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American MedicineThe Quest for Competence$
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Mary-Jo DelVecchio Good

Print publication date: 1995

Print ISBN-13: 9780520088962

Published to California Scholarship Online: May 2012

DOI: 10.1525/california/9780520088962.001.0001

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PRINTED FROM CALIFORNIA SCHOLARSHIP ONLINE (www.california.universitypressscholarship.com). (c) Copyright University of California Press, 2022. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CALSO for personal use.date: 26 June 2022

Competence and Clinical Narratives in Oncology

Competence and Clinical Narratives in Oncology

(p.177) Chapter Eight Competence and Clinical Narratives in Oncology
American Medicine

Mary-Jo DelVecchio Good

University of California Press

This chapter examines competence in the context of high specialty medicine. It focuses on the practice of oncology and examines how specialty concepts about competence are institutionalized in the clinical narratives and narrative strategies created for patients which are intended to join the two worlds of uncertain science and therapeutics with patient care. Good care includes helping patients collaborate in selecting a good course of action, but it also includes helping patients feel that a chosen course constitutes the best possible care for them. Skilled clinicians are often quite conscious of the importance of this aspect of their work, especially women oncologists who treat breast cancer patients.

Keywords:   high specialty medicine, patient care, clinical narrative, therapeutics, breast cancer patients, women oncologists

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