The Social Production of Physician Competence
The Social Production of Physician Competence
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
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