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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, 2019. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CALSO for personal use.date: 17 October 2019

Narrative Strategies in Presentation and Performance

Narrative Strategies in Presentation and Performance

From Artifice to Competence

Chapter:
(p.125) Chapter Six Narrative Strategies in Presentation and Performance
Source:
American Medicine
Author(s):

Mary-Jo DelVecchio Good

Publisher:
University of California Press
DOI:10.1525/california/9780520088962.003.0009

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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