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To the Editor: Dr Swick and colleagues¹ have provided a survey of US medical schools that reflects the current interest in teaching professionalism to medical students. Much of this interest is fueled by the growing awareness that the "corporatization" and "bureaucratization" of medicine are changing the traditional patient-physician covenant. Some physicians, including many in positions of influence in US medical schools, are merely changing their expectations to meet the current reality and seeking to position themselves most advantageously in the new paradigm. Many students see no other choice but to bury their dreams and accept their new role in an environment in which the patient-physician covenant is now a contract, the profession has become a business, and patients have become "biological structures that yield future cash flows."²

But physicians who have not let go of the torch of passion for the medical profession can be found in many places and . . . [Full Text of this Article]

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RELATED ARTICLE

Teaching Professionalism in Undergraduate Medical Education
Herbert M. Swick, Philip Szenas, Deborah Danoff, and Michael E. Whitcomb
JAMA. 1999;282(9):830-832.
ABSTRACT | FULL TEXT