Professionalism and maintenance of certification: using vignettes describing interpersonal dilemmas to stimulate reflection and learning

Created vignettes with professionalism issues (give email to patients, offering med advice to friends, etc) as part of ABIM MOC. Qualitative analysis revealed that several interacting themes guide physician approaches to professional dilemmas: patient welfare; types of patients; political, ethical, or legal issues; guiding principles; values; rules; and habits.