The SEA Spring meeting in Louisville, Kentucky was memorable, not only for the fantastic view of the annual “Thunder Over Louisville” airshow and fireworks from the top of the hotel, but also for the keynote address given by Dr. Thomas J. Nasca, MD, MACP, Chief Executive Officer, Accreditation Council for Graduate Medical Education (ACGME). I must confess to being a little wary going into the presentation, as I wondered what new checkboxes he would have in store for us. I could not have been more wrong.
Dr. Nasca gave an engaging and scholarly account of the philosophical traditions underpinning the American conceptualization of both Medicine as a Profession, and Professionalism within the practice of medicine. At its heart, this involves a commitment to scientific and clinical competence and altruism. Dr. Nasca focused on Professional Identity Formation and the challenge of inculcating not only professional behavior, but internalizing a set of professional values in our trainees. This socialization into the profession is described in detail by Cruess and Cruess (Acad. Med. 2014), and results in the individual “thinking, acting, and feeling like a physician.” He emphasized that this transformation can take place only in a healthy educational environment, and ended in a rousing call to arms: