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accountability altruism aspects of professionalism assessment attitudes autonomy behaviour believe that professionalism Bristol Inquiry British Medical Association career clinical governance clinical standards Clinicians colleagues College of Physicians commitment Committee competence consultant context continue Cruess RL definition education and training ensure ethical EWTD expectations groups Healthcare Commission important individual Internal Medicine Irvine D issues judgement junior doctors knowledge and skills Liam Donaldson maintain or improve meaning today Medical Council medical practice medical profession medical professionalism Medical Royal Colleges medical students Modernising Medical Careers morale organisations outpatient survey Party Party's four questions Physicians practitioners professional doctors professional standards professional values professionalism in medicine Professor questionnaire recognise Reith Lectures relationship responsibilities revalidation role self-regulation Shipman Shipman Inquiry social contract society specialist strengthen those aspects themes think it faces think that professionalism threats and challenges trust views workforce