Document Detail


Do students falsify information in clinical notes?
MedLine Citation:
PMID:  21656397     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: If students report information in a post-encounter note that was allegedly not obtained from the patient, they may be suspected of serious professional misconduct, ie, deliberate falsification of patient data. Over-reporting during a clinical assessment may result in accusations of cheating and even lead to failure of a high-stakes examination. Despite these serious implications, the prevalence and reasons for over-reporting are not clear. We investigated every detected incident of false reporting during our high-stakes clinical skills assessment (CSA) at the end of the third year. Of 73 alleged incidents, 69 were attributed to errors in standardized patient (SP) performance, note scoring, data management, or the design of cases or scoring instruments. The four instances of over-reporting by students were more compatible with mistakes and lack of specificity than deliberate falsification. We conclude that all potential sources of error must be excluded before over-reporting incidents are attributed to deliberate falsification of data by students.
Authors:
Anne Walling; Scott E Moser; Gretchen Dickson; Rosalee E Zackula; Holly Fussell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Family medicine     Volume:  43     ISSN:  1938-3800     ISO Abbreviation:  Fam Med     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-06-09     Completed Date:  2011-10-04     Revised Date:  2012-02-16    
Medline Journal Info:
Nlm Unique ID:  8306464     Medline TA:  Fam Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  418-21     Citation Subset:  IM    
Affiliation:
Department of Family and Community Medicine, University of Kansas School of Medicine-Wichita, Wichita, KS 67214, USA. awalling@kumc.edu
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MeSH Terms
Descriptor/Qualifier:
Documentation / standards*,  statistics & numerical data*
Educational Measurement / methods*
Humans
Students, Medical*
Comments/Corrections
Comment In:
Fam Med. 2012 Jan;44(1):53-4; author reply 54   [PMID:  22241343 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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