We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

American Medicine: The Quest for Competence

Andrew D. Hunt, MD
JAMA. 1996;275(7):568-569. doi:10.1001/jama.1996.03530310074043.
Text Size: A A A
Published online


This ethnographic study deals with several aspects of competence within the culture of American medicine. There is emphasis on the impacts of various ways in which "competence" is interpreted not only by various branches of the profession, but also by other professions such as law. The medical malpractice crisis of the 1980s is given considerable space, as are the various ways in which medical practice has modified itself through such means of self-regulation as risk management and quality assurance. The "astonishing" increase in claims against obstetricians is noted, as is the medical feeling of a "demise of the golden era of trust."

The book's first major section describes obstetrical care in a rural setting in Northern California, with transformation from small general practitioner—owned hospitals to larger nonprofit institutions whose boards of trustees attracted young specialists to the community. Conflict with the new arrivals—young, confident, and to the established general practitioners,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.