▁“ o fficial ly ▁recognized ” ▁he al ers , ▁and ▁as ▁such ▁had ▁a ▁compet itive ▁advantage ▁in ▁the ▁job ▁market . ▁▁ ▁To ▁reduce ▁competition , ▁the ▁Medical ▁Act ▁also ▁raised ▁the ▁standards ▁for ▁qual ifications ▁in ▁ 1 8 5 8 . ▁A ▁modern ▁codes ▁of ▁medical ▁eth ics ▁were ▁also ▁implemented ▁in ▁the ▁ 1 9 th ▁century . ▁Again , ▁this ▁proves ▁the ▁high ▁degree ▁of ▁power ▁that ▁the ▁profession ▁had . ▁As ▁a ▁result , ▁many ▁medical ▁pract ition ers ▁came ▁to ▁experience ▁eth ical ▁problems . ▁Un like ▁today , ▁it ▁was ▁more ▁the ▁concern ▁of ▁the ▁behavior ▁of ▁do ctors ▁towards ▁each ▁other , ▁than ▁towards ▁their ▁patients . ▁It ▁is ▁suggested ▁to ▁be ▁due ▁by ▁the ▁changes ▁of ▁the ▁medical ▁world ▁in ▁the ▁first ▁half ▁of ▁the ▁nin ete enth ▁century . ▁Un like ▁the ▁pre - indust rial ▁age , ▁dist in ctions ▁between ▁say ▁sur ge ons ▁and ▁phys icians ▁were ▁greatly ▁reduced , ▁to ▁replace ▁a ▁division ▁of ▁mostly ▁consult ants ▁and ▁general ▁pract ition ers . ▁ ▁This ▁new ▁division ▁caused ▁dis order ▁in ▁establish ing ▁the ▁roles ▁of ▁different ▁types ▁of ▁pract ition ers ▁and ▁their ▁status . ▁It ▁led ▁to ▁more ▁competition ▁as ▁their ▁various ▁field ▁of ▁expert ise ▁was ▁not ▁made ▁clear ▁and ▁thus ▁resulted ▁in ▁accus ations ▁of ▁un prof essional ▁conduct ▁among ▁each ▁other ▁to ▁protect ▁their ▁own ▁interests . ▁Iss ues , ▁around ▁management ▁of ▁medical ▁pract ition ers ▁and ▁their ▁practice ▁stem ming