Abstract
Appropriate medical attitudes and behavior emerge from and in turn contribute to the development of an inter-related core of professional values. Distinct from economic considerations, these values can be identified historically and sociologically, and the independent status of a practicing physician in America is uniquely high. Foremost is the value of service to individual and community institutionalized in the doctor–patient relation. The commitment to rationality, science and learning forms a foundation for technical skill creatively applied to practical ends. Individualism, innovation and self-discipline are expressed in a system of ethical principles. In broad social relations and responsibilities, as well as functionally specific technical competence, the physician is blessed with a unique validation of his authority by the public.

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