Professionalism is central to medicine’s social contract with society and involves the commitment to patients and to each other that we will place the interests of patients above our own, maintain standards of competence and integrity, and demonstrate trustworthiness with patients, colleagues, co-workers and the public. After more than a year of study and discussions, the ABFM Board of Directors recently approved new Guidelines for Professionalism, Licensure, and Personal Conduct. The newly revised guidelines provide enhanced clarity about ABFM expectations for professionalism; include a new section on Special Circumstances that the Professionalism Committee of our Board of Directors can refer to as they balance their commitment to both Diplomates and the public; define behaviors of concern related to professionalism that do not involve license actions; and describe the pathways back to certification for anyone who has violated the professionalism guidelines.