American Medicine The Quest for Competence 1st Edition by Mary Jo Delvecchio Good 0520216539 9780520216532

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ISBN 10: 0520216539

ISBN 13: 9780520216532

Author: Mary Jo Delvecchio Good

What does it mean to be a good doctor in America today? How do such challenges as new biotechnologies, the threat of malpractice suits, and proposed health-care reform affect physicians’ ability to provide quality care?

These and many other crucial questions are examined in this book, the first to fully explore the meaning and politics of competence in modern American medicine. Based on Mary-Jo DelVecchio Good’s recent ethnographic studies of three distinct medical communities—physicians in rural California, academics and students involved in Harvard Medical School’s innovative “New Pathway” curriculum, and oncologists working on breast cancer treatment—the book demonstrates the centrality of the issue of competence throughout the medical world. Competence, it shows, provides the framework for discussing the power struggles between rural general practitioners and specialists, organizational changes in medical education, and the clinical narratives of high-technology oncologists. In their own words, practitioners, students, and academics describe what competence means to them and reveal their frustration with medical-legal institutions, malpractice, and the limitations of peer review and medical training.

Timely and provocative, this study is essential reading for medical professionals, academics, anthropologists, and sociologists, as well as health-care policymakers.

American Medicine The Quest for Competence 1st Table of contents:

CHAPTER ONE Medical Malpractice and the Voices of Medicine

PART I The Transformation of the Culture of Competence in Rural Medicine

Introduction to Part I

CHAPTER TWO The Challenge to Local Medicine

CHAPTER THREE Competence and Care

CHAPTER FOUR A Crisis of Competence

CHAPTER FIVE National Crises in Obstetrical Care Competence and Risk Reexamined

PART The Quest for Competence through Medical Education

Introduction to Part II

CHAPTER SIX Narrative Strategies in Presentation and Performance From Artifice to Competence

CHAPTER SEVEN The Social Production of Physician Competence

PART III Culture, Competence, and Clinical Science

Introduction to Part III

CHAPTER EIGHT Competence and Clinical Narratives in Oncology

CHAPTER NINE Epilogue The Relevance of Competence to Policy

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Mary Jo Delvecchio Good,American,Medicine,Competence