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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
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