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January 12, 2000

Teaching Professionalism to Medical Students—Reply

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Fishbein FellowIndividualAuthor

JAMA. 2000;283(2):197-198. doi:10-1001/pubs.JAMA-ISSN-0098-7484-283-2-jbk0112

In Reply: As Dr Cutillo suggests, many forces have affected the practice of medicine, and those forces have compelled both medical educators and practicing physicians to respond to the perceived conflict between professional and business values.1 While some physicians may seek only "to position themselves most advantageously in the new paradigm," many others continue to adhere to professional values and behaviors. Our survey demonstrated that most schools of medicine have incorporated in their curriculum some explicit attention to professionalism.2 We do not share Cutillo's pessimism that medical students see no choice but to "bury their dreams." Most students now entering medical school do so with a refreshing commitment to service.

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