期刊论文详细信息
BMC Medical Ethics
Self-reported attitudes and behaviours of medical students in Pakistan regarding academic misconduct: a cross-sectional study
Sheikh Abdul Saeed5  Iqbal Syed Azam4  Hamna Asim3  Ghulam Rehmani Lakho2  Kulsoom Ghias1 
[1] Department of Biological and Biomedical Sciences, Aga Khan University, Stadium Road, P. O. Box 3500, Karachi 74800, Pakistan;Department of Physiology, Rehman Medical College, Rehman Medical Institute, 4/A-3, Phase V, Hayatabad, Peshawar, Pakistan;Medical College, Aga Khan University, Stadium Road, P. O. Box 3500, Karachi, Pakistan;Department of Community Health Sciences, Aga Khan University, Stadium Road, P. O. Box 3500, Karachi, Pakistan;College of Medicine, Mail code 6556, National Guards Health Affairs, King Saud bin Abdulaziz University, Jeddah 21423, Kingdom of Saudi Arabia
关键词: Medical students;    Academic integrity;    Academic misconduct;    Stealing;    Cheating;    Lying;   
Others  :  799511
DOI  :  10.1186/1472-6939-15-43
 received in 2013-03-25, accepted in 2014-05-21,  发布年份 2014
PDF
【 摘 要 】

Background

Honesty and integrity are key attributes of an ethically competent physician. However, academic misconduct, which includes but is not limited to plagiarism, cheating, and falsifying documentation, is common in medical colleges across the world. The purpose of this study is to describe differences in the self-reported attitudes and behaviours of medical students regarding academic misconduct depending on gender, year of study and type of medical institution in Pakistan.

Methods

A cross sectional study was conducted with medical students from one private and one public sector medical college. A pre-coded questionnaire about attitudes and behaviours regarding plagiarism, lying, cheating and falsifying documentation was completed anonymously by the students.

Results

A total of 465 medical students filled the questionnaire. 53% of private medical college students reported that they recognize copying an assignment verbatim and listing sources as references as wrong compared to 35% of public medical college students. 26% of private medical college students self-report this behaviour as compared to 42% of public medical college students. 22% of private versus 15% of public medical college students and 21% of students in clinical years compared to 17% in basic science years admit to submitting a fake medical certificate to justify an absence. 87% of students at a private medical college believe that cheating in an examination is wrong as compared to 66% of public medical college students and 24% self-report this behaviour in the former group as compared to 41% in the latter. 63% of clinical year students identify cheating as wrong compared to 89% of their junior colleagues. 71% of male versus 84% of female respondents believe that cheating is wrong and 42% of males compared to 23% of females admit to cheating.

Conclusions

There are significant differences in medical students’ attitudes and behaviours towards plagiarism, lying, cheating and stealing by gender, seniority status and type of institution. The ability to identify acts of academic misconduct does not deter students from engaging in the behaviour themselves, as evidenced by self-reporting.

【 授权许可】

   
2014 Ghias et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140707042625813.pdf 229KB PDF download
【 参考文献 】
  • [1]Souba WW: The commercialization of American medicine: are we headed for curing without caring? J Surg Res 1997, 67(1):1-3.
  • [2]Kazmi S: Nature and extent of corruption in the health sector. Transparency International Pakistan: Karachi; 2002.
  • [3]Abbasi A: Tawana Pakistan project goes to the dogs. In The News. Karachi: Jang Group; 2005.
  • [4]Editorial: Fatal medical negligence. In The Dawn. Karachi: Pakistan Herald Publications; 2006.
  • [5]Nasrallah N: Human error or criminal negligence. In The Dawn. Karachi: Pakistan Herald Publications; 2006.
  • [6]Elzubeir MA, Rizk DE: Exploring perceptions and attitudes of senior medical students and interns to academic integrity. Med Educ 2003, 37(7):589-596.
  • [7]Rennie SC, Crosby JR: Are “tomorrow’s doctors” honest? Questionnaire study exploring medical students’ attitudes and reported behaviour on academic misconduct. BMJ 2001, 322(7281):274-275.
  • [8]Firmin M, Burger A, Blosser M: Cognitive responses of students who witness classroom cheating. J Instr Psychol 2007, 34(2):110-116.
  • [9]Harding TS, Carpenter DD, Finelli CJ, Passow HJ: Does academic dishonesty relate to unethical behavior in professional practice? An exploratory study. Sci Eng Ethics 2004, 10(2):311-324.
  • [10]Rennie SC, Rudland JR: Differences in medical students’ attitudes to academic misconduct and reported behaviour across the years–a questionnaire study. J Med Ethics 2003, 29(2):97-102.
  • [11]Nazir MS, Aslam MS: Academic dishonesty and perceptions of Pakistani students. Int J Educ Manag 2010, 24(7):655-668.
  • [12]Shirazi B, Jafarey AM, Moazam F: Plagiarism and the medical fraternity: a study of knowledge and attitudes. J Pak Med Assoc 2010, 60(4):269-273.
  • [13]Ghias K, Ali SK, Khan KS, Khan R, Khan MM, Farooqui A, Nayani P: How we developed a bioethics theme in an undergraduate medical curriculum. Med Teach 2011, 33(12):974-977.
  • [14]Recognized medical colleges in Pakistan http://www.pmdc.org.pk/AboutUs/RecognizedMedicalDentalColleges/tabid/109/Default.aspx webcite Accessed December 30, 2013.
  • [15]Anderson RE, Obenshain SS: Cheating by students: findings, reflections, and remedies. Acad Med 1994, 69(5):323-332.
  • [16]Baldwin DC Jr, Daugherty SR, Rowley BD, Schwarz MD: Cheating in medical school: a survey of second-year students at 31 schools. Acad Med 1996, 71(3):267-273.
  • [17]Dans PE: Self-reported cheating by students at one medical school. Acad Med 1996, 71(1 Suppl):S70-72.
  • [18]Petersdorf RG: A matter of integrity. Acad Med 1989, 64(3):119-123.
  • [19]Dyrbye LN, Thomas MR, Shanafelt TD: Medical student distress: causes, consequences, and proposed solutions. Mayo Clin Proc 2005, 80(12):1613-1622.
  • [20]Gadit AAM: Plagiarism: How serious is this problem in Pakistan? J Pak Med Assoc 2006, 56(12):618.
  • [21]Shah B: Battle against plagiarism. In Dawn. Dawn Media Group: Karachi; 2009.
  • [22]Glick SM: Cheating at medical school. BMJ 2001, 322(7281):250-251.
  • [23]Kukolja Taradi S, Taradi M, Knezevic T, Dogas Z: Students come to medical schools prepared to cheat: a multi-campus investigation. J Med Ethics 2010, 36(11):666-670.
  • [24]Sohail N: Stress and academic performance among medical students. J Coll Physicians Surg Pak 2013, 23(1):67-71.
  • [25]Calkins EV, Arnold L, Willoughby TL: Medical students’ perceptions of stress: gender and ethnic considerations. Acad Med 1994, 69(10 Suppl):S22-24.
  • [26]Inam SN, Saqib A, Alam E: Prevalence of anxiety and depression among medical students of private university. J Pak Med Assoc 2003, 53(2):44-47.
  • [27]Corson-Rikert J, Christmas WA: The medical excuse game revisited. J Am Coll Health 2009, 57(5):561-563.
  • [28]McCabe DLTL: Individual and contextual influences on academic dishonesty: a multicampus investigation. Res High Educ 1997, 38(3):379-396.
  • [29]Rabi SM, Patton LR, Fjortoft N, Zgarrick DP: Characteristics, prevalence, attitudes, and perceptions of academic dishonesty among pharmacy students. Am J Pharm Educ 2006, 70(4):73.
  • [30]Rennie SC, Crosby JR: Students’ perceptions of whistle blowing: implications for self-regulation. A questionnaire and focus group survey. Med Educ 2002, 36(2):173-179.
  • [31]Rizk DE, Elzubeir MA: Self-reported assessment by medical students and interns of unprofessional practice. Teach Learn Med 2004, 16(1):39-45.
  • [32]Miller KE, Melnick MJ, Barnes GM, Farrell MP, Sabo D: Untangling the links among athletic involvement, gender, race, and adolescent academic outcomes. Sociol Sport J 2005, 22(2):178-193.
  • [33]Jenkins P: School delinquency and school commitment. Sociol Educ 1995, 68(3):221-239.
  • [34]Neville L: Do economic equality and generalized trust inhibit academic dishonesty? Evidence from state-level search-engine queries. Psychol Sci 2012, 23(4):339-345.
  • [35]Huelsman MA, Piroch J, Wasieleski D: Relation of religiosity with academic dishonesty in a sample of college students. Psychol Rep 2006, 99(3):739-742.
  • [36]Wear D: On white coats and professional development: the formal and the hidden curricula. Ann Intern Med 1998, 129(9):734-737.
  • [37]Cruess SR, Cruess RL, Steinert Y: Role modelling–making the most of a powerful teaching strategy. BMJ 2008, 336(7646):718-721.
  • [38]McCabe DLTL: Academic dishonesty: honor codes and other contextual influences. J High Educ 1993, 64(5):522-538.
  文献评价指标  
  下载次数:11次 浏览次数:22次