We are living in increasingly difficult and uncertain times. The economic downturn has increased the variety of pressures we face in our personal and professional lives. Those pressures can influence what we do and how we relate to the standards to which we would generally aspire. Economic pressures have also affected the institutional context in which we work, undoubtedly compounding behavioral pressures and conceivably undermining certain values that we have developed through our careers. The charge to each of us is to remain vigilant in maintaining the probity and professionalism that are so integral to the fundamental values we share as physicians, investigators, educators, administrative leaders in our profession and role models in representing these ideals for the generations to come.
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