In Reply: In response to Drs Peeters and Beltyukova, we recognize that an individual's position along constructs like depression and professionalism is often inferred by measuring (with psychological tests) the person's behaviors; nevertheless, these measurements are often sufficient to test psychological theories.1 Moreover, measurements become less arbitrary when scores are linked to meaningful events in the lives of respondents,1 as in our study that demonstrated associations between residents' professionalism scores and fundamental markers of residents' performance, including medical knowledge, clinical skills, and conscientious behaviors.
Reed DA, West CP, Beckman TJ. Measuring Professionalism in Resident Physicians—Reply. JAMA. 2009;301(7):723-724. doi:10.1001/jama.2009.135