Document Detail

Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board.
MedLine Citation:
PMID:  14985199     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine if medical students who demonstrate unprofessional behavior in medical school are more likely to have subsequent state board disciplinary action. METHOD: A case-control study was conducted of all University of California, San Francisco, School of Medicine graduates disciplined by the Medical Board of California from 1990-2000 (68). Control graduates (196) were matched by medical school graduation year and specialty choice. Predictor variables were male gender, undergraduate grade point average, Medical College Admission Test scores, medical school grades, National Board of Medical Examiner Part 1 scores, and negative excerpts describing unprofessional behavior from course evaluation forms, dean's letter of recommendation for residencies, and administrative correspondence. Negative excerpts were scored for severity (Good/Trace versus Concern/Problem/Extreme). The outcome variable was state board disciplinary action. RESULTS: The alumni graduated between 1943 and 1989. Ninety-five percent of the disciplinary actions were for deficiencies in professionalism. The prevalence of Concern/Problem/Extreme excerpts in the cases was 38% and 19% in controls. Logistic regression analysis showed that disciplined physicians were more likely to have Concern/Problem/Extreme excerpts in their medical school file (odds ratio, 2.15; 95% confidence interval, 1.15-4.02; p =.02). The remaining variables were not associated with disciplinary action. CONCLUSION: Problematic behavior in medical school is associated with subsequent disciplinary action by a state medical board. Professionalism is an essential competency that must be demonstrated for a student to graduate from medical school.
Maxine A Papadakis; Carol S Hodgson; Arianne Teherani; Neal D Kohatsu
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  79     ISSN:  1040-2446     ISO Abbreviation:  Acad Med     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-26     Completed Date:  2004-03-17     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  244-9     Citation Subset:  AIM; IM    
Department of Medicine, University of California, San Francisco 94143, USA.
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MeSH Terms
Case-Control Studies
Education, Medical*
Governing Board*
Licensure, Medical
Logistic Models
Medicine / statistics & numerical data
Middle Aged
Physicians / statistics & numerical data*
Professional Misconduct*
Comment In:
Teach Learn Med. 2007 Summer;19(3):213-5   [PMID:  17594214 ]

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

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