Table 1 Societal and Health Care Professional (HCP) Expectations Under the Social (Fiduciary) Contract Adapted from Cruess and Cruess, 2008 [173])

Societal expectations:

The HCP will provide altruistic service to and support for their clients and society.

The HCP will act with honesty and integrity with a moral commitment to the ethic of medical service.

The HCP will provide competent, caring, compassionate high-quality service.

The HCP will respect patient client dignity, autonomy and confidentiality.

The HCP will comply with regulatory provisions.

The HCP will have input into and support for health policy & public health initiatives.

HCPs will cooperate and collaborate in client care.

Health care Professional (HCP) expectations:

The profession has sufficient professional autonomy to self-regulate.

The profession has monopoly over its domain through licensing laws.

The profession receives societal status in the form of respect, societal trust, and cultural authority.