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Social Determinants of Health (Health Canada)

The Social Determinants of Health (SDOH) by Health Canada is a crucial concept for premed students to understand as it highlights the various personal, social, economic, and environmental factors that influence individual and population health. These factors include income, education, employment, childhood experiences, physical environments, social supports, coping skills, access to health services, biology, genetics, gender, culture, and race.

Understanding the SDOH is essential for premed students because it emphasizes the importance of considering a patient's social and economic context when providing medical care. By being familiar with the SDOH, future physicians can recognize and address health inequalities and work towards creating a more equitable healthcare system.

Health inequalities refer to differences in health status between individuals and groups, which can be due to genetics, lifestyle choices, or social determinants. Health inequity, on the other hand, refers to health inequalities that are unfair, unjust, and modifiable. Health equity seeks to reduce these inequalities and increase access to opportunities and conditions conducive to health for all.

Premed students can prepare as future physicians by integrating the knowledge of SDOH into their practice, advocating for policies that address these determinants, and working collaboratively with other sectors to improve health equity. By acknowledging and addressing the SDOH, premed students can develop a more holistic, patient-centered approach to medicine, ultimately improving patient outcomes and reducing health disparities within the population.

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Doing Right by Philip C. Hébert

Canadian book with clinical cases of bioethics. This book provides a solid introduction to moral principles and ethical reasoning, but we consider it to be low-yield and rather difficult to read. It requires some basic clinical understanding to best understand the resource. We recommend starting with the University of Washington Bioethics site.

"Great book on ethical behaviour and compassionate medicine" - Ben

Doing Right by Philip C. Hébert is a Canadian book that delves into bioethics through the use of clinical cases. In its fourth edition, this resource offers a case-based approach, which makes it an accessible and practical guide for healthcare trainees and practitioners alike, to navigate the complex world of contemporary biomedical ethics.

The book can help premed students prepare as future physicians by providing them with a solid introduction to moral principles and ethical reasoning. Although it may be considered low-yield and somewhat difficult to read, especially for those without basic clinical understanding, it offers invaluable insights into the ethical challenges healthcare professionals face in real-life scenarios. By studying these cases, premed students can develop their ability to analyze and address ethical dilemmas in a clinical context.

Through the exploration of real-life scenarios, Doing Right allows premed students to better understand and appreciate the ethical dimensions of medical practice. This understanding can help them develop the empathy, professionalism, and ethical decision-making skills necessary to navigate the complexities of patient care.

In summary, Doing Right by Philip C. Hébert is a valuable resource for premed students preparing for their future roles as physicians. While it may require some foundational clinical knowledge, the book offers an applied case-based approach that enables students to engage with ethical issues in a relatable and practical manner, fostering the development of crucial skills for their future medical practice.

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Bioethics
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Video on assisted dying from Ollie Burton

Embarking on a medical career, premed students often face complex ethical topics, such as assisted dying and euthanasia. It's crucial to understand and appreciate both sides of the argument to become a well-rounded, compassionate healthcare professional.

Ollie Burton, a second-year medical student at the University of Warwick, offers valuable insights into these challenging subjects. Euthanasia, the act of ending a person's life to prevent suffering, has two categories: voluntary and non-voluntary. It's also essential to distinguish between active and passive euthanasia, as well as assisted suicide.

Though euthanasia and physician-assisted suicide are illegal in the UK, the debates surrounding them raise essential questions about autonomy, dignity, and the role of medical professionals. Arguments in favor emphasize personal choice, dignity, and resource allocation, while counterarguments highlight potential power imbalances, the slippery slope effect, and cultural and religious concerns.

As premed students, engaging with these debates will prepare you for the complexities of a medical career. It is your ethical responsibility to consider opposing viewpoints and understand the diverse perspectives held by patients and colleagues. This understanding will ultimately contribute to more compassionate, patient-centered care.

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