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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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Narrative Strategies in Presentation and Performance

Narrative Strategies in Presentation and Performance

From Artifice to Competence

(p.125) Chapter Six Narrative Strategies in Presentation and Performance
American Medicine

Mary-Jo DelVecchio Good

University of California Press

This chapter presents an ethnographic account with a recollection of the early debates about the New Pathway, thereby setting the stage for student experience. The ethnographic text grew out of a study of curricular innovation at Harvard Medical School, initially known as the New Pathway. The discussion begins with the study in the second year of the experimental curriculum, when 38 of 160 students in the incoming class of 1990 were selected to pursue the New Pathway, noting that discourses on medical competence characterize moments of educational innovation. The New Pathway was promoted as committed to the ideals of improving relationships between patients and physicians, and experimental tutorials led by clinicians exposed students to early patient contact, training in clinical skills and psychosocial assessment, and discussions of critical issues in the patient-doctor relationship.

Keywords:   New Pathway, Harvard Medical School, medical competence, patient-doctor relationship, experimental tutorials

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