All CRNAs will naturally focus on acquisition of clinical skills and
             specialty knowledge. CRNAs must be expected to acquire the essentials of
             professionalism, including accountability, humanism, physical well being,
             and ethics (AANA, 2004).
             Accountability
             CRNAs must place the needs of the patient above their own self-
             interest. The CRNA must recognize the value of being optimally prepared to
             provide patient care, recognize the need to participate in the health care
             industry as a whole, respond to the needs of society and to facilitate the
             optimum performance of colleagues (Wolf, 1994).
            
             Humanism
            
             CRNAs must acquire the skills that allow appropriate doctor patient
             relationship. Elements include integrity, compassion, and understanding of
             diversity, excellent communication skills, dependability and full
             participation in group goals (collegiality) (Newton, 1999).
            
             Physician Well-Being
            
             CRNAs must be aware of the need for physical and mental health for
             physicians to be able to care for patients. They also must be clearly aware
             of the signs of physician impairment. This includes substance abuse,
             alcoholism, depression, psychiatric and organic disease and aging (AANA,
             2004). Appropriate techniques for intervention should be taught during
             residency training.
            
            
            
            
             Ethics
            
            
             The absolutes of honesty and integrity must be a part of all CRNA
             work. The CRNA should be expected to demonstrate the highest level of
             moral and ethical behavior at all times in the clinical and professional
             setting (American College of Physicians, 1998).
            
            
            
            
            
             Professionalism
            
            
             The theoretical concept of professionalism is easy to recognize in its
             extremes: success and failure. Measurement is more difficult. Some
             elements of professionalism in general terms include:
            
• Altruism
            
• A commitment to excellence
            
&bul...