Because of the uniqueness and complexity of medical facilities that provide medical care,even people who sincerely agree to principles of medical ethics would consciously fall away from certain principle of medical ethics. Although such deviation is mere expedient, enormous impact is imposed on the principles of medical ethics. Contingency in moral choices, being an expedient under specific circumstances, is inherently necessary and justifiable. However, temporary deviation does not negate a principle. When there are conflicts of principles, contingency in medical moral choices requires that the moral values of different medical behaviors be judged and choices be made. Appropriate contingency in medical moral choices depends on the rational beliefs of medical staff and the right judgment about moral values of different medical plans.

Objective To discuss the current professionalism of primary medical workers and its interconnections with their hometown identify and job performance. Methods Township health centers of Jianning county in Fujian province were surveyed. The classic Employee Engagement Assessment Tool Gallup Q12 survey was employed, to learn the current professionalism of medical workers at such centers, and the influencing factors as well. Results The average value of engagement of these medical workers is 47.33 points (86% of 55 points as full score). High professionalism is mostly supported by hometown identity and professional identity,but they don't have high momentum and passion in general.Conclusions It is imperative to improve the sense of accomplishment,sense of belongings,and professional well-being of these medical workers,broaden their career development horizons,and establish a reasonable salary system to strengthen their hometown identity and enhance their professional engagement.