共查询到20条相似文献,搜索用时 15 毫秒
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The problem-oriented medical record is the widespread, standardized format for presenting and recording information about
patients, which is taught to future physicians early in their medical training. Based on our participant observation of medical
training, we analyze the ways in which the patient presentation operates in medical training as a disciplinary technology
that manages uncertainty in the clinical decision-making process. We uncover various mechanisms at work including the construction
of a coherent narrative structure in which chaotic experiences are re-organized and re-interpreted to fit neatly in a linear
plot with a predictable ending, the atomization of the patient as a whole into separable “problems,” the attempt to solve
these “problems” as though they are independent of one another, and the mystification of translations in scale, which give
rise to much of the uncertainty in medicine. Operating at the boundary of the chaotic and often ungraspable world of the suffering
experience of the patient and the highly structured realm of the medical record, a patient presentation is one medium through
which both a disciplined record of experience and disciplined medical practitioners are produced. This process functions to
transform the human subject patient into a recognizable, generic clinical case, and the medical student into an identifiable,
professional future physician. 相似文献
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Nancy Williams 《American anthropologist》1974,76(4):912-914
Life Cycles in Atchalán: The Diverse Careers of Certain Guatemalans . ALEXANDER MOORE.
Education and Innovation in a Guatemalan Community: San Juan la Laguna . JAMES D. SEXTON. 相似文献
Education and Innovation in a Guatemalan Community: San Juan la Laguna . JAMES D. SEXTON. 相似文献
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Calvin H. Jennings 《American anthropologist》1974,76(4):960-962
Viking America: The Norse Crossings and Their Legacy . JAMES ROBERT ENTER-LINE.
Viking Expansion Westwards . MAGNUS MAGNUSSON. 相似文献
Viking Expansion Westwards . MAGNUS MAGNUSSON. 相似文献
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Emlen Myers 《American anthropologist》1989,91(4):1065-1066
Book reviewed in this article:
The Collapse of Complex Societies . Joseph A. Tainter
The Collapse of Ancient States and Civilizations . Norman Yoffee and George L. Cowgill , eds. 相似文献
The Collapse of Complex Societies . Joseph A. Tainter
The Collapse of Ancient States and Civilizations . Norman Yoffee and George L. Cowgill , eds. 相似文献
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