Care and competence in medical practice: Francis Peabody confronts Jason Posner [Book Review]

Medicine, Health Care and Philosophy 14 (2):143-153 (2011)
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Abstract

In this paper, I discuss the role of care and competence, as well as their relationship to one another, in contemporary medical practice. I distinguish between two types of care. The first type, care1, represents a natural concern that motivates physicians to help or to act on the behalf of patients, i.e. to care about them. However, this care cannot guarantee the correct technical or right ethical action of physicians to meet the bodily and existential needs of patients, i.e. to take care of them—care2. To that end, physicians must be competent in the practice of medicine both as evidence—based science (technical competence) and as patient—centered art (ethical competence). Only then, I argue, can physicians take care of (care2) patients’ bodily and existential needs in a compassionate and comprehensive manner. Importantly, although care1 precedes competence, competence—both technical and ethical—is required for genuine care2, which in turn reinforces an authentic care1. I utilize the play Wit, especially the character Jason Posner, and Francis Peabody’s exposition on caring for patients, to illustrate the role of care and competence in contemporary medical practice

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James Marcum
Baylor University

Citations of this work

Begin with a Text: Teaching the Poetics of Medicine. [REVIEW]Catherine Belling - 2013 - Journal of Medical Humanities 34 (4):481-491.

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