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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: 18 May 2022



The Relevance of Competence to Policy

(p.197) Chapter Nine Epilogue
American Medicine

Mary-Jo DelVecchio Good

University of California Press

This chapter addresses the link between competence and political economy and suggests ways of conceptualizing competence that bear upon research and policy in medical education, specialist-generalist relationships, and clinical narratives in high-technology specialties, such as oncology. And because the cultural authority of American medicine has a global reach, the chapter concludes with an international perspective on the meaning of competence. Two themes developed in the book bear upon the understanding of the culture and political economy of contemporary medicine and its relevance for health policy for the medical commons.

Keywords:   political economy, medical education, clinical narratives, cultural authority, American medicine, health policy

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