Although medicine has long valued and reinforced certain behaviors, collect
ively labeled "professionalism," among its members, it is not clear if or h
ow these behaviors might be conveyed to physicians in training, Despite thi
s, teachers are required to assess and at times to act on their perceptions
of their charges' professionalism. Surgery residents at a large metropolit
an hospital were tracked during a 50-month period. They were evaluated on o
bjective criteria, such as clinical abilities and performance, and more sub
jective qualities, including ethical standards and interpersonal skills (pr
ofessionalism). Analysis of the data indicated that residents who scored ab
ove the mean on professionalism also scored significantly higher than their
classmates on every dimension of skills and knowledge performance evaluate
d, This convergence suggests that those qualities comprising professionalis
m are important elements in resident's training, and tend to produce better
overall clinical performance. This finding, and previous research in this
area, should encourage investigators to explore the relationship between pr
ofessionalism and clinical competence.