Professionalism: The Essence of Competence

2004 EOA: Presidential Address

Professionalism is a reflection of ethical and moral conduct in the practice of medicine. Most young physicians still learn professionalism by observing senior physicians functioning as role models and mentors. As Shakespeare wrote, “There is nothing either good or bad, but thinking makes it so” (Hamlet, Act II, Scene II). What was considered ethical and common practice 40 years ago, today might be considered unethical. An example is authorship on a scientific publication. Years ago, it was considered appropriate to place the Department Chair’s name as the principal author, regardless of his or her contribution. Today, to include the Chair, if he or she failed to make a significant contribution to the manuscript, could be considered misconduct.