Charter on Medical Professionalism: Putting the Charter into Practice

  1. Neil J. Smelser, PhD
  1. University of California, Berkeley; Berkeley, CA 94704 (Smelser)

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    IN RESPONSE:

    Mr. Quraishi and Dr. Khalid have made explicit what was clearly implicit in the minds of the authors of the physician charter: that an espousal of principles without their effective dissemination to future generations of practitioners is likely to be an empty exercise. The subsequent efforts of the sponsoring organizations of this unique collaboration have included not only practicing physicians but also residents, students, and the general public. We are not certain how much weight to assign to the forces of “tunnel vision” and careerism among students that Mr. Quraishi and Dr. Khalid warn us about, and we hesitate to conclude that these forces are to be found among students alone. In all events, however, we steadfastly regard the charter as a counterbalance to such tendencies and hope that it becomes an integral part of the education, accreditation, and certification processes at all levels of medical training, practice, and organization.

    Neil J. Smelser, PhD

    University of California, Berkeley; Berkeley, CA 94704

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