Navigation Links
Bad professional behavior dates back to medical school

Doctors with questionable professional lives often had the same kind of trouble in medical school, according to US researchers.//

Physicians disciplined by state medical boards were three times more likely to have had a history of unprofessional behavior while in medical school than those with no discipline records, says a study in New England Journal of Medicine.

The study is a first step towards identifying and incorporating subjective concepts such as personal behavior or professionalism into medical education, says Dr. Lynne Kirk, associate dean for graduate medical education at the University of Texas Southwestern Medical Center in Dallas, and author of an accompanying editorial in the journal.

Maxine Papadakis, lead author on the study and the dean for student affairs at the University of California-San Francisco medical school, says, "We found that for physicians disciplined by licensing boards, the strongest association in medical school was unprofessional behavior," The study is the first to link doctor's professionalism in medical school to later bad outcomes when they practice; it gives professors criteria that can serve as early warning signs of trouble, Papadakis says.

The research found that doctors who had exhibited certain types of behavior in medical school were even more likely to be cited by a medical board: Those who behaved unprofessionally in school were 8.5 times more likely to be disciplined while those with a diminished capacity for self-improvement were 3.1 times more likely to be disciplined, according to the study.

The students were deemed irresponsible if they were late for rounds, didn't show up for the clinics they were assigned to, or didn't finish taking care of a patient.

Also, doctors who had been disciplined had lower scores on the Medical College Admission Test and poor grades in the first two years of medical school, although these associations were weaker, the study authors said.

The violations among the 235 physicians that led to disciplinary actions included use of drugs or alcohol, negligence, sexual misconduct, fraud and failure to meet continuing medical education requirements. Many of these physicians were repeat offenders, the study authors said.

The research supports a growing movement to make professionalism a requirement for graduation from medical residency programs. In 1999, the Accreditation Council for Graduate Medical Education in the US included professionalism as one of six "core competencies" being phased in by 2006 as a requirement for graduation.

Researchers looked at such things as how responsibly medical students followed up on patient care and their attitudes when taking constructive criticism.

The study examined the medical school history of graduates who were later disciplined by a state medical board from 1990 to 2003, and compared them with similar students with no history of problems in medical school. The schools studied were UCSF, the University of Michigan Medical School in Ann Arbor and Jefferson Medical College in Philadelphia.

Together, these traits turned out to be a much stronger predictor of future disciplinary action than more traditional measures such as test scores and grades.

The study is part of a larger movement within the field of medicine to retool itself for a world where "I don't know" is an acceptable phrase from a doctor. This is in contrast to the all-knowing, paternalistic doctor whom medical schools educated prior to the 1970s. The change began in the 1980s and 1990s. Today there's a great deal more emphasis being placed on professionalism, humanistic behavior and ethical issues.

Disciplinary action by a state medical board is rare. Of the 725,000 practicing physicians in the USA, only 0.3% is disciplined each year. Failing to graduate from medical school is more likely; one in 20 students wash out for a host of reasons.


Related medicine news :

1. Maternal alcohol consumption linked to behavioral problems in children
2. Effect of estrogen on behavior difference between sexes
3. Does overweight cause behavioral problems?
4. PET scans can detect the results of cognitive behavior therapy
5. Genes responsible for social behavior of us
6. Teaching parents to deal with behavior problems in children
7. New clues to maternal aggressive behavior
8. Next time somebody complains about your strange behavior, take it as a compliment
9. Child’s behavior at three: consequence of mother’s nutritin
10. Cancer cell behavior during Metastasis – New finding
11. New Test Identifies Candidates For Cardiac Defibrillator
Post Your Comments:

(Date:11/30/2015)... ... November 30, 2015 , ... According to Los Angeles bariatric surgeon ... are not necessarily caused by real hunger, but instead by a hormone called ... notes that, while many patients are aware that weight loss surgery can help patients ...
(Date:11/30/2015)... ... November 30, 2015 , ... RoamRight, a leading provider of ... Public Television’s Travel With Kids to promote family vacations around the world. ... they explore international destinations and educate families about the people and places of the ...
(Date:11/30/2015)... ... 2015 , ... At Grand Dental PC, their priority is to deliver quality ... dental problems, you need to turn to a dentist who listens and responds; an ... a friendly dentist who counsels you on the best ways to maintain and improve ...
(Date:11/30/2015)... ... 30, 2015 , ... Newly reviewed and approved “NJ Top ... He has both advanced training and considerable experience in reconstructive dentistry with ... in cosmetic dentistry. He is an active Spear Education member providing full ...
(Date:11/30/2015)... ... November 30, 2015 , ... ”Dying Words: The AIDS Reporting of Jeff Schmalz ... 2015, to coincide with World AIDS Day. The multi-media project will be in audio ... epidemic as he was dying of the disease. , A collaborative effort led by ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... November 30, 2015 global cell culture market ... bn to US$11.3 bn by 2022 at a CAGR of 7.1% ... to grow from its 2013 value of US$6.1 bn to US$11.3 ... Transparency Market Research has announced the release of a new ... the report, titled ,Cell Culture Market - Global Industry Analysis, Size, ...
(Date:11/30/2015)...   Royal Philips (NYSE: PHG ... MRI guided user interface and automatic scan parameter selection ... Conditional implants, such as knee and hip replacements, spine ... of North America Annual Meeting (RSNA) . The new ... of this growing patient population. ScanWise Implant adds to ...
(Date:11/30/2015)... RATON, Fla. , Nov. 30, 2015   ... (the Institute) announced today that it has finalized ... device start-up company with technology developed at Florida State ... publicly-funded research, and bridges early funding gaps for companies ... and research institutions. --> ...
Breaking Medicine Technology: