Americans ranked nurses as the most ethical and honest professionals, according to the latest Gallup poll.

Eighty-five percent of Americans ranked nurses’ honesty and ethical standards as either “very high” or “high” for the annual poll.

Nurses’ high ranking is similar to last year’s numbers. It’s the 18th year in a row nurses have topped the list. 

“Nurses are consistently rated higher in honesty and ethics than all other professions that Gallup asks about, by a wide margin,” the report states.

Medical professions in general rate highly in Americans’ assessments of honesty and ethics, with at least 6 in 10 U.S. adults saying medical doctors, pharmacists and dentists have high levels of these virtues. 

Medical doctors ranked third on the list, after 65% gave M.D.s a “very high or high” rating, while pharmacists were fourth. Engineers are the only nonmedical profession that Americans now hold in a similar level of esteem, with 66% giving high ethical marks to these professionals. 

Results are based on telephone interviews conducted in December with 1,025 adults living in all 50 U.S. states and Washington, D.C.