To the Editor: The article by Ms Lesser and colleagues1 on systems of professionalism does not address the kind of professionalism that requires shared sacrifice among physicians. Professionalism is 1 of the 6 core competencies of medicine, according to the Accreditation Council for Graduate Medical Education.2 The authors make a strong case that professionalism is actually the overriding core principle that encompasses the other 5: systems-based practice, medical knowledge, interpersonal and communication skills, patient care, and practice-based learning and improvement.
Walsh E. Conceptualizing Physician Professionalism. JAMA. 2011;305(14):1411–1413. doi:10.1001/jama.2011.424
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