The practice of medicine is perhaps one of the most mentally, as well as physically demanding and challenging of professional endeavors. Patients are today more sophisticated and knowledgeable about their own bodies and medical conditions, and thus present more burdensome demands on a doctor’s time. Government regulations on everything from fees, record keeping, as well as licensure, and the ultimate watch-dog, the tort system, dilute the satisfaction and fulfillment that should come from patient care. If you are a doctor, keeping up with changing medical care standards and good intentions may not be enough to satisfy acceptable standards of professional conduct. It behooves the doctor to be aware of the fact that under New York law (Education Law §6530), there are 48 “Definitions of professional misconduct.” Section 6531 has an “additional definition” dealing with fee splitting making in all 48.