Putting theory into practice – A case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period.

Saved in:
Bibliographic Details
Title: Putting theory into practice – A case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period.
Authors: Howe, Amanda1,2 (AUTHOR) Amanda.howe@uea.ac.uk, Miles, Susan1,3 (AUTHOR), Wright, Sarah1,4 (AUTHOR), Leinster, Sam1,5 (AUTHOR)
Source: Medical Teacher. Oct2010, Vol. 32 Issue 10, p837-844. 8p. 9 Charts.
Subject Terms: *Medical school administration, *Behavior, *Educational outcomes, *Education, Chi-squared test, Study & teaching of medicine, Professionalism, Ethics
Geographic Terms: United Kingdom
Abstract: Background: Producing a medical profession which is fit for the demands and expectations of society involves ensuring that practitioners learn what it means to behave in a ‘professional’ way. Codes of professional conduct have been developed for medical students in the UK, but the literature on how medical schools actually apply these is small. More detail is needed to evaluate approaches to assessing professionalism, or to analyse the extent to which students ‘fail’ this aspect. Aim: To describe one UK medical school's approach to monitoring and assessing aspects of professional behaviour; quantify the prevalence and severity of behaviours recognised as cause of concern in the first 6 years of the programme; evaluate whether there is evidence of any association between professional and academic underperformance and draw conclusions for further development of fitness to practice procedures. Methods: Mixed methods utilising exam board and administrative data for statistical and descriptive analysis. Results: Even under detailed scrutiny, only 3% of students received formal warnings for behavioural problems over the course of a 5-year programme, and notifications decreased as students entered the senior years. There was a trend towards association between academic and professional underperformance. Conclusion: Creating clear expectations, providing positive role models and monitoring student behaviour makes explicit what is expected of students as ‘professionals in the making’, and contributes to overall low rates of misdemeanour. The predictive value of recurrent and serious behavioural problems is not yet known as it is too soon for these graduates to have established careers. Students who are struggling academically may also present with unprofessional behaviours but the cause of this is unclear. Further research is needed to benchmark systems across the UK, and to know whether formalising expectations of undergraduates result in less problems in subsequent practice. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: ehh
DbLabel: Education Research Complete
An: 53786555
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Putting theory into practice – A case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Howe%2C+Amanda%22">Howe, Amanda</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<i> Amanda.howe@uea.ac.uk</i><br /><searchLink fieldCode="AR" term="%22Miles%2C+Susan%22">Miles, Susan</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wright%2C+Sarah%22">Wright, Sarah</searchLink><relatesTo>1,4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Leinster%2C+Sam%22">Leinster, Sam</searchLink><relatesTo>1,5</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Oct2010, Vol. 32 Issue 10, p837-844. 8p. 9 Charts.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Medical+school+administration%22">Medical school administration</searchLink><br />*<searchLink fieldCode="DE" term="%22Behavior%22">Behavior</searchLink><br />*<searchLink fieldCode="DE" term="%22Educational+outcomes%22">Educational outcomes</searchLink><br />*<searchLink fieldCode="DE" term="%22Education%22">Education</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Study+%26+teaching+of+medicine%22">Study & teaching of medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Professionalism%22">Professionalism</searchLink><br /><searchLink fieldCode="DE" term="%22Ethics%22">Ethics</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22United+Kingdom%22">United Kingdom</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Producing a medical profession which is fit for the demands and expectations of society involves ensuring that practitioners learn what it means to behave in a ‘professional’ way. Codes of professional conduct have been developed for medical students in the UK, but the literature on how medical schools actually apply these is small. More detail is needed to evaluate approaches to assessing professionalism, or to analyse the extent to which students ‘fail’ this aspect. Aim: To describe one UK medical school's approach to monitoring and assessing aspects of professional behaviour; quantify the prevalence and severity of behaviours recognised as cause of concern in the first 6 years of the programme; evaluate whether there is evidence of any association between professional and academic underperformance and draw conclusions for further development of fitness to practice procedures. Methods: Mixed methods utilising exam board and administrative data for statistical and descriptive analysis. Results: Even under detailed scrutiny, only 3% of students received formal warnings for behavioural problems over the course of a 5-year programme, and notifications decreased as students entered the senior years. There was a trend towards association between academic and professional underperformance. Conclusion: Creating clear expectations, providing positive role models and monitoring student behaviour makes explicit what is expected of students as ‘professionals in the making’, and contributes to overall low rates of misdemeanour. The predictive value of recurrent and serious behavioural problems is not yet known as it is too soon for these graduates to have established careers. Students who are struggling academically may also present with unprofessional behaviours but the cause of this is unclear. Further research is needed to benchmark systems across the UK, and to know whether formalising expectations of undergraduates result in less problems in subsequent practice. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=53786555
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.3109/01421591003698018
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 837
    Subjects:
      – SubjectFull: Medical school administration
        Type: general
      – SubjectFull: Behavior
        Type: general
      – SubjectFull: Educational outcomes
        Type: general
      – SubjectFull: Education
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Study & teaching of medicine
        Type: general
      – SubjectFull: Professionalism
        Type: general
      – SubjectFull: Ethics
        Type: general
      – SubjectFull: United Kingdom
        Type: general
    Titles:
      – TitleFull: Putting theory into practice – A case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Howe, Amanda
      – PersonEntity:
          Name:
            NameFull: Miles, Susan
      – PersonEntity:
          Name:
            NameFull: Wright, Sarah
      – PersonEntity:
          Name:
            NameFull: Leinster, Sam
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 10
              Text: Oct2010
              Type: published
              Y: 2010
          Identifiers:
            – Type: issn-print
              Value: 0142159X
          Numbering:
            – Type: volume
              Value: 32
            – Type: issue
              Value: 10
          Titles:
            – TitleFull: Medical Teacher
              Type: main
ResultId 1