Does Gender Moderate Medical Students’ Assessments of Unprofessional Behavior?
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Despite widespread acceptance of professionalism as a clinical competency, the role of certain contextual factors in assessing certain behaviors remains unknown.
To examine the potential moderating role of gender in assessing unprofessional behaviors during undergraduate medical training.
Randomized, anonymous, self-administered questionnaire.
Ninety seven (97) third-year students from a southeastern U.S. medical school (participation rate = 95.1 %).
Using a 4-point Likert-type scale, subjects reviewed two subsets of randomly administered, equally weighted hypothetical vignettes depicting potentially unprofessional behaviors that could occur during medical students’ clinical training. Ratings were categorized from 1 –“Not a Problem” to 4 –“A Severe Problem”, based on the perceived degree of unprofessionalism. In each written scenario, trainee gender was systematically varied.
Across all scenario subsets, male and female students’ mean ratings of hypothetical behaviors did not differ significantly. Further, male and female students tended, on average, to rate behaviors similarly regardless of the trainee’s gender.
Study findings suggest that: (1) neither students’ gender nor that of the hypothetical “actor” moderates the assessment of unprofessional behaviors; and (2) male and female students assign roughly the same overall rankings to potentially unprofessional behaviors.
- Stern, DT, Papadakis, M (2006) The developing physician – becoming a professional. N Engl J Med 355: pp. 1794-1799 CrossRef
- Ginsburg, S, Regehr, G, Mylopoulos, M (2009) From behaviors to attributions: further concerns regarding the evaluation of professionalism. Med Educ 43: pp. 414-425 CrossRef
- Arnold, L (2002) Assessing professional behavior: yesterday, today and tomorrow. Acad Med 77: pp. 502-515 CrossRef
- Ginsburg, S, Regehr, G, Lingard, L (2004) Basing the evaluation of professionalism on observable behaviors: a cautionary tale. Acad Med 79: pp. S1-S4 CrossRef
- Epstein, RM, Hundert, EM (2002) Defining and assessing professional competence. JAMA 287: pp. 226-235 CrossRef
- Ginsburg, S, Regehr, G, Hatala, R (2000) Context, conflict and resolution: a new conceptual framework for evaluating professionalism. Acad Med 75: pp. S6-S11 CrossRef
- Brockbank, S, David, TJ, Patel, L (2011) Unprofessional behavior in medical students: a questionnaire-based pilot study comparing perceptions on the pubic with medical students and doctors. Med Teach 33: pp. e501-e508 CrossRef
- Bonke, B (2006) Unprofessional or problematic behavior of medical students outside the learning environment. Med Teach 28: pp. 440-442 CrossRef
- Chretien, KC, Greysen, SR, Chretien, JP, Kind, T (2009) Online posting of unprofessional content by medical students. JAMA 302: pp. 1309-1315 CrossRef
- Borges, NJ, Manuel, RS, Elam, CL, Jones, BJ (2006) Comparing Millennial and Generation X medical students at one medical school. Acad Med 81: pp. 571-576 CrossRef
- Borges, NJ, Manuel, RS, Elam, CL, Jones, BJ (2010) Differences in motives between Millennial and Generation X medical students. Med Educ 44: pp. 570-576 CrossRef
- Baldwin, DC, Daugherty, SR, Rowley, BD (1998) Unethical and unprofessional conduct observed by residents during their first year of training. Acad Med 73: pp. 1195-1200 CrossRef
- Campbell, EG, Regan, S, Gruen, RL (2007) Professionalism in medicine: results of a national survey of physicians. Ann Intern Med 147: pp. 795-802
- Ginsburg, S, Regehr, G, Lingard, L (2003) The disavowed curriculum: understanding students’ reasoning in professionally challenging situations. J Gen Intern Med 18: pp. 1015-1022 CrossRef
- Rees, CE, Knight, LV (2008) Banning, detection, attribution, and reaction: the role of assessors in constructing students’ unprofessional behaviors. Med Educ 42: pp. 125-127 CrossRef
- Hawkins, RE, Katsufrakis, PJ, Holtman, MC, Clauser, BE (2009) Assessment of medical professionalism: who, what, when, where, how and.. why?. Med Teach 31: pp. 348-361 CrossRef
- Hall, JA, Roter, DL, Blanch, DC, Frankel, RM (2009) Nonverbal sensitivity in medical students: implications for clinical interactions. J Gen Intern Med 24: pp. 1217-1222 CrossRef
- Blanch, DC, Hall, JA, Roter, DL, Frankel, RM (2008) Medical student gender and issues of confidence. Pat Educ Couns 72: pp. 374-381 CrossRef
- Hatala, R, Case, SM (2000) Examining the role of gender on medical students’ decision making. J Women’s Health Gender-Based Med 9: pp. 617-623 CrossRef
- Zanten, M, Boulet, MR, Norcini, JJ, McKinley, D (2005) Using a standardized patient assessment to measure professional attributes. Med Educ 39: pp. 20-29 CrossRef
- Rentmeester, CA, Brack, AB, Kavan, MG (2007) Third and fourth year medical students’ attitudes about and experiences with callousness: the good, the bad and the ambiguous. Med Teach 29: pp. 358-364 CrossRef
- Elger, BS (2009) Factors influencing attitudes toward medical confidentiality among Swiss physicians. J Med Ethics 35: pp. 517-524 CrossRef
- Yates, J, James, D (2010) Risk factors at medical school for subsequent professional misconduct: multicenter retrospective case-control study. BMJ 340: pp. c2040 CrossRef
- Borrero, S, McGinnis, KA, McNeil, M, Frank, J, Conigliaro, RL (2008) Professionalism in residency training: is there a generation gap?. Teach Learn Med 20: pp. 11-17 CrossRef
- Reddy, ST, Farnan, JM, Yoon, JD (2007) Third-year medical students’ participation in and perceptions of unprofessional behaviors. Acad Med 82: pp. S35-S39 CrossRef
- Nath, C, Schmidt, R, Gunel, E (2006) Perceptions of professionalism vary most with educational rank and age. J Den Educ 70: pp. 825-834
- Pearson, WG, Hoagland, TM (2010) Measuring change in professional attitudes during the gross anatomy course. Anat Sci Educ 3: pp. 12-16
- Wilkinson, TJ, Wade, WB, Knock, LD (2009) A blueprint to assess professionalism: results from a systematic review. Acad Med 84: pp. 551-558 CrossRef
- Martimianakis, MA, Maniate, JM, Hodges, BD (2009) Sociological interpretations of professionalism. Med Educ 43: pp. 829-837 CrossRef
- Arora, VM, Wayne, DB, Anderson, RA (2010) Changes in perception of and participation in unprofessional behaviors during internship. Acad Med 85: pp. S76-S80 CrossRef
- Ginsburg, SR, Regehr, G, Mylopoulos, M (2007) Reasoning when it counts: students’ rationales for action on a professionalism exam. Acad Med 82: pp. S40-S43 CrossRef
- Ginsburg, S, Lingard, L (2011) ‘Is that normal?’ Pre-clerkship students’ approaches to professionalism dilemmas. Med Educ 45: pp. 362-371 CrossRef
- Zanetti, M, Keller, L, Mazor, K (2010) Using standardized patients to assess professionalism: a generalizability study. Teach Learn Med 22: pp. 274-279 CrossRef
- Thomas, W The Definition of the Situation. In: Rousseau, N eds. (2002) Self, Symbols, and Society: Classic Readings in Social Psychology. Rowman & Littlefield, Lanham, MD, pp. 103-115
- Does Gender Moderate Medical Students’ Assessments of Unprofessional Behavior?
Journal of General Internal Medicine
Volume 27, Issue 12 , pp 1643-1648
- Cover Date
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- medical education
- unprofessional behavior
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- Author Affiliations
- 1. Department of Behavioral Science, University of Kentucky College of Medicine, Lexington, KY, USA
- 2. Office of Medical Education, University of Kentucky College of Medicine, 138 Leader Avenue, #212, Lexington, KY, 40506-9983, USA
- 3. Department of Medicine, Division of General Internal Medicine, University of Kentucky College of Medicine, Lexington, KY, USA