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Such shared understandings may operate at different levels. The most superficial are the visible manifestations (sometimes called cultural artefacts)—the doctor's white coat; the surgeon's list; the use of professional titles, and the commonly accepted reward structures. At a deeper level are those espoused values that are said to influence standard practice—a belief in evidence, for example, or a commitment to patient-centred care...

Such shared understandings may operate at different levels. The most superficial are the visible manifestations (sometimes called cultural artefacts)—the doctor's white coat; the surgeon's list; the use of professional titles, and the commonly accepted reward structures. At a deeper level are those espoused values that are said to influence standard practice—a belief in evidence, for example, or a commitment to patient-centred care...

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