This study reworks the concept of genre from rhetorical, dialectical, and dialogic perspectives. From these perspectives, genre is redefined as a stabilized-for-now or stabilized-enough site of social and ideological action. This definition is then applied to a specific literacy practice—medical record keeping—evolving in a specific context—a veterinary college. Data were gathered during a 6-month ethnographic study of the college. The larger research project focused on the teaching and learning practices that constituted literacy, i.e., the ways of speaking, reading, writing, and listening characteristics of veterinary medicine. The project consisted of interviews, observation, and document collection. Triangulation was achieved both within and between methods. Data were analyzed using Glaser and Strauss's “grounded theory” techniques. When the concept of genre is applied to medical record keeping, the complexity of this literacy practice becomes apparent. A specific record-keeping system—the Problem Oriented Veterinary Medical Record (POVMR) system—was the site of intense controversy at the college. The system articulated a set of values that one group of faculty and clinicians espoused and another group rejected. The system itself was embedded in the exam structure of the college, and a good deal of evidence emerged that the POVMR itself was promoting certain types of literacy abilities and making others less likely.
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