Two Cultures: Two Ships: The Rise of a Professionalism Movement Within Modern Medicine and Medical Sociology’s Disappearance from the Professionalism Debate

  • Frederic W. Hafferty
  • Brian Castellani
Part of the Handbooks of Sociology and Social Research book series (HSSR)


In 1959, the novelist and physicist C. P. Snow, delivered his famous lecture on ‘Two Cultures’ at the University of Cambridge. Snow argued that while the humanities and the sciences (in particular, the natural sciences) form the two great cultural traditions humans use to make sense of their lives, these domains of knowing remain strangers to one another. Like ships passing in the night, science and art reflect a cultural divide for which no easy rapprochement exists.


Medical Professionalism Academic Medicine Medical Sociology Review Symposium Cultural Divide 
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  1. Abbott A (1988) The system of professions: an essay on the division of expert labor. University of Chicago Press, Chicago, ILGoogle Scholar
  2. ABIM Foundation, ACP-ASIM Foundation, and European Federation of Internal Medicine (2002) Medical professionalism in the new millennium: a physician charter. Ann Intern Med 136:243–246Google Scholar
  3. ACGME (1999) Accreditation Council for Graduate Medical Education – Outcome ProjectGoogle Scholar
  4. Alpert J (2005) Doctors and the drug industry: how can we handle potential conflicts of interest? Am J Med 118:99–100Google Scholar
  5. Anderson OW, Seacat MS (1957) The nature and status of medical sociology. In: Anderson OW, Seacat MS (eds) The behavioral scientists and research in the health field. Health Information Foundation, Chicago, IL, pp 1–3Google Scholar
  6. Anderson OW, Seacat M (1962) An analysis of personnel in medical sociology. Health Information Foundation, Chicago, ILGoogle Scholar
  7. Angell M (1993) The doctor as double agent. Kennedy Inst Ethics J 3:279–286Google Scholar
  8. Angell M (2000) Is academic medicine for sale? N Engl J Med 342:1516–1518Google Scholar
  9. Arnold L (2002) Assessing professional behavior: yesterday, today, and tomorrow. Acad Med 77:502–515Google Scholar
  10. Barber B (1963) Some problems in the sociology of the professions. Daedalus 92:669–679Google Scholar
  11. Barondess JA (2003) Medicine and professionalism. Arch Intern Med 163:145–149Google Scholar
  12. Batalden P, Leach D, Swing S, Dreyfus H, Dreyfus S (2002) General competencies and accreditation in graduate medical education: an antidote to overspecification in the education of medical specialists. Health Aff 21:103–111Google Scholar
  13. Bekelman JE, Li Y, Gross CP (2003) Scope and impact of financial conflicts of interest in biomedical research: a systematic review. J Am Med Assoc 289:454–465Google Scholar
  14. Blank L, Kimbal H, McDonald W, Merino J, for the ABIM Foundation, and European Federation of Internal Medicine (EFIM) (2003) Medical professionalism in the new millennium: a physician charter 15 months later. Ann Intern Med 138:839–841Google Scholar
  15. Bloom SW (1988) Structure and ideology in medical education: an analysis of resistance to change. J Health Soc Behav 29:294–306Google Scholar
  16. Bloom SW (2002) The word as a scalpel: a history of medical sociology. Oxford University Press, New YorkGoogle Scholar
  17. Bloomfield M (1915) The new profession of handling men. Ann Am Acad Pol Soc Sci 61:121–126Google Scholar
  18. Brennan TA (2002) Physicians’ professional responsibility to improve the quality of care. Acad Med 77:973–980Google Scholar
  19. Brennan TA, Rothman DJ, Blank LL, Blumenthal D, Chimonas SC, Cohen JJ, Goldman J, Kassirer JP, Kimball HR, Naughton J, Smelser N (2006) Health industry practices that create conflicts of interest: a policy proposal for academic medical centers. J Am Med Assoc 292:1044–1050Google Scholar
  20. Brett AS, Burr W, Moloo J (2003) Are gifts from pharmaceutical companies ethically problematic? Ann Intern Med 163:2213–2218Google Scholar
  21. Brint S (1994) In an age of experts: the changing role of professionals in politics and public life. Princeton University Press, Princeton, NJGoogle Scholar
  22. Brown EL (1936) Nursing as a profession, 2nd edn. Russell Sage, New YorkGoogle Scholar
  23. Burnham J (1982) American medicine’s golden age: what happened to it? Science 215:474–479Google Scholar
  24. Burris BH (1998) Computerization of the workplace. Annu Rev Sociol 24:141–157Google Scholar
  25. Campbell EG, Weissman JS, Vogeli C, Clarridge BR, Abraham M, Marder JE, Koski G (2006) Financial relationships between institutional review board members and industry. N Engl J Med 355:2321–2329Google Scholar
  26. Campbell EG, Gruen RL, Mountford J, Miller LG, Cleary PD, Blumenthal D (2007a) A national survey of physician-industry relationships. N Engl J Med 356:1742–1750Google Scholar
  27. Campbell EG, Weissman JS, Ehringhaus S, Rao SR, Moy B, Sandra Feibelmann S, Goold SD (2007b) Institutional academic-industry relationships. J Am Med Assoc 298:1779–1786Google Scholar
  28. Carr-Saunders AM, Wilson PA (1928) The professions. Clarendon Press, OxfordGoogle Scholar
  29. Castellani B, Hafferty FW (2006) Professionalism and complexity science: a preliminary investigation. In: Wear D, Aultman JM (eds) Medical professionalism: a critical review. Springer, New York, pp 3–23Google Scholar
  30. Chapin FS (1934) The present state of the profession. Am J Sociol 39:506–508Google Scholar
  31. Chimonas S, Brennan TA, Rothman DJ (2007) Physicians and drug representatives: exploring the dynamics of the relationship. J Gen Intern Med 22:184–190Google Scholar
  32. Christakis N (1999) Death foretold: prophecy and prognosis in medical care. University of Chicago Press, Chicago, ILGoogle Scholar
  33. Christakis NA, Fowler JH (2007) The spread of obesity in a large social network over 32 years. N Engl J Med 357:370–379Google Scholar
  34. Christakis NA, Fowler GA (2008) The collective dynamics of smoking in a large social network. N Engl J Med 358:2249–2258Google Scholar
  35. Cohen JJ (2006) Professionalism in medical education, an american perspective: from evidence to accountability. Med Educ 40:607–617Google Scholar
  36. Cohen JJ, Cruess S, Davidson C (2007) Alliance between society and medicine: the public’s stake in medical professionalism. J Am Med Assoc 298:670–673Google Scholar
  37. Cooke ML (1915) Ethics and the engineering profession. Ann Am Acad Pol Soc Sci 101:68–72Google Scholar
  38. Coury JJ Jr (1986) Physicians’ fundamental responsibility. J Am Med Assoc 256:1005Google Scholar
  39. Croasdale M (2003) Professional issues: balance becomes key to specialty pick: family practice and general surgery are taking the biggest hit, but fewer students are choosing medicine overall. AMNews.comGoogle Scholar
  40. Cruess RL, Cruess SR (1997) Teaching medicine as a profession in the service of healing. Acad Med 72:941–952Google Scholar
  41. Cruess SR, Cruess RL (2006) The role of professionalism in the social contract. In: Parsi K, Sheehan M (eds) Educating for professionalism. Rowan and Littlefield, Lanham, MD, pp 9–23Google Scholar
  42. Cruess RL, Cruess S, Steinert Y (2008) Teaching medical professionalism. Cambridge University Press, New YorkGoogle Scholar
  43. Davis JE (1988) Let’s work together! A call to America’s physicians and the public we serve. J Am Med Assoc 260:834Google Scholar
  44. Davis F, Olesen VL (1963) Initiation into a women’s profession: identity problems in the status transition of coed to student nurse. Sociometry 26:89–101Google Scholar
  45. Dorsey ER, Jarjoura D, Rutecki GW (2003) Influence of controllable lifestyle on recent trends in specialty choice by U.S. medical students. J Am Med Assoc 290:1173–1178Google Scholar
  46. Dorsey ER, Jarjoura D, Rutecki GW (2005) The influence of controllable lifestyle and sex on the specialty choices of graduating U.S. medical students, 1996–2003. Acad Med 80:791–796Google Scholar
  47. Durkheim E (1933) The division of labor in society. Macmillan, New YorkGoogle Scholar
  48. Epstein RM (1999) Mindful practice. J Am Med Assoc 282:833–839Google Scholar
  49. Fouse LG (1906) The life insurance profession. Ann Am Acad Pol Soc Sci 28:70–81Google Scholar
  50. Fowler JH, Christakis NA (2008) Dynamic spread of happiness in a large social network: longitudinal analysis over 20 years in the Framingham heart study. BMJ 337:370–379Google Scholar
  51. Fox RC (1990) Training in caring competence: the perennial problem in North American medical education. In: Hendrie HC, Lloyd C (eds) Educating competent and humane physicians. Indiana University Press, Bloomington, IN, pp 199–216Google Scholar
  52. Frankford DM, Konrad TR (1998) Responsive medical professionalism: integrating education, practice, and community in a market-driven era. Acad Med 73:138–145Google Scholar
  53. Frankford DM, Patterson M, Konrad TR (2000) Transforming practice organizations to foster lifelong learning and commitment to medical professionalism. Acad Med 75:708–717Google Scholar
  54. Freeman HE, Reeder LG (1957) Medical sociology: a review of the literature. Am Sociol Rev 22:73–81Google Scholar
  55. Freidson E (1970a) Profession of medicine: a study of the sociology of applied knowledge. Harper and Row, New YorkGoogle Scholar
  56. Freidson E (1970b) Professional dominance: the social structure of medical care. Atherton Press, New YorkGoogle Scholar
  57. Freidson E (1983) The reorganization of the professions by regulation. Law Hum Behav 7:279–290Google Scholar
  58. Freidson E (1984) The changing nature of professional control. Annu Rev Sociol 10:1–20Google Scholar
  59. Freidson E (1986) Professional powers: a study of the institutionalization of formal knowledge. University of Chicago Press, Chicago, ILGoogle Scholar
  60. Freidson E (1993) How dominant are the professions? In: Hafferty FW, McKinlay JB (eds) The changing medical profession: an international perspective. Oxford University Press, New York, pp 54–66Google Scholar
  61. Freidson E (1994) Professionalism reborn: theory, prophecy, and policy. University of Chicago Press, Chicago, ILGoogle Scholar
  62. Freidson E (2001) Professionalism: the third logic. University of Chicago Press, Chicago, ILGoogle Scholar
  63. Freidson E (2003) Review symposium on Eliot Freidson’s professionalism: the third logic: comments on JHPPL Review Symposium. J Health Polit Policy Law 28:168–172Google Scholar
  64. Goode WJ (1957) Community within a community: the professions – psychology, sociology and medicine. Am Sociol Rev 25:902–914Google Scholar
  65. Goode WJ (1960) Encroachment charlatanism, and the emerging profession: psychology, sociology, and medicine. Am Soc Rev 25:902–914Google Scholar
  66. Goode WJ (1969) The theoretical limits of professionalization. In: Etzioni A (ed) The semi-professions and their organization. Free Press, New YorkGoogle Scholar
  67. Gruen R, Pearson SD, Brennan TA (2004) Physician–citizens public roles and professional obligations. J Am Med Assoc 291:94–98Google Scholar
  68. Hafferty FW (2002) What medical students know about professionalism. Mt Sinai J Med 69:385–397Google Scholar
  69. Hafferty FW (2006a) The elephant in medical professionalism’s kitchen. Acad Med 81:906–914Google Scholar
  70. Hafferty FW (2008) Professionalism and the socialization of medical students. In: Cruess RL, Cruess SR, Steinert Y (eds) Teaching medical professionalism. Cambridge University Press, New York, pp 53–70Google Scholar
  71. Hafferty FW, Castellan B (2010) The two cultures of professionalism: sociology and medicine. In: Pescosolido BA, Martin J, McLeod J, Rogers A (eds) The handbook of health, illness & healing: blueprint for the 21st century. Springer, New YorkGoogle Scholar
  72. Hafferty FW, Castellani B (2006) Medical Sociology. In: Bryant CD, Peck DL (eds) Handbook of twenty-first century sociology. Sage, Thousand Oaks, CA, pp 331–338Google Scholar
  73. Hafferty FW, Franks R (1994) The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med 69:861–871Google Scholar
  74. Hafferty FW, Levinson D (2008) Professionalism perspective: moving beyond nostalgia and motives towards complexity science view of medical professionalism. Persp Biol Med 51:599–614Google Scholar
  75. Hafferty FW, Light DW Jr (1995) Professional dynamics and the changing nature of medical work. J Health Soc Behav (Extraissue):132–153Google Scholar
  76. Hafferty FW, McKinlay JB (1993) The changing medical profession: an international perspective. Oxford University Press, New YorkGoogle Scholar
  77. Hafferty FW, Wolinsky FD (1991) Conflicting characterizations of professional dominance. In: Levy J (ed) Current research on occupations and professions. JAI Press, Greenwich, CT, pp 225–249Google Scholar
  78. Hafferty FW (2006b) Professionalism and commercialism as antitheticals: a search for ‘unprofessional commercialism’ within the writings and work of American medicine. In: Parsi K, Sheehan M (eds) Healing as vocation: a medical professionalism primer. Rowen and Littlefield, New York, NY, pp 35–59Google Scholar
  79. Halpern S (1992) Dynamics of professional control: internal coalitions and cross-professional boundaries. Am J Sociol 97:994–1021Google Scholar
  80. Haug MR (1973) Deprofessionalization: an alternate hypothesis for the future. Sociol Rev Monogr 20:195–211Google Scholar
  81. Haug MR (1975) The deprofessionalization of everyone? Sociol Focus 3:197–214Google Scholar
  82. Haug MR (1976) The erosion of professional authority: a cross-cultural inquiry in the case of the physician. Milbank Mem Fund Q Health Soc 54:83–106Google Scholar
  83. Haug MR (1977) Computer technology and the obsolescence of the concept of profession. In: Haug M, Dofny J (eds) Work and technology. Sage, Beverly Hills, CA, pp 215–228Google Scholar
  84. Haug MR (1988) A re-examination of the hypothesis of physician deprofessionalization. Milbank Q 66:48–56Google Scholar
  85. Haug MR, Lavin B (1981) Practitioner or patient: who’s in charge? J Health Soc Behav 22:212–229Google Scholar
  86. Haug MR, Lavin B (1983) Consumerism in medicine: challenging physician authority. Sage, Beverly Hills, CAGoogle Scholar
  87. Hawkins NG (1958) Medical sociology: theory, scope and method. Charles C. Thomas, Springfield, ILGoogle Scholar
  88. Hollingshead AB (1973) Medical sociology: a brief review. Milbank Mem Fund Q Health Soc 51:531–542Google Scholar
  89. Howell JD (2004) What the doctors read. J Health Polit Policy Law 29:781–798Google Scholar
  90. Hughes EC (1960) The professions in society. Can J Econ Polit Sci 26:54–61Google Scholar
  91. Humphrey HJ, Smith K, Reddy S, Scott D, Madara JL, Arora VM (2007) Promoting an environment of professionalism: the university of Chicago “roadmap”. Acad Med 82:1098–1107Google Scholar
  92. Irvine D (2006) New ideas about medical professionalism. Med J Aust 184:204–205Google Scholar
  93. Jessup HW (1922) The ethics of the legal profession. Ann Am Acad Pol Soc Sci 101:16–29Google Scholar
  94. Johnson T (1972) Professional and power. Macmillan, LondonGoogle Scholar
  95. Kassirer JP (1995) Managed care and the morality of the marketplace. N Engl J Med 333:50–52Google Scholar
  96. Kassirer J (1997) Our endangered integrity – it can only get worse. N Engl J Med 336:1666–1667Google Scholar
  97. King L (1983) Review: the social transformation of American medicine. J Am Med Assoc 249:2237Google Scholar
  98. Krause E (1996) Death of the guilds: professions, states, and the advance of capitalism-1930 to the present. Yale University Press, New Haven, CTGoogle Scholar
  99. Kritzer HM (1999) The professions are dead, long live the professions: legal practice in a postprofessional World. Law Soc Rev 33:713–759Google Scholar
  100. Larson MS (1977) The rise of professionalism: a sociological analysis. University of California Press, Berkeley, CAGoogle Scholar
  101. Light DW Jr (1991) Professionalism as a countervailing power. J Health Polit Policy Law 16:499–506Google Scholar
  102. Light DW Jr (1993) Countervailing power: the changing character of the medical profession in the United States. In: Hafferty FW, McKinlay JB (eds) The changing medical profession: an international perspective. Oxford University Press, New York, pp 69–79Google Scholar
  103. Light DW Jr (1995) Countervailing powers: a framework for professions in transition. In: Johnson T, Larkin G, Saks M (eds) Health professions and the state in Europe. Routledge, LondonGoogle Scholar
  104. Light DW Jr (2000) The medical profession and organizational change: from professional dominance to countervailing power. In: Bird CE, Conrad P, Fremont AM (eds) Handbook of medical sociology, 5th edn. Prentice Hall, Upper Saddle River, NJ, pp 201–216Google Scholar
  105. Light DW Jr, Levine S (1988) The changing character of the medical profession: a theoretical overview. Milbank Q 66:10–32Google Scholar
  106. Lundberg GD (1985) Medicine – a profession in trouble? J Am Med Assoc 253:2879–2880Google Scholar
  107. Lundberg GD (1988) Editorial: American medicine’s problems, opportunities, and enemies. J Am Med Assoc 259:3174Google Scholar
  108. Lundberg GD (1990) Countdown to millennium: balancing the professionalism and business of medicine: medicine’s rocking horse. J Am Med Assoc 263:86–87Google Scholar
  109. Lundberg GD (1997) A pendulum swings and a rocking horse rocks. J Am Med Assoc 278:1704Google Scholar
  110. Majoribanks T, Good Mary-Jo Delvecchio, Lawthers AG, Peterson LM (1996) Physicians’ discourses on malpractice and the meaning of medical practice. J Health Soc Behav 37:163–178Google Scholar
  111. McKinlay JB (1973) On the professional regulation of change. In: Paul Halmos (ed) Professionalisation and social change, sociological review monographs 20. University of Keele, Staffordshire, pp 61–84Google Scholar
  112. McKinlay JB (1977) The business of good doctoring or doctoring as good business: reflections on Freidson’s view of the medical game. Int J Health Serv 7:459–487Google Scholar
  113. McKinlay JB (1982) Toward the proletarianization of physicians. In: Derber C (ed) Professionals as workers: mental labor in advanced capitalism. G.K. Hall, Boston, MA, pp 37–62Google Scholar
  114. McKinlay JB (1988) The changing character of the medical profession: introduction. Milbank Q 66:1–9Google Scholar
  115. McKinlay JB, Arches J (1985) Towards the proletarianization of physicians. Int J Health Serv 15:161–195Google Scholar
  116. McKinlay JB, Arches J (1986) Historical changes in doctoring: a reply to Milton Roemer. Int J Health Serv 16:473–477Google Scholar
  117. McKinlay JB, Marceau LD (2002) The end of the golden age of doctoring. Int J Health Serv 32:379–416Google Scholar
  118. McKinlay JB, Marceau LD (2008) When there is no doctor: reasons for the disappearance of primary care physicians in the U.S. during the early 21st century. Soc Sci Med 67:1481–1491Google Scholar
  119. McKinlay JB, Stoeckle JD (1988) Corporatization and the social transformation of doctoring. Int J Health Serv 18:191–205Google Scholar
  120. McLeod AJ (1982) Maintaining professionalism in a material age. Can Med Assoc J 126:847–848Google Scholar
  121. Mechanic D (1985) Public perceptions of medicine. N Engl J Med 312:181–183Google Scholar
  122. Mechanic D (1991) Sources of countervailing power in medicine. J Health Polit Policy Law 16:485–498Google Scholar
  123. Mechanic D (1996) Changing medical organization and the erosion of trust. Milbank Q 74:171–189Google Scholar
  124. Mechanic D (1998) Public trust and initiatives for new health care partnerships. Milbank Q 76:281–302Google Scholar
  125. Mechanic D (2000) Managed care and the imperative for a new professional ethic: a plan to address the growing misfit between traditional medical professionalism and emerging health care structures. Health Aff 19:100–111Google Scholar
  126. Mechanic D (2004) In my chosen doctor I trust. BMJ 329:11418–11419Google Scholar
  127. Mechanic D (2005) The media, public perceptions and health, and health policy. Hust J Law Policy 5:187–211Google Scholar
  128. Mechanic D, Meyer S (2000) Concepts of trust among patients with serious illness. Soc Sci Med 51:657–668Google Scholar
  129. Mechanic D, Schlesinger MJ (1996) The impact of managed care on patients’ trust in medical care and their physicians. J Am Med Assoc 275:1693–1697Google Scholar
  130. Moore WE (1970) Professions: roles and rules. Russell Sage, New YorkGoogle Scholar
  131. New PK-M, May JT (1965) Teaching activities of social scientists in medical schools and public health schools. Soc Sci Med 2:447–460Google Scholar
  132. Newell FH (1922) Ethics of the engineering profession. Ann Am Acad Pol Soc Sci 101:76–85Google Scholar
  133. Newton DA, Grayson MS, Thompson LF (2005) The variable influence of lifestyle and income on medical students’ career specialty choices: data from two U.S. medical schools, 1998–2004. Acad Med 80:809–814Google Scholar
  134. Parsons T (1939) The professions and social structure. Soc Forces 17:457–467Google Scholar
  135. Parsons T (1951) The social system. Free Press, New YorkGoogle Scholar
  136. Parsons T (1963) Social change and medical organization in the United States: a sociological perspective. Ann Am Acad Pol Soc Sci 346:21–33Google Scholar
  137. Pescosolido BA (2006) Professional dominance and the limits of erosion. Society 43:30–36Google Scholar
  138. Pescosolido BA, Tuch SA, Martin JK (2001) The profession of medicine and the public: examining Americans’ changing confidence in physician authority from the beginning of the ‘health care crisis’ to the era of health care reform. J Health Soc Behav 42:1–16Google Scholar
  139. Reed RR, Evans D (1987) The deprofessionalization of medicine: causes, effects, and responses. J Am Med Assoc 258:3279–3282Google Scholar
  140. Relman AS (1980) The new medical-industrial complex. N Engl J Med 303:963–970Google Scholar
  141. Relman AS (1983) Review: the social transformation of American medicine. N Engl J Med 308:466Google Scholar
  142. Relman AS (1987) Practicing medicine in the new business climate. N Engl J Med 316:1150–1151Google Scholar
  143. Relman AS (1991) Shattuck lecture: the health care industry: where is it taking us? N Engl J Med 325:854–859Google Scholar
  144. Relman AS (1993) What market values are doing to medicine. Natl Forum 73:17–21Google Scholar
  145. Relman AS (1997) Dr. Business. Am Prospect 8:91–95Google Scholar
  146. Relman AS (2007) Medical professionalism in a commercialized health care market. J Am Med Assoc 298:2668–2670Google Scholar
  147. Relman AS, Angell M (2002) America’s other drug problem: how the drug industry distorts medicine and politics. New Repub 227:27–41Google Scholar
  148. Ridley CE, Nolting OF (1934) The city-manager profession. University of Chicago Press, Chicago, ILGoogle Scholar
  149. Ring JJ (1991) President’s address: the right road for medicine: professionalism and the New American Medical Association. J Am Med Assoc 266:1694Google Scholar
  150. Ritzer G, Walczak D (1988) Rationalization and the deprofessionalization of physicians. Soc Forces 67:1–22Google Scholar
  151. Rosengren WR (1967) Sociologists in medicine: contexts and careers. In: Abrahamson M (ed) The professional in the organization. RandMcNally and Company, Chicago, IL, pp 143–155Google Scholar
  152. Ross J, Lackner JE, Lurie P, Gross CP, Wolfe SM (2007) Pharmaceutical company payments to physicians: early experiences with disclosure laws in Vermont and Minnesota. J Am Med Assoc 297:1216–1223Google Scholar
  153. Rubinow IM (1925) Social case work: a profession in the making. Soc Forces 4:286–292Google Scholar
  154. Schlesinger M (2002) A loss of faith: the sources of reduced political legitimacy for the American medical profession. Milbank Q 80:185–235Google Scholar
  155. Sigerist HE (1960) The physician’s profession through the ages. In: Marti-Ibernez F (ed) Henry E. Sigerist on the history of medicine. MD Publications, New York, pp 3–15Google Scholar
  156. Spencer H (2002) The principles of sociology: in three volumes. Appleton, New YorkGoogle Scholar
  157. Starr PE (1982) The social transformation of American medicine: the rise of a sovereign profession and the making of a vast industry. Basic Books, New YorkGoogle Scholar
  158. Starr P (2004) Social transformation twenty years on. J Health Polit Policy Law 29:1005–1019Google Scholar
  159. Steinman MA, Shlipak MG, McPhee SJ (2001) Of principles and pens: attitudes and practices of medicine housestaff toward pharmaceutical industry promotions. Am J Med 110:551–557Google Scholar
  160. Stern D (2005) Measuring professionalism. Oxford University Press, New YorkGoogle Scholar
  161. Sterrett JE (1906) The profession of accountancy. Ann Am Acad Pol Soc Sci 28:16–27Google Scholar
  162. Straus R (1957) The nature and status of medical sociology. Am Sociol Rev 22:200–204Google Scholar
  163. Sullivan WM (1999) What is left of professionalism after managed care? Hastings Cent Rep 29:8–13Google Scholar
  164. Sullivan WM (2004) Can professionalism still be a viable ethic? Good Soc 31:15–20Google Scholar
  165. Sullivan WM (2005) Work and integrity: the crisis and promise of professionalism in America, 2nd edn. Jossey-Bass, San Francisco, CAGoogle Scholar
  166. Swick HM (2000) Toward a normative definition of medical professionalism. Acad Med 75:612–616Google Scholar
  167. Talbott JA (2006) Professionalism: why now, what is it, how do we do something? J Cancer Educ 21:118–122Google Scholar
  168. Tholhurst HM, Stewart SM (2004) Balancing work, family and other lifestyle aspects: a qualitative study of Australian medical students’ attitudes. Med J Aust 181:361–364Google Scholar
  169. Timmermans S, Kolker E (2004) Evidence-based medicine and the reconfiguration of medical knowledge. J Health Soc Behav 45:177–193Google Scholar
  170. Vollmer HM, Mills DL (1966) Professionalization. Prentice-Hall, Englewood Cliffs, NJGoogle Scholar
  171. Wailoo K, Stoltzfus J, Schlesinger M (2004) Transforming American medicine: a twenty-year retrospective on the social transformation of American Medicine, vol 29(4–5). Duke University Press, Durham, NCGoogle Scholar
  172. Waitzkin H (2001) At the front lines of medicine: how the health care system alienates doctors and mistreats patients. And what we can do about it. Rowman and Littlefield, Lanham, MDGoogle Scholar
  173. Warren MG, Weitz R, Kulis S (1998) Physician satisfaction in a changing health care environment: the impact of challenges to professional autonomy, authority, and dominance. J Health Soc Behav 39:356–367Google Scholar
  174. Wax M (1962) On public dissatisfaction with the medical profession: personal observations. J Health Human Behav 3:152–156Google Scholar
  175. Wear D, Kuczewski MG (2004) The professionalism movement. Can we pause? Am J Bioeth 4:1–10Google Scholar
  176. Whitcomb M (2005) Fostering civic professionalism in tomorrow’s doctors. Acad Med 80:413–414Google Scholar
  177. Wilensky H (1964) The professionalization of everyone? Am J Sociol 70:137–158Google Scholar
  178. Wynia MK, Latham SR, Kao AC, Berg JW, Emanuel LL (1999a) Sounding board: medical professionalism in society. N Engl J Med 341:1612–1616Google Scholar
  179. Wynia MK, Latham SR, Kao AC (1999b) Medical professionalism in society. N Engl J Med 341:1612–1616Google Scholar

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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Behavioral SciencesUniversity of MN Medical SchoolDuluthUSA

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