Reaffirming professionalism through the education community

Ann Intern Med. 1994 Apr 1;120(7):609-14. doi: 10.7326/0003-4819-120-7-199404010-00013.


Objective: To determine the role of the clinical training environment and a medical education community in reaffirming medical professionalism among physicians-in-training and faculty.

Data sources: Published articles on undergraduate and graduate medical education and sociology works on professionalism were identified through research.

Study selection: Studies were selected that illustrated barriers to professionalism in medical education and patient care and the professional conduct of medical students, residents, and faculty.

Results: Factors that undermined the medical education community were the specialization of medicine, the faculty reward systems, and the service demands of residency because of the economics of health care.

Conclusions: Establishment of a firm system with a core teaching faculty, creation of mentoring and role modeling programs, implementation of a longitudinal curriculum on medical professionalism, evaluation of physicians on professional conduct, and evaluation of the clinical training environment are suggested as strategies to re-establish an education community and reaffirm professionalism in medicine.

MeSH terms

  • Clinical Competence*
  • Curriculum
  • Faculty, Medical / standards
  • Humans
  • Internship and Residency / standards*
  • Professional Practice / standards
  • Teaching / standards
  • United States