Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH, 44106, USA.
Central Michigan University College of Medicine, 1280 East Campus Dr, Mt Pleasant, MI, 48858, USA.
Cult Med Psychiatry. 2024 Sep;48(3):401-419. doi: 10.1007/s11013-022-09806-0. Epub 2022 Sep 30.
"Competence" is a longstanding value of American biomedicine. One underidentified corollary of competence is efficiency: at once a manifestation of competence, a challenge to competence, and a virtue in its own right. We will explore the social construction of efficiency in US undergraduate medical education through an analysis of its sociocultural and technological landscapes. We present qualitative data from two allopathic medical school field sites in the Midwestern United States, where medical students' careful selection of certain learning resources and overall perspectives on the curriculum underscore their focus on efficiency and pragmatic approaches to knowledge. In the discussion, we consider the ethical implications of physician efficiency, as well as future trajectories for the study of efficiency in the medical social sciences, bioethics, and medical education. We posit that efficiency is at the theoretical heart of US medical practice and education: a finding that has wide-reaching implications for how researchers conceptualize the enterprise of biomedicine across cultural contexts and interpret the lived experiences of physicians, medical students, and other clinicians.
“能力”是美国生物医学的一个长期价值观。能力的一个未被充分识别的必然结果是效率：既是能力的表现，也是对能力的挑战，也是自身的美德。我们将通过分析美国本科医学教育的社会文化和技术背景来探讨效率的社会建构。我们提供了来自美国中西部两所全医学院校实地考察的定性数据，在这些实地考察中，医学生仔细选择某些学习资源，并对课程有整体的看法，这突显了他们对效率的关注以及对知识的实用方法。在讨论中，我们考虑了医生效率的伦理含义，以及未来在医学社会科学、生物伦理学和医学教育中研究效率的轨迹。我们假设效率是美国医学实践和教育的理论核心：这一发现对于研究人员如何在不同文化背景下概念化生物医学事业以及解释医生、医学生和其他临床医生的生活经验具有广泛的影响。
