Professionalism, as well as ethics, constitutes the foundation of the activity of medicine, which is an intensely moral undertaking. Professionalism acts in society as a structurally stabilizing and morally protective force. 1 The topic of professionalism is frequently mentioned in the medical literature, but the word is hardly defined, as physicians are supposed to understand what it means to be professional and use that understanding to make decisions in both their personal and professional lives. 2 The concept of professionalism includes 4 fundamental pillars: 1) specialized knowledge, 2) autonomy in decision making, 3) commitment to service to the community, and 4) self-regulation of the activity by peers. 1, 3 In particular, a professional is a person who is located in one of the erudite disciplines and who acts according to the technical, ethical, moral, and deontologic standards of a profession. 1

Professionalism raises a series of commitments within which they highlight commitments to professional skills, honesty, and respect with patients; improvement in the quality of health service delivery; confidentiality; equality in the distribution of resources; and confidence in being free from corrupt practices. 3 Neurosurgical professionalism is considered to be part of medical professionalism. Neurosurgery is a vocation in which the constant acquisition of neurosurgical knowledge, neurosurgical technical skills, and neurosurgical practice are mixed and placed at the service of the others. 2 Neurosurgical professionalism is regularly taught in neurosurgery schools to teach professional values to neurosurgical trainees or residents. 3, 4