How to identify, address and report students’ unprofessional behaviour in medical school

References

• Ainsworth MA, Szauter KM. 2018. Student response to reports of unprofessional behavior: assessing risk of subsequent professional problems in medical school. Med Educ. 23(1):1485432.
   Web of Science ®Google Scholar
• Barnhoorn PC, Bolk JH, Ottenhoff-de Jonge MW, van Mook WN, de Beaufort AJ. 2017. Causes and characteristics of medical student referrals to a professional behaviour board. Int J Med Educ. 8:19.
   PubMed Web of Science ®Google Scholar
• Barnhoorn PC, Houtlosser M, Ottenhoff-de Jonge MW, Essers G, Numans ME, Kramer AWM. 2019. A practical framework for remediating unprofessional behavior and for developing professionalism competencies and a professional identity. Med Teach. 41(3):303–308.
   PubMed Web of Science ®Google Scholar
• Barron KE, Hulleman CS. 2015. Expectancy-value-cost model of motivation. In: Wright J. D. editors. International Encyclopedia of Social and Behavioral Sciences. 2nd edition. Oxford: Elsevier; p. 503–509.
   Google Scholar
• Bennett AJ, Roman B, Arnold LM, Kay J, Goldenhar LM. 2005. Professionalism deficits among medical students: Models of identification and intervention. Acad Psych. 29(5):426–432.
   PubMed Web of Science ®Google Scholar
• Byyny, R. L., Papadakis, M. A., Paauw, D. S. editors 2015. Medical professionalism: best practices. Cambridge (MA): Alpha Omega Alpha Honor Medical Society.
   Google Scholar
• Daelmans HE, Mak-van der Vossen MC, Croiset G, Kusurkar RA. 2016. What difficulties do faculty members face when conducting workplace-based assessments in undergraduate clerkships? Int J Med Educ. 7:19.
   PubMed Web of Science ®Google Scholar
• Ellaway RH, Chou CL, Kalet AL. 2018. Situating remediation: Accommodating success and failure in medical education systems. Acad Med. 93(3):391–398.
   PubMed Web of Science ®Google Scholar
• General Medical Council. 2016. Professional behaviour and fitness to practice. [accessed 2018 Sept 1]. https://www.gmc-uk.org/-/media/documents/professional-behaviour-and-fitness-to-practise-0816_pdf-66085925.pdf
   Google Scholar
• Guerrasio J, Garrity MJ, Aagaard EM. 2014. Learner deficits and academic outcomes of medical students, residents, fellows, and attending physicians referred to a remediation program, 2006-2012. Acad Med. 89(2):352–358.
   PubMed Web of Science ®Google Scholar
• Hafferty FW. 1998. Beyond curriculum reform: confronting medicine’s hidden curriculum. Acad Med. 73(4):403–407.
   PubMed Web of Science ®Google Scholar
• Hays RB, Lawson M, Gray C. 2011. Problems presented by medical students seeking support: a possible intervention framework. Med Teach. 33(2):161–164.
   PubMed Web of Science ®Google Scholar
• Hickson GB, Pichert JW, Webb LE, Gabbe SG. 2007. A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors. Acad Med. 82(11):1040–1048.
   PubMed Web of Science ®Google Scholar
• Hoffman LA, Shew RL, Vu TR, Brokaw JJ, Frankel RM. 2016. Is reflective ability associated with professionalism lapses during medical school? Acad Med. 91(6):853–857.
   PubMed Web of Science ®Google Scholar
• Howe A, Miles S, Wright S, Leinster S. 2010. Putting theory into practice - a case study in one UK medical school of the nature and extent of unprofessional behaviour over a 6-year period. Med Teach. 32(10):837–844.
   PubMed Web of Science ®Google Scholar
• Irby DM, Hamstra SJ. 2016. Parting the clouds: three professionalism frameworks in medical education. Acad Med. 91(12):1606–1611.
   PubMed Web of Science ®Google Scholar
• Jha V, Brockbank S, Roberts T. 2016. A framework for understanding lapses in professionalism among medical students: applying the theory of planned behavior to fitness to practice cases. Acad Med. 91(12):1622–1627.
   PubMed Web of Science ®Google Scholar
• Kalet A, Chou CL, Ellaway RH. 2017. To fail is human: remediating remediation in medical education. Perspect Med Educ. 6(6):418–424.
   PubMed Web of Science ®Google Scholar
• Kalet A, Guerrasio J, Chou CL. 2016. Twelve tips for developing and maintaining a remediation program in medical education. Med Teach. 38(8):787–792.
   PubMed Web of Science ®Google Scholar
• Krzyzaniak SM, Wolf SJ, Byyny R, Barker L, Kaplan B, Wall S, et al. 2017. A qualitative study of medical educators' perspectives on remediation: adopting a holistic approach to struggling residents. Med Teach. 39(9):967–974.
   PubMed Web of Science ®Google Scholar
• Lesser CS, Lucey CR, Egener B, Braddock CH 3rd, Linas SL, Levinson W. 2010. A behavioral and systems view of professionalism. JAMA. 304(24):2732–2737.
   PubMed Web of Science ®Google Scholar
• Levinson W, Ginsburg S, Hafferty F, Lucey CR. 2014. Understanding medical professionalism. New York (NY): McGraw Hill Professional.
   Google Scholar
• Lucey C, Souba W. 2010. Perspective: the problem with the problem of professionalism. Acad Med. 85(6):1018–1024.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen M, Peerdeman S, Van Mook W, Croiset G, Kusurkar R. 2014. Assessing professional behaviour: overcoming teachers’ reluctance to fail students. BMC Res Notes. 7:368.
   PubMedGoogle Scholar
• Mak-van der Vossen M, van Mook W, van der Burgt S, Kors J, Ket JCF, Croiset G, Kusurkar R. 2017. Descriptors for unprofessional behaviours of medical students: a systematic review and categorisation. BMC Med Educ. 17(1):164.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen MC, van Mook WNKA, Kors JM, van Wieringen WN, Peerdeman SM, Croiset G, Kusurkar RA. 2016. Distinguishing three unprofessional behavior profiles of medical students using latent class analysis. Acad Med. 91(9):1276–1283.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen M, Teherani A, van Mook WN, Croiset G, Kusurkar RA. 2018. Investigating US medical students’ motivation to respond to lapses in professionalism. Med Educ. 52(8):838–850.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen MC, de la Croix A, Teherani A, Van Mook W, Croiset G, Kusurkar RA. 2019. A roadmap for attending to medical students’ professionalism lapses. Acad Med. 94(4):570–578.
   PubMed Web of Science ®Google Scholar
• Mak-van der Vossen MC, de la Croix A, Teherani A, van Mook WN, Croiset G, Kusurkar RA. 2019. Developing a two-dimensional model of unprofessional behaviour profiles in medical students. Adv Health Sci Educ. 24(2):215–232.
   PubMed Web of Science ®Google Scholar
• Martinez W, Lehmann LS, Thomas EJ, Etchegaray JM, Shelburne JT, Hickson GB, Brady DW, Schleyer AM, Best JA, May NB, et al. 2017. Speaking up about traditional and professionalism-related patient safety threats: a national survey of interns and residents. BMJ Qual Saf. 26(11):869–880.
   PubMed Web of Science ®Google Scholar
• Neve H, Wearn A, Collett T. 2016. What are threshold concepts and how can they inform medical education? Med Teach. 38(8):850–853.
   PubMed Web of Science ®Google Scholar
• O’Brien BC, Bachhuber MR, Teherani A, Iker TM, Batt J, O’Sullivan PS. 2017. Systems-oriented workplace learning experiences for early learners: three models. Acad Med. 92(5):684–693.
   PubMed Web of Science ®Google Scholar
• O'Sullivan H, van Mook W, Fewtrell R, Wass V. 2012. Integrating professionalism into the curriculum: AMEE Guide No. 61. Med Teach. 34(2):e64–77.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Paauw DS, Hafferty FW, Shapiro J, Byyny RL. 2012. Perspective: the education community must develop best practices informed by evidence-based research to remediate lapses of professionalism. Acad Med. 87(12):1694–1698.
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Teherani A, Banach MA, Knettler TR, Rattner SL, Stern DT, Veloski JJ, Hodgson CS. 2005. Disciplinary action by medical boards and prior behavior in medical school. N Engl J Med. 353(25):2673–2682.
   PubMed Web of Science ®Google Scholar
• Parker M, Luke H, Zhang J, Wilkinson D, Peterson R, Ozolins I. 2008. The “pyramid of professionalism”: seven years of experience with an integrated program of teaching, developing, and assessing professionalism among medical students. Acad Med. 83(8):733–741.
   PubMed Web of Science ®Google Scholar
• Rougas S, Gentilesco B, Green E, Flores L. 2015. Twelve tips for addressing medical student and resident physician lapses in professionalism. Med Teach. 37(10):901–907.
   PubMed Web of Science ®Google Scholar
• Swick HM. 2000. Toward a normative definition of medical professionalism. Acad Med. 75(6):612–616.
   PubMed Web of Science ®Google Scholar
• Teherani A, O'Sullivan PS, Lovett M, Hauer KE. 2009. Categorization of unprofessional behaviours identified during administration of and remediation after a comprehensive clinical performance examination using a validated professionalism framework. Med Teach. 31(11):1007–1012.
   PubMed Web of Science ®Google Scholar
• Van Luijk SJ, Gorter RC, van Mook WN. 2010. Promoting professional behaviour in undergraduate medical, dental and veterinary curricula in the Netherlands: evaluation of a joint effort. Med Teach. 32(9):733–739.
   PubMed Web of Science ®Google Scholar
• van Mook WNKA, Van Luijk SJ, Fey-Schoenmakers MJG, Tans G, Rethans J-JE, Schuwirth LW, van der Vleuten CPM. 2010. Combined formative and summative professional behaviour assessment approach in the bachelor phase of medical school: a Dutch perspective. Med Teach. 32(12):e517–e31.
   PubMed Web of Science ®Google Scholar
• Wong BM, Ginsburg S. 2017. Speaking up against unsafe unprofessional behaviours: the difficulty in knowing when and how. BMJ Qual Saf. 26:859–862.
   PubMed Web of Science ®Google Scholar
• Yates J. 2014. ‘Concerns about medical students’ adverse behaviour and attitude: an audit of practice at Nottingham, with mapping to GMC guidance. BMC Med Educ. 14(1):196.
   PubMed Web of Science ®Google Scholar
• Yepes-Rios M, Dudek N, Duboyce R, Curtis J, Allard RJ, Varpio L. 2016. The failure to fail underperforming trainees in health professions education: a BEME systematic review: BEME Guide No. 42. Med Teach. 38(11):1092–1099.
   PubMed Web of Science ®Google Scholar
• Ziring D, Danoff D, Grosseman S, Langer D, Esposito A, Jan MK, Rosenzweig S, Novack D. 2015. How do medical schools identify and remediate professionalism lapses in medical students? A study of U.S. and Canadian Medical Schools. Acad Med. 90(7):913–920.
   PubMed Web of Science ®Google Scholar
• Ziring D, Frankel RM, Danoff D, Isaacson JH, Lochnan H. 2018. Silent witnesses: faculty reluctance to report medical students' professionalism lapses. Acad Med. 93(11):1700–1706.
   PubMed Web of Science ®Google Scholar