When metrics are used by managers as a tool to control professionals, it often creates a tension between the managers who seek to measure and reward performance, and the ethos of the professionals (doctors, nurses, policemen, teachers, professors, etc.). The professional ethos is based on mastery of a body of specialized knowledge acquired through an extended process of education and training; autonomy and control over work; an identification with one’s professional group and a sense of responsibility toward colleagues; a high valuation of intrinsic rewards; and a commitment to the interests
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