Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board
Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board
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DOI：
10.1097/00001888-200403000-00011
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发表时间：
2004-03-01
影响因子：
7.4
通讯作者：
Kohatsu, ND
中科院分区：
文献类型：
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作者：
Papadakis, MA;Hodgson, CS;Kohatsu, ND
目的。确定在医学院表现出不专业行为的医学生是否更有可能受到州委员会随后的纪律处分。方法。对 1990 年至 2000 年期间受到加州医学委员会纪律处分的所有加州大学旧金山分校医学院毕业生进行了一项病例对照研究 (68)。对照毕业生 (196) 与医学院毕业年份和专业选择相匹配。预测变量包括男性、本科平均成绩、医学院入学考试成绩、医学院成绩、国家体检委员会第 1 部分分数，以及课程评估表中描述不专业行为的负面摘录、住院医师院长推荐信和行政信函。负面摘录根据严重程度进行评分（良好/跟踪与关注/问题/极端）。结果变量是州委员会。纪律处分。结果。校友于1943年至1989年间毕业。95%的纪律处分是由于专业精神的缺陷。病例中担忧/问题/极端摘录的发生率为 38%，对照组为 19%。 Logistic 回归分析显示，遵守纪律的医生更有可能在其医学院档案中摘录担忧/问题/极端情况（比值比，2.15；95% 置信区间，1.15-4.02；p =.02）。其余变量与纪律处分无关。结论。医学院的问题行为与州医学委员会随后的纪律处分有关。专业精神是学生从医学院毕业必须表现出的基本能力。
Purpose. To determine if medical students who demonstrate unprofessional behavior in medical school are more likely to have subsequent state board disciplinary action.Method. A case-control study was conducted of all University of California, San Francisco, School of Medicine graduates disciplined by the Medical Board of California from 1990-2000 (68). Control graduates (196) were matched by medical school graduation year and specialty choice. Predictor variables were male gender, undergraduate grade point average, Medical College Admission Test scores, medical school grades, National Board of Medical Examiner Part 1 scores, and negative excerpts describing unprofessional behavior from course evaluation forms, dean's letter of recommendation for residencies, and administrative correspondence. Negative excerpts were scored for severity (Good/Trace versus Concern/Problem/Extreme). The outcome variable was state board. disciplinary action.Results. The alumni graduated between 1943 and 1989. Ninety-five percent of the disciplinary actions were for deficiencies in professionalism. The prevalence of Concern/Problem/Extreme excerpts in the cases was 38% and 19% in controls. Logistic regression analysis showed that disciplined physicians were more likely to have Concern/Problem/Extreme excerpts in their medical school file (odds ratio, 2.15; 95% confidence interval, 1.15-4.02; p =.02). The remaining variables were not associated with disciplinary action.Conclusion. Problematic behavior in medical school is associated with subsequent disciplinary action by a state medical board. Professionalism is an essential competency that must be demonstrated for a student to graduate from medical school.