RT Journal A1 Smith SR, Good Stewardship Working Group of the National Physicians Alliance f T1 WHat is professionalism?—reply JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2012 FD January 23 VO 172 IS 2 SP 197 OP 197 DO 10.1001/archinte.172.2.197-b UL http://dx.doi.org/10.1001/archinte.172.2.197-b AB Dr Finestone inquires whether the generation of the “Top 5” lists by the Good Stewardship working groups is better characterized as a subject of quality performance rather than professionalism. Our characterization of the effort as professionalism arises from the Physician Charter, in which the definition of professionalism rests, in part, on the principle of social justice. The charter ethically commits physicians to work toward “the wise and cost-effective management of limited clinical resources.”1