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Volume 334:1274-1275 May 9, 1996 Number 19
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American Medicine: The quest for competence

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By Mary-Jo DelVecchio Good. 265 pp. Berkeley, University of California Press, 1995. $35. ISBN 0-520-08896-4.

The current health care debate has focused on the classic triad of cost, access, and quality. Although there has been a substantial debate over cost and a growing debate over access, there has been minimal discourse on the question of quality. Central to the debate over quality is the question of what it means to be a good doctor. How do we define, assess, and promote medical competence? This is the topic of American Medicine: The Quest for Competence by Mary-Jo DelVecchio Good, who is an associate professor of medical sociology at Harvard Medical School.

Professor Good uses competence as . . . [Full Text of this Article]




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