The modern era of medicine has brought about incredible advances in science and technology to improve the care of patients and population health. Additionally, major social changes are occurring that im-pact society, patients, physicians, medicine, health care, and medical education. Medical professionals are governed by ethical codes, and make a commitment to competence, integrity, morality, altruism, and support of the public good. This is a social contract, a covenant of trust with patients and society, that determines medicine’s values and responsibilities in the care of the patient.