I read with interest the article by Barondess1 regarding the pressures on professionalism in medicine and his suggested solutions. He frames professionalism as a social contract in which the primary value for the public social value has been eroded by internal and external pressures related to increasing complexity in health provision, especially with regard to fiscal restraint. His solution is to focus on improving individual physician awareness of professionalism.
Brand CA. Professionalism: A Barrier to Provision of Quality Health Care?. Arch Intern Med. 2003;163(14):1742-1744. doi:10.1001/archinte.163.14.1742-a