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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, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CALSO for personal use.date: 23 January 2022

Introduction to Part 1

Introduction to Part 1

(p.29) Introduction to Part 1
American Medicine

Mary-Jo DelVecchio Good

University of California Press

Part I considers the meaning of medical competence in the worlds of practicing clinicians is considered through the lens of an ethnographic story. The story is about the evolution of relationships among obstetrical providers and transformations in obstetrical practice in one rural town in California, called “Coast Community,” over the course of a decade. Competence and risk became dominant themes as the malpractice and obstetrical crises evolved at both local and national levels. And as the new physicians brought to public awareness what typically had been regarded as suitable only for professional consumption, they often breached boundaries of traditional professionalism that had been protective of traditional medical hierarchies.

Keywords:   medical competence, medical practice, obstetrical practice, Coast Community, California

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