A profession is a field of work that has been successfully professionalized. [1] It can be defined as a disciplined group of individuals, professionals, who adhere to ethical standards and who hold themselves out as, and are accepted by the public as possessing special knowledge and skills in a widely recognised body of learning derived from research, education and training at a high level, and who are prepared to apply this knowledge and exercise these skills in the interest of others. [2] [3]
Professional occupations are founded upon specialized educational training, the purpose of which is to supply disinterested objective counsel and service to others, for a direct and definite compensation, wholly apart from expectation of other business gain. [4] Medieval and early modern tradition recognized only three professions: divinity, medicine, and law, [5] [6] which were called the learned professions. [7] In some legal definitions, profession is not a trade [8] nor an industry. [9]
Some professions change slightly in status and power, but their prestige generally remains stable over time, even if the profession begins to have more required study and formal education. [10] Disciplines formalized more recently, such as architecture, now have equally long periods of study associated with them. [11]
Although professions may enjoy relatively high status and public prestige, not all professionals earn high salaries, and even within specific professions there exist significant differences in salary. In law, for example, a corporate defense lawyer working on an hourly basis may earn several times what a prosecutor or public defender earns.
The term "profession" is a truncation of the term "liberal profession", which is, in turn, an Anglicization of the French term profession libérale. Originally borrowed by English users in the 19th century, it has been re-borrowed by international users from the late 20th, though the (upper-middle) class overtones of the term do not seem to survive re-translation: "liberal professions" are, according to the European Union's Directive on Recognition of Professional Qualifications (2005/36/EC), "those practised on the basis of relevant professional qualifications in a personal, responsible and professionally independent capacity by those providing intellectual and conceptual services in the interest of the client and the public". Under the European Commission, liberal professions are professions that require specialized training and that are regulated by "national governments or professional bodies". [12]
A profession arises through the process of professionalization when any trade or occupation transforms itself:
"... [through] the development of formal qualifications based upon education, apprenticeship, and examinations, the emergence of regulatory bodies with powers to admit and discipline members, and some degree of monopoly rights. [13]
Major milestones which may mark an occupation being identified as a profession include: [6]
Applying these milestones to the historical sequence of development in the United States shows surveying achieving professional status first (George Washington, Thomas Jefferson, and Abraham Lincoln all worked as land surveyors before entering politics [14] [15] [16] ), followed by medicine, actuarial science, law, dentistry, civil engineering, logistics, architecture and accounting. [17]
With the rise of technology and occupational specialization in the 19th century, other bodies began to claim professional status: mechanical engineering, pharmacy, veterinary medicine, psychology, nursing, teaching, librarianship, optometry and social work, each of which could claim, using these milestones, to have become professions by 1900. [18]
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Regulatory organisations are typically charged with overseeing a defined industry. Usually they will have two general tasks:
Originally, any regulation of the professions was self-regulation through bodies such as the College of Physicians or the Inns of Court. With the growing role of government, statutory bodies have increasingly taken on this role, their members being appointed either by the profession or (increasingly) by the government. Proposals for the introduction or enhancement of statutory regulation may be welcomed by a profession as protecting clients and enhancing its quality and reputation, or as restricting access to the profession and hence enabling higher fees to be charged. It may be resisted as limiting the members' freedom to innovate or to practice as in their professional judgement they consider best.
An example was in 2008, when the British government proposed wide statutory regulation of psychologists. The inspiration for the change was a number of problems in the psychotherapy field, but there are various kinds of psychologists including many who have no clinical role, and where the case for regulation was not so clear. Work psychology brought especial disagreement, with the British Psychological Society favoring statutory regulation of "occupational psychologists" and the Association of Business Psychologists resisting the statutory regulation of "business psychologists" – descriptions of professional activity which it may not be easy to distinguish.
Besides regulating access to a profession, professional bodies may set examinations of competence and enforce adherence to an ethical code. There may be several such bodies for one profession in a single country, an example being the accountancy bodies of the United Kingdom (ACCA, CAI, CIMA, CIPFA, ICAEW and ICAS), all of which have been given a Royal Charter, although their members are not necessarily considered to hold equivalent qualifications, and which operate alongside further bodies (AAPA, IFA, CPAA). Another example of a regulatory body that governs a profession is the Hong Kong Professional Teachers Union, which governs the conduct, rights, obligations, and duties of salaried teachers working in educational institutions in Hong Kong.
The engineering profession is highly regulated in some countries (Canada and the United States) with a strict licensing system for Professional Engineer that controls the practice but not in others (UK) where titles and qualifications are regulated Chartered Engineer but the practice is not regulated.
Typically, individuals are required by law to be qualified by a local professional body before they are permitted to practice in that profession. However, in some countries, individuals may not be required by law to be qualified by such a professional body in order to practice, as is the case for accountancy in the United Kingdom (except for auditing and insolvency work which legally require qualification by a professional body). In such cases, qualification by the professional bodies is effectively still considered a prerequisite to practice as most employers and clients stipulate that the individual hold such qualifications before hiring their services. For example, in order to become a fully qualified teaching professional in Hong Kong working in a state or government-funded school, one needs to have successfully completed a Postgraduate Diploma in Education ("PGDE") or a bachelor's degree in Education ("BEd") at an approved tertiary educational institution or university. This requirement is set out by the Educational Department Bureau of Hong Kong, which is the governmental department that governs the Hong Kong education sector.
Professions tend to be autonomous, which means they have a high degree of control of their own affairs: "professionals are autonomous insofar as they can make independent judgments about their work". [21] This usually means "the freedom to exercise their professional judgement." [22]
However, it also has other meanings. "Professional autonomy is often described as a claim of professionals that has to serve primarily their own interests...this professional autonomy can only be maintained if members of the profession subject their activities and decisions to a critical evaluation by other members of the profession." [23] The concept of autonomy can therefore be seen to embrace not only judgement, but also self-interest and a continuous process of critical evaluation of ethics and procedures from within the profession itself.
One major implication of professional autonomy is the traditional ban on corporate practice of the professions, especially accounting, architecture, engineering, medicine, and law. This means that in many jurisdictions, these professionals cannot do business through regular for-profit corporations and raise capital rapidly through initial public offerings or flotations. Instead, if they wish to practice collectively they must form special business entities such as partnerships or professional corporations, which feature (1) reduced protection against liability for professional negligence and (2) severe limitations or outright prohibitions on ownership by non-professionals. The obvious implication of this is that all equity owners of the professional business entity must be professionals themselves. This avoids the possibility of a non-professional owner of the firm telling a professional how to do his or her job and thereby protects professional autonomy. The idea is that the only non-professional person who should be telling the professional what to do is the client; in other words, professional autonomy preserves the integrity of the two-party professional-client relationship. Above this client-professional relationship the profession requires the professional to use their autonomy to follow the rules of ethics that the profession requires. But because professional business entities are effectively locked out of the stock market, they tend to grow relatively slowly compared to public corporations.
Professions tend to have a high social status, regarded by society as highly important. [24] This high esteem arises primarily from the higher social function of their work. The typical profession involves technical, specialized, and highly skilled work. This skill and experience is often referred to as "professional expertise." In the modern era, training for a profession involves obtaining degrees and certifications. Often, entry to the profession is barred without licensure. Learning new skills that are required as a profession evolves is called continuing education. Standards are set by states and associations. Leading professionals tend to police and protect their area of expertise and monitor the conduct of their fellow professionals through associations, national or otherwise. Professionals often exercise a dominating influence over related trades, setting guidelines and standards. [25] Socially powerful professionals consolidate their power in organizations for specific goals. Working together, they can reduce bureaucratic entanglements and increase a profession's adaptability to the changing conditions of the world. [26]
Émile Durkheim argued that professions created a stable society by providing structure separate from the state and the military that was less inclined to create authoritarianism or anomie and could create altruism and encourage social responsibility and altruism. This functionalist perspective was extended by Talcott Parsons who considered how the function of a profession could change in responses to changes in society. [27] : 17 [28]
Esther Lucile Brown, an anthropologist, studied various professions starting the 1930s while working with Ralph Hurlin at the Russell Sage Foundation. She published Social Work as a Profession in 1935, and following this publications studying the work of engineers, nurses, medical physicians and lawyers. In 1944, the Department of Studies in the Professions was created at the Russell Sage Foundation with Brown as its head. [29] : 183
Theories based on conflict theories following Marx and Weber consider how professions can act in the interest of their own group to secure social and financial benefits were espoused by Johnson (Professions and Powers, 1972) and Larson (The Rise of Professionalism, 1977). One way that a profession can derive financial benefits is limiting the supply of services. [27] : 18
Theories based on discourse, following Mead and applying ideas of Sartre and Heidegger look at how the individual's understanding of reality influence the role of professions. These viewpoints were espoused by Berger and Luckmann ( The Social Construction of Reality , 1966). [27] : 19
Andrew Abbott constructed a sociological model of professions in his book The System of Professions. Abbott views professions as having jurisdiction over the right to carry out tasks with different possession vying for control of jurisdiction over tasks. [30]
A profession often possesses an expert knowledge system which is distinct from the profession itself. This abstract system is often not of direct practical use but is rather optimized for logical consistency and rationality, and to some degree acts to increase the status of the entire profession. One profession may seek control of another profession's jurisdiction by challenging it at this academic level. Abbott argues that in the 1920s the psychiatric profession tried to challenge the legal profession for control over society's response to criminal behavior. Abbott argues the formalization of a profession often serves to make a jurisdiction easier or harder to protect from other jurisdictions: general principles making it harder for other professions to gain jurisdiction over one area, clear boundaries preventing encroachment, fuzzy boundaries making it easier for one profession to take jurisdiction over other tasks.
Professions may expand their jurisdiction by other means. Lay education on the part of professions as in part an attempt to expand jurisdiction by imposing a particular understanding on the world (one in which the profession has expertise). He terms this sort of jurisdiction public jurisdiction. Legal jurisdiction is a monopoly created by the state legislation, as applies to law in many nations.
There is considerable agreement about defining the characteristic features of a profession. They have a "professional association, cognitive base, institutionalized training, licensing, work autonomy, colleague control... (and) code of ethics", [31] to which Larson then also adds, "high standards of professional and intellectual excellence," (Larson, p. 221) that "professions are occupations with special power and prestige", (Larson, p.x) and that they comprise "an exclusive elite group," (Larson, p. 20) in all societies. Members of a profession have also been defined as "workers whose qualities of detachment, autonomy, and group allegiance are more extensive than those found among other groups...their attributes include a high degree of systematic knowledge; strong community orientation and loyalty; self-regulation; and a system of rewards defined and administered by the community of workers." [32]
A profession has been further defined as: "a special type of occupation...(possessing) corporate solidarity...prolonged specialized training in a body of abstract knowledge, and a collectivity or service orientation...a vocational sub-culture which comprises implicit codes of behavior, generates an esprit de corps among members of the same profession, and ensures them certain occupational advantages...(also) bureaucratic structures and monopolistic privileges to perform certain types of work...professional literature, legislation, etc." [33]
A critical characteristic of a profession is the need to cultivate and exercise professional discretion - that is, the ability to make case by case judgements that cannot be determined by an absolute rule or instruction. [34]
A physician, medical practitioner, medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the study, diagnosis, prognosis and treatment of disease, injury, and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities—or they may assume responsibility for the provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice. Medical practice properly requires both a detailed knowledge of the academic disciplines, such as anatomy and physiology, underlying diseases, and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is the art or craft of the profession.
In its most general sense, the practice of law involves giving legal advice to clients, drafting legal documents for clients, and representing clients in legal negotiations and court proceedings such as lawsuits, and is applied to the professional services of a lawyer or attorney at law, barrister, solicitor, or civil law notary. However, there is a substantial amount of overlap between the practice of law and various other professions where clients are represented by agents. These professions include real estate, banking, accounting, and insurance. Moreover, a growing number of legal document assistants (LDAs) are offering services which have traditionally been offered only by lawyers and their employee paralegals. Many documents may now be created by computer-assisted drafting libraries, where the clients are asked a series of questions that are posed by the software in order to construct the legal documents. In addition, regulatory consulting firms also provide advisory services on regulatory compliance that were traditionally provided exclusively by law firms.
A law society is an association of lawyers with a regulatory role that includes the right to supervise the training, qualifications, and conduct of lawyers. Where there is a distinction between barristers and solicitors, solicitors are regulated by the law societies and barristers by a separate bar council.
A paralegal, also known as a legal assistant, or paralegal specialist is a legal professional who performs tasks that require knowledge of legal concepts but not the full expertise of a lawyer with an admission to practice law. The market for paralegals is broad, including consultancies, companies that have legal departments or that perform legislative and regulatory compliance activities in areas such as environment, labor, intellectual property, zoning, and tax. Legal offices and public bodies also have many paralegals in support activities using other titles outside of the standard titles used in the profession. There is a diverse array of work experiences attainable within the paralegal field, ranging between internship, entry-level, associate, junior, mid-senior, and senior level positions.
A professional is a member of a profession or any person who works in a specified professional activity. The term also describes the standards of education and training that prepare members of the profession with the particular knowledge and skills necessary to perform their specific role within that profession. In addition, most professionals are subject to strict codes of conduct, enshrining rigorous ethical and moral obligations. Professional standards of practice and ethics for a particular field are typically agreed upon and maintained through widely recognized professional associations, such as the IEEE. Some definitions of "professional" limit this term to those professions that serve some important aspect of public interest and the general good of society.
Legal ethics are principles of conduct that members of the legal profession are expected to observe in their practice. They are an outgrowth of the development of the legal profession itself.
A nutritionist is a person who advises others on matters of food and nutrition and their impacts on health. Some people specialize in particular areas, such as sports nutrition, public health, or animal nutrition, among other disciplines. In many countries, a person can claim to be a nutritionist even without any training, education, or professional license, in contrast to a dietitian, who has a university degree, professional license, and certification for professional practice.
Professional ethics encompass the personal and corporate standards of behavior expected of professionals.
Professional responsibility is a set of duties within the concept of professional ethics for those who exercise a unique set of knowledge and skill as professionals.
A semiprofession is an occupation that requires advanced knowledge and skills but is not widely regarded as a true profession. Traditional examples of semiprofessions include social work, journalism, librarianship, teaching and nursing. Such fields often have less clear-cut barriers to entry than traditional professions like law and medicine, and their practitioners often lack the degree of control over their own work that has been traditionally associated with professionals such as doctors and lawyers.
Professionalization or professionalisation is a social process by which any trade or occupation transforms itself into a true "profession of the highest integrity and competence." The definition of what constitutes a profession is often contested. Professionalization tends to result in establishing acceptable qualifications, one or more professional associations to recommend best practice and to oversee the conduct of members of the profession, and some degree of demarcation of the qualified from unqualified amateurs. It is also likely to create "occupational closure", closing the profession to entry from outsiders, amateurs and the unqualified.
The Solicitors Regulation Authority (SRA) is the regulatory body for solicitors in England and Wales.
Osteomyology is a multi-disciplined form of alternative medicine found almost exclusively in the United Kingdom and is loosely based on aggregated ideas from other manipulation therapies, principally chiropractic and osteopathy. It is a results-based physical therapy tailored specifically to the needs of the individual patient. Osteomyologists have been trained in osteopathy and chiropractic, but do not require to be regulated by the General Osteopathic Council (GOsC) or the General Chiropractic Council (GCC).
In sociology, an occupational closure is the process whereby a trade or occupation (vocation) transforms itself, or tries to transform itself, into a true profession by closing off entry to the profession to all but those people who are suitably qualified, as defined by the practitioners already practicing the occupation in any given jurisdiction. This can be achieved by licensure and professional certification, barring entry to all except those who have passed certain entrance examinations and grades of training, or by allowing entry only to those who have gained membership of a specific professional body. It can also be achieved by trade unionism, and most especially craft unionism as contrasted with industrial unionism, in countries where sufficient union membership can be achieved despite the prevailing gradient of union busting.
Engineers Australia (EA), known formally as the Institution of Engineers, Australia, is an Australian professional body and not-for-profit organisation whose purpose is to advance the science and practice of engineering for the benefit of the community. Engineers Australia is Australia's recognized organization for accreditation of professional engineering qualifications under the Washington Accord. As of 2022, EA has 115,000 members, which includes 31,000 students.
Health professional requisites refer to the regulations used by countries to control the quality of health workers practicing in their jurisdictions and to control the size of the health labour market. They include licensure, certification and proof of minimum training for regulated health professions.
Veterinary ethics is a system of moral principles that apply values and judgments to the practice of veterinary medicine. As a scholarly discipline, veterinary ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology. Veterinary ethics combines veterinary professional ethics and the subject of animal ethics. The subject of veterinary ethics can be interpreted as an extension of critical thinking skills necessary to make the decisions in veterinary care in order to support the profession's responsibilities to animal kind and mankind. Five main topics construct the physical usage of Veterinary Ethics. The first is history which describes how these ethics came to be, and how they have changed in the modernization of the veterinary industry. The second is the relation veterinary ethics has with human medical ethics, which together share many values. Third, the principles of these ethics which are updated regularly by the AVMA. Fourth are the key topics of veterinary ethics, which describe what these ethics cover. Last, how these ethics are incorporated into everyday practice and also how they affect those employed in the industry.
Medical sociology is the sociological analysis of medical organizations and institutions; the production of knowledge and selection of methods, the actions and interactions of healthcare professionals, and the social or cultural effects of medical practice. The field commonly interacts with the sociology of knowledge, science and technology studies, and social epistemology. Medical sociologists are also interested in the qualitative experiences of patients, often working at the boundaries of public health, social work, demography and gerontology to explore phenomena at the intersection of the social and clinical sciences. Health disparities commonly relate to typical categories such as class and race. Objective sociological research findings quickly become a normative and political issue.
Eliot Freidson was a sociologist and medical sociologist who worked on the theory of professions. Charles Bosk says that Freidson was a founding figure in medical sociology who played a major role in the growth and legitimization of the subject. The American Sociological Society awards the Eliot Freidson Outstanding Publication Award for medical sociology every two years.
In medical law and medical licensing, fitness to practise is a concept in the regulation of medicine regarding whether a health professional or social worker should be allowed to work. While fitness to practice can include matters of technical competence, including qualifications the concept also contains questions about the implications of the health of the professional and their ethics.
[...] the three learned professions of divinity, law, and medicine [...]
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