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Beyond Competence: Efficiency in American Biomedicine.

Julia Knopes1, Ariel Cascio2

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Efficiency is a core value in American medical education, shaping how students learn and approach medicine. This study explores the social construction of efficiency in medical schools, revealing its central role in practice and education.

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Area of Science:

  • Medical Education
  • Sociology of Medicine
  • Bioethics

Background:

  • Competence is a key value in American biomedicine.
  • Efficiency is an underidentified corollary of competence, viewed as a manifestation, challenge, and virtue.
  • The study examines the sociocultural and technological factors influencing efficiency in medical education.

Purpose of the Study:

  • To explore the social construction of efficiency in US undergraduate medical education.
  • To analyze the sociocultural and technological landscapes shaping efficiency.
  • To consider the ethical implications and future study of physician efficiency.

Main Methods:

  • Qualitative data collection from two allopathic medical school field sites.
  • Analysis of medical students' learning resource selection and curriculum perspectives.
  • Examination of sociocultural and technological factors.

Main Results:

  • Medical students demonstrate a focus on efficiency and pragmatic knowledge acquisition.
  • Students carefully select learning resources, reflecting a drive for efficiency.
  • Perspectives on the curriculum highlight the importance of efficiency in medical training.

Conclusions:

  • Efficiency is central to US medical practice and education.
  • The findings have implications for understanding biomedicine across cultures.
  • Efficiency impacts the lived experiences of physicians, medical students, and clinicians.