2 February 2001

Medical Schools must not accept dishonest behaviour among students

EMBARGO UNTIL 00.01 on Friday 2 Feb

The University of Dundee's Medical School has taken a proactive stance on the national issue of academic misconduct by giving all medical students a written code of practice on what constitutes unacceptable behaviour.

Their action follows the University's recent study exploring medical students' attitudes and reported behaviour on academic misconduct, as reported in the British Medical Journal (Vol 321)

Academic misconduct does exist amongst a minority of medical students and needs to be taken seriously by medical schools, finds the study.

Dean of the Faculty of Medicine at the University of Dundee Professor David Levison: "The results of this proactive study give medical schools up and down the country food for thought. There is no reason to suppose that students at Dundee are any different from students at any other medical school. What the study shows is that we need to be explicit to our students about what constitutes academic misconduct and unacceptable behaviour. At the University of Dundee we have already taken the results of this study on board and produced a written code of practice for students giving clear guidelines on these issues."

The study was carried out with full co-operation between the Dean and the students. It was carried out in response to recognition nationally that academic misconduct can be a problem.

An anonymous questionnaire was completed by 461 students in all years at Dundee University medical school. The questionnaire had 14 scenarios in which a fictitious student, "John", engaged in dishonest behaviour. For each scenario, students were asked whether they felt John was wrong and whether they had done or would consider doing the same.

Most students felt that most of the scenarios were wrong. However, the proportion of students reporting that they had engaged in or would consider engaging in the scenarios varied from 2% for copying answers in a degree examination to 56% for copying directly from published text and only listing it as a reference. About a third of students reported that they had engaged in or would consider engaging in behaviour described in four of the scenarios: exchanging information about a clinical examination, writing "nervous system examination normal" when this hadn't been performed, lending work to others, and copying published text without appropriate referencing.

Some of these findings are worrying, as they suggest that in some cases there is no consensus among students on what constitutes unacceptable behaviour, say the authors. Academic misconduct needs to be taken seriously by medical schools as it casts doubt on the validity of qualifications, they conclude.

Medical schools must make their institutional position and their expectations of students absolutely clear from day one, writes Shimon Glick on an accompanying editorial. The future of the medical profession depends on preserving and restoring public trust in doctors, but this trust must be deserved and earned, he concludes./ends