students.


Fourth-Year Medical School Electives

1. Ethical Issues in Clinical Practice

This elective offers students an opportunity to explore several important ethical issues in clinical practice, including informed consent, competency, surrogate decision-making, advance directives, forgoing life-sustaining treatment, futility, physician assisted suicide, euthanasia, confidentiality, reproductive ethics, managed care, access and rationing. The elective has two components:

  • Seminar Sessions, which will explore important current medical ethics literature and related cases. There are required reading assignments for each session.
  • Case Discussion Sessions, at which students will present cases. Students may need to spend time in the clinical setting gathering data for these presentations. There will be 4-6 case discussion sessions, depending on the number of students enrolled. Each student will be expected to present at least one case. Case discussion sessions will be scheduled at times that are mutually agreeable to students and faculty.

Whenever feasible, students will be given an opportunity to participate in ethics consultations by the CME Ethics Consultation Service at PUH, MUH, or CHP. Students may also have an opportunity to attend faculty seminars and meet with CME visiting professors.

2. Narrative, Literature, and the Experience of Illness

This elective provides the senior medical student with a rare opportunity to experience and examine the culture and practice of medicine from the perspective of an outside observer. Through the use of various types of medical literature (poetry, fiction, non-fiction, and essays) and through clinical experiences that are traditionally thought to lie outside of the physician's role, we will explore the perceptions that patients have of doctors and hospitals as well examine the culture of traditional biomedicine. Through experiencing, reflecting, discussing, and writing about how differently doctors and patients often view illness, disease, treatment, and death, we may gain greater insight into our own beliefs, biases, and potential strengths to provide healing. Anne Fadiman writes in The Spirit Catches You and You Fall Down, "I have always felt that the action most worth watching is not at the center of things, but where the edges meet. I like shorelines, weather fronts, international borders. There are interesting frictions and incongruities in these places, and often if you stand at the point of tangency you can see both sides better than if you in the middle of either one. This is especially true, I think, when the apposition is cultural." It is the apposition of the culture of biomedicine and individual, personal experiences of illness that this course will help the student of medicine to examine more closely.

Grades for the class will be determined by student attendance, participation and writing assignments. Students are asked to complete two types of writing assignments. The first assignment is a weekly essay based on an assigned topic. The essays are designed to provoke critical thought about the experience of illness and your own professional development. The essays should be at least two double-spaced type-written pages. They will be examined for mainly for content and do not have to be carefully edited or follow formal paper standards.

 

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3708 Fifth Avenue
Medical Arts Building
Suite 300
Pittsburgh, PA 15213-3405

Phone: (412) 647-5700
Fax: (412) 648-5877
bioethic@pitt.edu

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