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Letters |

Professionalism in Graduate Medical Education

Sanjay V. Desai, MD; Aimee Zaas, MD; Joel T. Katz, MD
JAMA. 2013;309(11):1110-1112. doi:10.1001/jama.2013.1672.
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To the Editor: Dr Arora and colleagues1 cited the need to shift the definition of professionalism from “nostalgic” to “new” to improve the well-being of trainees. While we agree that enhanced focus must be placed on physician health and team-based models of care, we caution that a core tenant of medical professionalism—an evidence basis for intervention—may have been overstepped.

The often-cited aviation analogy only goes so far. Pilots work over long periods of tedium punctuated by sudden technological demands. Medical professionalism may be more akin to parenthood, with commitment to establishing a longitudinal relationship, nurturing health, predicting response to interventions, and responding to subtle safety threats and patient preferences. Effective duty-hour rules may not be the same for both professions.

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March 20, 2013
Lavi Oud, MD
JAMA. 2013;309(11):1110-1112. doi:10.1001/jama.2013.1669.
March 20, 2013
Vineet Arora, MD, MAPP; Jeanne M. Farnan, MD, MHPE; Holly J. Humphrey, MD
JAMA. 2013;309(11):1110-1112. doi:10.1001/jama.2013.1678.
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