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Viewpoint |

Professionalism and its Implications for Governance and Accountability of Graduate Medical Education in the United States

Thomas J. Nasca, MD, MACP1,2
[+] Author Affiliations
1Accreditation Council for Graduate Medical Education, ACGME International, Chicago, Illinois
2Medicine and Molecular Physiology and Biophysics, Sidney Kimmel College of Medicine, Thomas Jefferson University, Chicago, Illinois
JAMA. 2015;313(18):1801-1802. doi:10.1001/jama.2015.3738.
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In this Viewpoint, Nasca discusses the responsibility of the medical profession to ensure accountability in graduate medical education (GME).

Professionalism and governance of the profession by its institutions should be linked at a fundamental level. The philosophical roots of professionalism include the Hippocratic tradition of medicine as a moral enterprise; the transition of medicine from guild to profession with a commitment to competence, altruism, and public trust; and the responsibility of the profession to prepare the next generation of physicians to serve the public (eFigure in the Supplement). A voluntary oath taken at graduation commits each physician to these principles. Governance must serve these fundamental principles.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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