Academic Psychiatry

, Volume 29, Issue 5, pp 426–432 | Cite as

Professionalism Deficits Among Medical Students: Models of Identification and Intervention

  • Aurora J. Bennett
  • Brenda Roman
  • Lesley M. Arnold
  • Jerald Kay
  • Linda M. Goldenhar
Original Article



This study compares the instruments and interventions utilized to identify and remediate unprofessional behaviors in medical students across U.S. psychiatry clerkships.


A 20-item questionnaire was distributed to 120 psychiatry clerkship directors and directors of medical student education, in the U.S., inquiring into the procedures utilized for identifying monitoring and remediating unprofessional behaviors among medical students during their psychiatry clerkship.


Fifty seven (47.5%) clerkship directors responded to the questionnaire. Professionalism is evaluated by 96% of the clerkships with the most frequent goals being to provide feedback to students and to specifically identify problematic behaviors. Seventy percent of the clerkships identify one to three students per year with unprofessional behaviors that warrant intervention. The majority (86%) of the respondents note that unprofessional behaviors may impede the advancement of students during their medical education. A recommendation for a mental health evaluation occurs in at least 76% of cases. Dismissal from medical school for unprofessional behaviors is most likely recommended based on the severity and/or repetitiveness of the acts.


There is concordance among clerkship directors regarding the importance of identifying unprofessional behaviors among medical students although there exists a range of modalities for monitoring, remediating, and disciplining such behaviors.


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Copyright information

© Academic Psychiatry 2005

Authors and Affiliations

  • Aurora J. Bennett
    • 1
  • Brenda Roman
    • 2
  • Lesley M. Arnold
    • 3
  • Jerald Kay
    • 4
  • Linda M. Goldenhar
    • 5
  1. 1.Psychiatry Clerkship, Department of PsychiatryUniversity of Cincinnati College of MedicineCincinnatiUSA
  2. 2.Medical Student Education, Department of PsychiatryWright State University College of MedicineDaytonUSA
  3. 3.Medical Student Education, Department of PsychiatryUniversity of Cincinnati College of MedicineCincinnatiUSA
  4. 4.Department of PsychiatryWright State University College of MedicineDaytonUSA
  5. 5.Office of Evaluation and ResearchUniversity of Cincinnati College of MedicineCincinnatiUSA
  6. 6.University Psychiatric ServicesCincinnatiUSA

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