Unprofessional Behavior in Medical School Is Associated with Subsequent Disciplinary Action by a State Medical Board

Papadakis, Maxine A.; Hodgson, Carol S.; Teherani, Arianne; Kohatsu, Neal D.

doi:10.1097/00001888-200403000-00011

Cited by 440 publications

(315 citation statements)

References 11 publications

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“…Such propositions are in line with findings from recent government enquiries in the UK (Francis 2013;Cavendish 2013) which highlighted Selection methods in healthcare professions: where are we now… 237 major concerns about the level of compassionate care giving from healthcare professionals. Papadakis et al (2004) finding that unprofessional behaviour in medical school is associated with subsequent disciplinary action by a state medical board in the USA also resonates here, as it does with our earlier points about the importance of longitudinal studies and appropriate outcome measures (Papadakis et al 2004). More research is needed to examine the practical and political implications of this approach to screening candidates, and to consider alternatives to both this and the status quo.…”

Section: Greater Focus On Theoretical Developmentssupporting

confidence: 79%

Selection methods in healthcare professions: where are we now and where next?

Patterson

Cleland

Cousans

2017

Adv in Health Sci Educ

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Section: Greater Focus On Theoretical Developmentssupporting

confidence: 79%

Selection methods in healthcare professions: where are we now and where next?

Patterson

Cleland

Cousans

2017

Adv in Health Sci Educ

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“…Papadakis et al reported a case-control study of all graduates from a single medical school who were subsequently disciplined by a state medical board. 5 Ninety-five percent of the disciplinary actions were for deficiencies in professionalism; the prevalence of concerning comments in medical school files was 38% in the disciplined physicians and 19% in controls. Papadakis et al then identified the specific types of inappropriate behaviour in medical school that were most predictive of disciplinary action against practicing physicians with unprofessional behaviour.…”

Section: Predicting Problem Patterns Of Behaviour In Physiciansmentioning

confidence: 99%

Physician professional behaviour affects outcomes: A framework for teaching professionalism during anesthesia residency

Bahaziq

Crosby

2011

Can J Anesth/J Can Anesth

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Purpose In this review, we examine the association between physician professional behaviour and indicators measuring patient outcomes and satisfaction with care as well the potential for complaints, discipline, and litigation against physicians. We also review issues related to the structured teaching of professionalism to anesthesia residents, including resident evaluation. Source A search of the OVID Medline and PubMed databases was carried out using keywords relevant to the topics under consideration. Program directors of Canadian anesthesiology training programs were also surveyed to assess the current state of professionalism training and evaluation in their programs. Principal findings Unprofessional behaviour is frequently manifested in practice by medical students, residents, and physicians, and it is associated with personality characteristics that are evident early in training. There is a correlation between unprofessional physician behaviours and patient dissatisfaction, complaints, and lawsuits as well as adverse outcomes of care. Physician health and workplace relationships are negatively impacted by such behaviours. Canadian program directors recognize the need to approach the teaching of professionalism in an organized fashion during physician training. Conclusions A framework is provided for defining behavioural expectations, and mechanisms are offered for teaching and evaluating behaviours and responding to individuals with behaviours that persistently breach defined expectations. There is a need to define explicitly not only the expectations for behaviour but also the processes by which the behaviours will be assessed and documented. In addition, emphasis is placed on the nature, order, and magnitude of the responses to behaviours that do not meet expectations.

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“…In a review article, van Mook et al (2014) examines the multiple issues related to the identification and remediation of ''dyscompetent'' residents, particularly in the area of professionalism. And an original study by Santen et al (2014) extends the findings of two landmark studies by Papadakis et al (2004Papadakis et al ( , 2008, which showed that unprofessional behavior in practice was apparently predictable from performance in medical school. Both studies used a ''case control'' design in which individuals who had the outcome of interest (discipline by a state licensing body)-''cases'' were compared to a random sample of doctors who were not reported-''controls''.…”

mentioning

confidence: 74%