▁five ▁dec ades ▁after ▁the ▁conf eder ation ▁even ▁though ▁some ▁other ▁occup ations ▁were ▁not ▁able ▁to . ▁This ▁meant ▁these ▁prof essions ▁could ▁over see ▁entry ▁to ▁practice , ▁education , ▁and ▁the ▁behavior ▁of ▁those ▁pract icing . ▁ ▁Phys icians ▁Phys icians ▁are ▁a ▁profession ▁that ▁became ▁autonom ous ▁or ▁self - reg ulating . ▁Phys icians ▁started ▁as ▁a ▁division ▁of ▁labor ▁in ▁health ▁care . ▁The ▁social ▁status ▁of ▁phys icians ▁made ▁them ▁feel ▁like ▁they ▁mer it ▁de ference . ▁Phys icians ' ▁authority ▁was ▁based ▁on ▁persu asion . ▁Aut onomy ▁and ▁independence ▁of ▁the ▁organization ▁of ▁phys icians ▁caused ▁a ▁division ▁of ▁labor ▁that ▁is ▁profession ally ▁domin ated . ▁Lic ens ing ▁caused ▁mon opol ies ▁on ▁rights . ▁Eli ot ▁Fried son ▁had ▁commented ▁that ▁the ▁profession ▁had ▁" the ▁authority ▁to ▁direct ▁and ▁evaluate ▁the ▁work ▁of ▁others ▁without ▁in ▁turn ▁being ▁subject ▁to ▁formal ▁direction ▁and ▁evaluation ▁by ▁them ”. ▁Do ctors ▁retained ▁their ▁domin ance ▁because ▁hosp it als ▁were ▁admin ister ed ▁rather ▁than ▁managed . ▁The ▁medical ▁field ▁enjoyed ▁more ▁power ▁than ▁some ▁other ▁profession , ▁for ▁example ▁engineering . ▁ ▁In ▁the ▁United ▁States ▁phys icians ▁from ▁other ▁countries ▁could ▁not ▁practice ▁unless ▁they ▁satisfied ▁US ▁reg ulation ▁requirements . ▁ ▁To ▁ensure ▁social ▁order ▁and ▁establish ▁British ▁institutions , ▁Ontario ▁established ▁medicine ▁as ▁a ▁self - reg ulating ▁profession ▁in ▁the ▁late ▁ 1 8 6 0 s . ▁In ▁many ▁US ▁states ▁however ,