Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor
To the Editor: Dr Swick and colleagues1 have provided a survey of US medical schools that
reflects the current interest in teaching professionalism to medical students.
Much of this interest is fueled by the growing awareness that the "corporatization"
and "bureaucratization" of medicine are changing the traditional patient-physician
covenant. Some physicians, including many in positions of influence in US
medical schools, are merely changing their expectations to meet the current
reality and seeking to position themselves most advantageously in the new
paradigm. Many students see no other choice but to bury their dreams and accept
their new role in an environment in which the patient-physician covenant is
now a contract, the profession has become a business, and patients have become
"biological structures that yield future cash flows."2
Cutillo B. Teaching Professionalism to Medical Students. JAMA. 2000;283(2):197-198. doi:10.1001/jama.283.2.197