The Social Production of Physician Competence

Mary-Jo DelVecchio Good

in American Medicine

Published by University of California Press

Published in print July 1995 | ISBN: 9780520088962
Published online May 2012 | e-ISBN: 9780520922037 | DOI:
The Social Production of Physician Competence

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Individually defined and internalized meanings of competence evolve during years of clinical training, and the quest for competence is often marked by key struggles with moral content and personal consequences. Performance continues to be a central organizing theme. This chapter closes with a proposition that by the conclusion of the fourth year, students have learned a repertoire of ways to speak about and evaluate their own competence as well as that of their colleagues and seniors. Some are well on their way to developing a “professional moral voice” in which to express disagreements over patient care and to discuss treatment errors. Seeking a professional niche in which their abilities and professionally crafted selves are valued, students often choose residencies with an eye to what specialty would most enhance their sense of professional competence.

Keywords: professional competence; clinical training; patient care; professional moral voice

Chapter.  10494 words. 

Subjects: Medical Anthropology

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