Author Affiliation: Department of Family Medicine, Brown University, New London, Connecticut.
Dr Finestone inquires whether the generation of the “Top 5” lists by the Good Stewardship working groups is better characterized as a subject of quality performance rather than professionalism. Our characterization of the effort as professionalism arises from the Physician Charter, in which the definition of professionalism rests, in part, on the principle of social justice. The charter ethically commits physicians to work toward “the wise and cost-effective management of limited clinical resources.”1
Smith SR, Good Stewardship Working Group of the National Physicians Alliance FT. What Is Professionalism?—Reply. Arch Intern Med. 2012;172(2):197. doi:10.1001/archinte.172.2.197-b