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3, September 200753 OFFICIAL JOURNAL OF THE WORLD MEDICAL ASSOCIATION, INC. While this topic has already been addressed in some parts of the world, we hope that it will stimulate further debate and con- tribute to a clear affirmation of the qualities of medical professionalism in the 21st century. Rowe (1) Royal College of Physicians “Doctors’ in Society: Medical Professionalism in a changing World. The intent of this paper is to briefly review the current literature and thinking on med- ical professionalism, to highlight some of the various roles played by different med- ical organizations, and to examine the inter- section between medical associations and professionalism.

The inclusion of this substantial paper has substantial constraints on the normal contents of the journal which we will include in the next issue. In contrast, nearly no attention has been given to a consideration of medical professionalism from the point of view of organized medicine (1), in particular the National Medical Association (NMA).

This document has engendered much discussion, and the reaction to the concepts it proposes has been both positive and negative.

Subscriptions will be accepted by Deutscher Ärzte-Verlag or the World Medical Association. Details of Associate Membership may be found at the World Medical Association website net Printed by Deutscher Ärzte-Verlag Köln – Germany ISSN: 0049-8122 The second half of the 20th century and the beginning of this one have experienced unprece- dented and ever increasing rapidity of technological development, scientific discovery, research and the production of innovative diagnostic tools and therapeutic agents.

Sao Carlos do Pinhal 324 – Bela Vista Sao Paulo SP – CEP 01333-903 Tel: (55-11) 317868-00/Fax: -31 E-mail: [email protected] Website: BULGARIA E Bulgarian Medical Association 15, Acad. 1431 Sofia Tel: (359-2) 954 -11 26/Fax:-1186 E-mail: [email protected]: E Canadian Medical Association P. Box 8650 1867 Alta Vista Drive Ottawa, Ontario K1G 3Y6 Tel: (1-613) 731 8610/Fax: -1779 E-mail: [email protected]: ca CHILE S Colegio Médico de Chile Esmeralda 678 – Casilla 639 Santiago Tel: (56-2) 4277800 Fax: (56-2) 6330940 / 6336732 E-mail: [email protected]: page: The Rigshospitalet, Copenhagen founded as King Frederik’s Hospital in 1757 celebrates its 250 anniversary this year. Almirante Gago Coutinho, 151 1749-084 Lisbon Tel: (351-21) 842 71 00/842 71 11 Fax: (351-21) 842 71 99 E-mail: [email protected]: F Romanian Medical Association Str. 1, Bucarest Tel: (40-1) 460 08 30 Fax: (40-1) 312 13 57 E-mail: [email protected]: ong.ro/ong/amr RUSSIA E Russian Medical Society Udaltsova Street 85 119607 Moscow Tel: (7-095)932-83-02 E-mail: [email protected]: E Samoa Medical Association Tupua Tamasese Meaole Hospital Private Bag – National Health Services Apia Tel: (685) 778 5858 E-mail: [email protected] E Singapore Medical Association Alumni Medical Centre, Level 2 2 College Road, 169850 Singapore Tel: (65) 6223 1264 Fax: (65) 6224 7827 E-Mail: [email protected] SLOVAK REPUBLIC E Slovak Medical Association Legionarska 4 81322 Bratislava Tel: (421-2) 554 24 015 Fax: (421-2) 554 223 63 E-mail: [email protected] E Slovenian Medical Association Komenskega 4, 61001 Ljubljana Tel: (386-61) 323 469 Fax: (386-61) 301 955 SOMALIA E Somali Medical Association 14 Wardigley Road – POB 199 Mogadishu Tel: (252-1) 595 599 Fax: (252-1) 225 858 E-mail: [email protected] SOUTH AFRICA E The South African Medical Associa- tion P. Box 74789, Lynnwood Rydge 0040 Pretoria Tel: (27-12) 481 2036/2063 Fax: (27-12) 481 2100/2058 E-mail: [email protected]: S Consejo General de Colegios Médicos Plaza de las Cortes 11, Madrid 28014 Tel: (34-91) 431 7780 Fax: (34-91) 431 9620 E-mail: [email protected] E Swedish Medical Association (Villagatan 5) P. Box 5610, SE – 114 86 Stockholm Tel: (46-8) 790 33 00 Fax: (46-8) 20 57 18 E-mail: [email protected]: F Fédération des Médecins Suisses Elfenstrasse 18 – C. 170 3000 Berne 15 Tel: (41-31) 359 –1111/Fax: -1112 E-mail: [email protected]: ch TAIWAN E Taiwan Medical Association 9F No 29 Sec1 An-Ho Road Taipei Tel: (886-2) 2752-7286 Fax: (886-2) 2771-8392 E-mail: [email protected] Website: tw THAILAND E Medical Association of Thailand 2 Soi Soonvijai New Petchburi Road Bangkok 10320 Tel: (66-2) 314 4333/318-8170 Fax: (66-2) 314 6305 E-mail: [email protected] Website: F Conseil National de l’Ordre des Médecins de Tunisie 16, rue de Touraine 1002 Tunis Tel: (216-71) 792 736/799 041 Fax: (216-71) 788 729 E-mail: [email protected] E Turkish Medical Association GMK Bulvary Sehit Danis Tunaligil Sok. Box 29874 Kampala Tel: (256) 41 32 1795 Fax: (256) 41 34 5597 E-mail: [email protected] KINGDOM E British Medical Association BMA House, Tavistock Square London WC1H 9JP Tel: (44-207) 387-4499 Fax: (44- 207) 383-6710 E-mail: [email protected] Website: UNITED STATES OF AMERICA E American Medical Association 515 North State Street Chicago, Illinois 60610 Tel: (1-312) 464 5040 Fax: (1-312) 464 5973 Website: S Sindicato Médico del Uruguay Bulevar Artigas 1515 CP 11200 Montevideo Tel: (598-2) 401 47 01 Fax: (598-2) 409 16 03 E-mail: [email protected] VATICAN STATE F Associazione Medica del Vaticano Stato della Città del Vaticano 00120 Città del Vaticano Tel: (39-06) 69879300 Fax: (39-06) 69883328 E-mail: [email protected] S Federacion Médica Venezolana Avenida Orinoco Torre Federacion Médica Venezolana Urbanizacion Las Mercedes Caracas Tel: (58-2) 9934547 Fax: (58-2) 9932890 Website: [email protected] E Vietnam Medical Association (VGAMP)68A Ba Trieu-Street Hoau Kiem District Hanoi Tel/Fax: (84) ZIMBABWE E Zimbabwe Medical Association P. Box 3671 Harare Tel: (263-4) 791553 Fax: (263-4) 791561 E-mail: [email protected] U2–4_WMJ_03_07 Seite U4 57 OFFICIAL JOURNAL OF THE WORLD MEDICAL ASSOCIATION Hon. These developments have had far reaching impacts on the medical profession, including effects on basic medical education, postgraduate education, licensing and regulation, con- tinuing professional development and re-accreditation, not to mention the nature of health care and the delivery of medical care.

AZE 370001, Baku Tel: (994 50) 328 1888 Fax: (994 12) 315 136 E-mail: [email protected]/ [email protected] E Medical Association of the Bahamas Javon Medical Center P. Box N999 Nassau Tel: (1-242) 328 1857/Fax: 323 2980 E-mail: [email protected] E Bangladesh Medical Association BMA Bhaban 5/2 Topkhana Road Dhaka 1000 Tel: (880) 2-9568714/9562527 Fax: (880) 2-9566060/9568714 E-mail: [email protected] F Association Belge des Syndicats Médicaux Chaussée de Boondael 6, bte 4 1050 Bruxelles Tel: (32-2) 644-12 88/Fax: -1527 E-mail: [email protected]: S Colegio Médico de Bolivia Calle Ayacucho 630 Tarija Fax: (591) 4663569 E-mail: [email protected]: bo BRAZIL E Associaçao Médica Brasileira R. Ujazdowskie 24, 00-478 Warszawa Tel/Fax: (48-22) 628 86 99 PORTUGAL E Ordem dos Médicos Av. Rowe Haughley Grange, Stowmarket Suffolk IP14 3QT UK Co-Editors Prof. The impact of these developments has had substantial political, social and economic effects in both developed and developing countries, leading to consequent changes in medical practice and its organisation, as well as challenges to the nature of the role of physicians in health care.

In still others, discussion has focused on the duty of physicians to society, and the need to establish an updated and modernized “social contract” between society and the medical profession.

While a simple definition of medical pro- fessionalism that satisfies everyone’s requirements does not appear to exist, for the purposes of this document it will be defined generally as follows: Medical professionalism describes the skills, attitudes, values and behaviours com- mon to those undertaking the practice of medicine.

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