Professionalism Is Hard

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Karin Litzcke: I have been engaged with the topic of standards of practice for upwards of 35 years. As a dietitian in the 1980s, before the profession was fully self-regulating in BC, I lobbied for the right to be fully self-determining. After doing an MBA I began looking at the performance of education systems, and spent years studying whether teaching is a profession, & why or why not, taking into account my father’s experiences as a shop teacher. When my advocacy for better teaching in public schools took me into court in 2012 as a self-represented litigant, I was driven to examine the basis for standards of practice in law and the judiciary. With a comparative framework of health care, educ’n, & law, I became an accidental expert on rent-seeking, iatrogenesis, and empire-building, and coined the concept of “expert-centred complex systems” in which professions, public governance, academe, institutions, and industry intersect. At the same time, I watched as the notion of transgenderism crushed the standards of each occupation it encountered.