Machiavellian Medical Students Report More Academic Misconduct: A Cocktail Fuelled by Psychological and Contextual Factors

References

• International Center for Academic Integrity. The Fundamental Values of Academic Integrity. 2nd ed. Fishman T, editor. Clemson University;2014.
   Google Scholar
• Tauginienė L, Gaižauskaitė I, Razi S, et al. Enhancing the taxonomies relating to academic integrity and misconduct. J Acad Ethics. 2019;17(4):345–361. doi:10.1007/s10805-019-09342-4
   Web of Science ®Google Scholar
• Tauginienė L, Gaižauskaitė I, Glendinning I, et al. Glossary for academic integrity; 2018.
   Google Scholar
• ABIM Foundation; ACP-ASIM Foundation; and European Federation of Internal Medicine. Medical professionalism in the new millennium: a physician charter. Ann Intern Med. 2002;136(3):243–246. doi:10.7326/0003-4819-136-3-200202050-00012
   PubMed Web of Science ®Google Scholar
• Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923–1958. doi:10.1016/S0140-6736(10)61854-5
   PubMed Web of Science ®Google Scholar
• Abdulrahman M, Alsalehi S, Husain ZSM, Nair SC, Carrick FR. Professionalism among multicultural medical students in the United Arab Emirates. Med Educ Online. 2017;22(1):1372669. doi:10.1080/10872981.2017.1372669
   PubMed Web of Science ®Google Scholar
• Whitley BE. Factors associated with cheating among college students: a review. Res High Educ. 1998;39(3):235–274.
   Web of Science ®Google Scholar
• Rettinger DA, Kramer Y. Situational and personal causes of student cheating. Res High Educ. 2009;50(3):293–313. doi:10.1007/s11162-008-9116-5
   Web of Science ®Google Scholar
• Yu H, Glanzer PL, Sriram R, Johnson BR, Moore B. What contributes to college students’ cheating? A study of individual factors. Ethics Behav. 2017;27(5):401–422. doi:10.1080/10508422.2016.1169535
   Web of Science ®Google Scholar
• Rennie SC, Crosby JR. Are “tomorrow’s doctors” honest? Questionnaire study exploring medical students’ attitudes and reported behaviour on academic misconduct. BMJ. 2001;322(7281):274–275. doi:10.1136/bmj.322.7281.274
   PubMed Web of Science ®Google Scholar
• Taradi SK, Taradi M, Dogaš Z. Croatian medical students see academic dishonesty as an acceptable behaviour: a cross-sectional multicampus study. J Med Ethics. 2012;38(6):376–379. doi:10.1136/medethics-2011-100015
   PubMed Web of Science ®Google Scholar
• Hrabak M, Vujaklija A, Vodopivec I, Hren D, Marušić M, Marušić A. Academic misconduct among medical students in a post-communist country. Med Educ. 2004;38(3):276–285. doi:10.1111/j.1365-2923.2004.01766.x
   PubMed Web of Science ®Google Scholar
• Desalegn AA, Berhan A. Cheating on examinations and its predictors among undergraduate students at Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia. BMC Med Educ. 2014;14:89. doi:10.1186/1472-6920-14-89
   PubMed Web of Science ®Google Scholar
• Barroca I, Pereira PA, Neto I. Conduta académica em estudantes de medicina: atitudes, perceções e fatores que influenciam [Academic conduct in medical students: attitudes, perceptions and influencing factors]. Fund Educ Médica. 2018;21(3):159–163.
   Google Scholar
• Monteiro J, Silva-Pereira F, Severo M. Investigating the existence of social networks in cheating behaviors in medical students. BMC Med Educ. 2018;18(1):193. doi:10.1186/s12909-018-1299-7
   PubMed Web of Science ®Google Scholar
• Franco RS, Franco CAG, Kusma SZ, Severo M, Ferreira MA. To participate or not participate in unprofessional behavior – is that the question? Med Teach. 2016;39(2):212–219. doi:10.1080/0142159X.2017.1266316
   PubMed Web of Science ®Google Scholar
• Keener TA, Galvez Peralta M, Smith M, et al. Student and faculty perceptions: appropriate consequences of lapses in academic integrity in health sciences education. BMC Med Educ. 2019;19(1):209. doi:10.1186/s12909-019-1645-4
   PubMed Web of Science ®Google Scholar
• Papadakis MA, Hodgson CS, Teherani A, Kohatsu ND. Unprofessional behavior in medical school is associated with subsequent disciplinary action by a state medical board. Acad Med. 2004;79(3):244–249. doi:10.1097/00001888-200403000-00011
   PubMed Web of Science ®Google Scholar
• Yates J, James D. Risk factors at medical school for subsequent professional misconduct: multicentre retrospective case-control study. BMJ. 2010;340:c2040. doi:10.1136/bmj.c2040
   PubMed Web of Science ®Google Scholar
• Krueger L. Academic dishonesty among nursing students. J Nurs Educ. 2014;53(2):77–87. doi:10.3928/01484834-20140122-06
   PubMed Web of Science ®Google Scholar
• Zhang Y, Yin H. Collaborative cheating among Chinese college students: the effects of peer influence and Individualism-Collectivism orientations. Assess Eval High Educ. 2020;45(1):54–69. doi:10.1080/02602938.2019.1608504
   Web of Science ®Google Scholar
• McCabe DL, Treviño LK, Butterfield KD. Cheating in academic institutions: a decade of research. Ethics Behav. 2001;11(13):219–232. doi:10.1207/S15327019EB1103
   Web of Science ®Google Scholar
• Özcan M, Yeniçeri N, Çekiç EG. The impact of gender and academic achievement on the violation of academic integrity for medical faculty students, a descriptive cross-sectional survey study. BMC Med Educ. 2019;19(1):427. doi:10.1186/s12909-019-1865-7
   PubMed Web of Science ®Google Scholar
• McCabe DL, Treviño LK. Individual and contextual influences on academic dishonesty: a multicampus investigation. Res High Educ. 1997;38(3):379–396. doi:10.1023/A:1024954224675
   Web of Science ®Google Scholar
• Lee SD, Kuncel NR, Gau J. Personality, attitude, and demographic correlates of academic dishonesty: a meta-analysis. Psychol Bull. 2020;146(11):1042–1058. doi:10.1037/bul0000300
   PubMed Web of Science ®Google Scholar
• Doherty EM, Nugent E. Personality factors and medical training: a review of the literature. Med Educ. 2011;45(2):132–140. doi:10.1111/j.1365-2923.2010.03760.x
   PubMed Web of Science ®Google Scholar
• Haight SJ, Chibnall JT, Schindler DL, Slavin SJ. Associations of medical student personality and health/wellness characteristics with their medical school performance across the curriculum. Acad Med. 2012;87(4):476–485. doi:10.1097/ACM.0b013e318248e9d0
   PubMed Web of Science ®Google Scholar
• O’Tuathaigh CMP, Idris AN, Duggan E, Costa P, Costa MJ, Arrieta A. Medical students’ empathy and attitudes towards professionalism: Relationship with personality, specialty preference and medical programme. PLoS One. 2019;14(5):e0215675. doi:10.1371/journal.pone.0215675
   PubMed Web of Science ®Google Scholar
• Hojat M, Callahan CA, Gonnella JS. Students’ personality and ratings of clinical competence in medical school clerkships: a longitudinal study. Psychol Health Med. 2004;9(2):247–252. doi:10.1080/13548500410001670771
   Google Scholar
• Lourinho I, Moreira A, Mota-Cardoso R, Severo M, Ferreira MA. Associations between the big five personality traits and a medical school admission interview. Acta Med Port. 2016;29(12):796–802. doi:10.20344/amp.8390
   PubMed Web of Science ®Google Scholar
• Hojat M, Erdmann JB, Gonnella JS. Personality assessments and outcomes in medical education and the practice of medicine: AMEE Guide No. 79. Med Teach. 2013;35(7):e1267–e1301. doi:10.3109/0142159X.2013.785654
   PubMed Web of Science ®Google Scholar
• Bratek A, Bonk M, Bulska W, Tyrała K, Seweryn M, Krysta K. “Claw your way”–Machiavellianism among the medical community. Psychiatr Danub. 2015;27 Suppl 1:S344–S347.
   PubMedGoogle Scholar
• Merrill JM, Camacho Z, Laux LF, Thornby JI, Vallbona C. Machiavellianism in medical students. Am J Med Sci. 1993;305(5):285–288. doi:10.1097/00000441-199305000-00003
   PubMed Web of Science ®Google Scholar
• Zhang J, Paulhus DL, Ziegler M. Personality predictors of scholastic cheating in a Chinese sample. Educ Psychol. 2018;39(5):572–590. doi:10.1080/01443410.2018.1502414
   Web of Science ®Google Scholar
• Nathanson C, Paulhus DL, Williams KM. Predictors of a behavioral measure of scholastic cheating: personality and competence but not demographics. Contemp Educ Psychol. 2006;31(1):97–122. doi:10.1016/j.cedpsych.2005.03.001
   Web of Science ®Google Scholar
• Williams KM, Nathanson C, Paulhus DL. Identifying and profiling scholastic cheaters: their personality, cognitive ability, and motivation. J Exp Psychol Appl. 2010;16(3):293–307. doi:10.1037/a0020773
   PubMed Web of Science ®Google Scholar
• Plessen CY, Gyimesi ML, Kern BMJ, et al. Associations between academic dishonesty and personality: a pre-registered multilevel meta-analysis; 2020.
   Google Scholar
• Tijdink JK, Bouter LM, Veldkamp CLS, Van De Ven PM, Wicherts JM, Smulders YM. Personality traits are associated with research misbehavior in Dutch scientists: a cross-sectional study. PLoS One. 2016;11(9):e0163251. doi:10.1371/journal.pone.0163251
   PubMed Web of Science ®Google Scholar
• Hren D, Vujaklija A, Ivanišević R, Knežević J, Marušić M, Marušić A. Students’ moral reasoning, Machiavellianism and socially desirable responding: implications for teaching ethics and research integrity. Med Educ. 2006;40(3):269–277. doi:10.1111/J.1365-2929.2006.02391.X
   PubMed Web of Science ®Google Scholar
• Paulhus DL, Williams KM. The dark triad of personality: narcissism, machiavellianism, and psychopathy. J Res Pers. 2002;36(6):556–563. doi:10.1016/S0092-6566(02)00505-6
   Web of Science ®Google Scholar
• Jonason PK, Webster GD. The dirty dozen: a concise measure of the dark triad. Psychol Assess. 2010;22(2):420–432. doi:10.1037/a0019265
   PubMed Web of Science ®Google Scholar
• Ternes M, Babin C, Woodworth A, Stephens S. Academic misconduct: an examination of its association with the dark triad and antisocial behavior. Pers Individ Dif. 2019;138:75–78. doi:10.1016/J.PAID.2018.09.031
   Web of Science ®Google Scholar
• Li C, Murad M, Shahzad F, Khan MAS, Ashraf SF. Dark tetrad personality traits and counterproductive work behavior among doctors in Pakistan. Int J Health Plann Manage. 2020;35(5):1173–1192. doi:10.1002/HPM.3025
   PubMed Web of Science ®Google Scholar
• Ying L, Cohen A. Dark triad personalities and counterproductive work behaviors among physicians in China. Int J Health Plann Manage. 2018;33(4):e985–e998. doi:10.1002/HPM.2577
   PubMed Web of Science ®Google Scholar
• Ryff CD. Beyond Ponce de Leon and life satisfaction: new directions in quest of successful ageing. Int J Behav Dev. 1989;12(1):35–55. doi:10.1177/016502548901200102
   Web of Science ®Google Scholar
• Huta V, Waterman AS. Eudaimonia and its distinction from hedonia: developing a classification and terminology for understanding conceptual and operational definitions. J Happiness Stud. 2013;15(6):1425–1456. doi:10.1007/s10902-013-9485-0
   Web of Science ®Google Scholar
• Eley DS, Leung J, Hong BA, Cloninger KM, Cloninger CR. Identifying the dominant personality profiles in medical students: implications for their well-being and resilience. PLoS One. 2016;11(8):e0160028. doi:10.1371/journal.pone.0160028
   PubMed Web of Science ®Google Scholar
• Mahon KE, Henderson MK, Kirch DG. Selecting tomorrow’s physicians: the key to the future health care workforce. Acad Med. 2013;88(12):1806–1811. doi:10.1097/ACM.0000000000000023
   PubMed Web of Science ®Google Scholar
• Koenig TW, Parrish SK, Terregino CA, Williams JP, Dunleavy DM, Volsch JM. Core personal competencies important to entering students’ success in medical school: what are they and how could they be assessed early in the admission process? Acad Med. 2013;88(5):603–613. doi:10.1097/ACM.0b013e31828b3389
   PubMed Web of Science ®Google Scholar
• Bowman NA. The development of psychological well-being among first-year college students. J Coll Stud Dev. 2010;51(2):180–200. doi:10.1353/csd.0.0118
   Web of Science ®Google Scholar
• Blachnio A. Don’t cheat, be happy. Self-control, self-beliefs, and satisfaction with life in academic honesty: a cross-sectional study in Poland. Scand J Psychol. 2019;60(3):261–266. doi:10.1111/sjop.12534
   PubMed Web of Science ®Google Scholar
• Giluk TL, Postlethwaite BE. Big five personality and academic dishonesty: a meta-analytic review. Pers Individ Dif. 2015;72:59–67. doi:10.1016/j.paid.2014.08.027
   Web of Science ®Google Scholar
• Malesky A, Grist C, Poovey K, Dennis N. The effects of peer influence, honor codes, and personality traits on cheating behavior in a university setting. Ethics Behav. 2021. doi:10.1080/10508422.2020.1869006
   Web of Science ®Google Scholar
• Macedo A, Araújo AI, Cabaços C, Brito MJ, Mendonça L, Pereira AT. Personality dark triad: Portuguese validation of the dirty dozen. Eur Psychiatry. 2017;41(S1):S710–S711. doi:10.1016/j.eurpsy.2017.01.1267
   Web of Science ®Google Scholar
• Conrado GAM. Associação entre traços sombrios de personalidade e conduta académica de estudantes de medicina [Association between dark personality traits and academic conduct of medical students] [master’s thesis]; 2020. Available from: https://hdl.handle.net/10216/130767. Portuguese.
   Google Scholar
• Novo RF, Duarte-Silva ME, Peralta E. O bem-estar psicológico em adultos: estudo das características psicométricas da versão portuguesa das escalas de C. Ryff [Psychological well-being in adults: study of the psychometric characteristics of the Portuguese version of the scales of C. Ryff]. In: Gonçalves M, Ribeiro I, Araújo S, Machado C, Almeida LS, Simões M, editors. Avaliação Psicológica: Formas e Contextos. Vol. V. APPORT/SHO; 1997:313–324. Portuguese.
   Google Scholar
• Ryff CD, Keyes CLM. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995;69(4):719–727. doi:10.1037/0022-3514.69.4.719
   PubMed Web of Science ®Google Scholar
• Veríssimo AC. Academic Misconduct in Medical Students: prevalence and associations with Psychological Traits [master’s thesis]; 2020. Available from: https://hdl.handle.net/10216/130787.
   Google Scholar
• R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing; 2019.
   Google Scholar
• Mortaz Hejri S, Zendehdel K, Asghari F, Fotouhi A, Rashidian A. Academic disintegrity among medical students: a randomised response technique study. Med Educ. 2013;47(2):144–153. doi:10.1111/medu.12085
   PubMed Web of Science ®Google Scholar
• Esteves GGL, Oliveira LS, de Andrade JM, Menezes MP. Dark triad predicts academic cheating. Pers Individ Dif. 2021;171:110513. doi:10.1016/J.PAID.2020.110513
   Web of Science ®Google Scholar
• Furnham A, Richards SC, Paulhus DL. The dark triad of personality: a 10 year review. Soc Personal Psychol Compass. 2013;7(3):199–216. doi:10.1111/spc3.12018
   Google Scholar
• Muris P, Merckelbach H, Otgaar H, Meijer E. The malevolent side of human nature: a meta-analysis and critical review of the literature on the Dark Triad (narcissism, Machiavellianism, and psychopathy). Perspect Psychol Sci. 2017;12(2):183–204. doi:10.1177/1745691616666070
   PubMedGoogle Scholar
• Rundle K, Curtis GJ, Clare J. Why students do not engage in contract cheating. Front Psychol. 2019;10:2229. doi:10.3389/fpsyg.2019.02229
   PubMed Web of Science ®Google Scholar
• Barbaranelli C, Farnese ML, Tramontano C, et al. Machiavellian ways to academic cheating: a mediational and interactional model. Front Psychol. 2018;9:695. doi:10.3389/FPSYG.2018.00695
   PubMed Web of Science ®Google Scholar
• Muñoz-García A, Aviles-Herrera MJ. Effects of academic dishonesty on dimensions of spiritual well-being and satisfaction: a comparative study of secondary school and university students. Assess Eval High Educ. 2014;39(3):349–363. doi:10.1080/02602938.2013.832729
   Web of Science ®Google Scholar
• Radcliffe C, Lester H. Perceived stress during undergraduate medical training: a qualitative study. Med Educ. 2003;37(1):32–38. doi:10.1046/j.1365-2923.2003.01405.x
   PubMed Web of Science ®Google Scholar
• Rennie SC, Rudland JR. Differences in medical students’ attitudes to academic misconduct and reported behaviour across the years — a questionnaire study. J Med Ethics. 2003;29(2):97–102. doi:10.1136/jme.29.2.97
   PubMed Web of Science ®Google Scholar
• Park EJ, Park S, Jang IS. Academic cheating among nursing students. Nurse Educ Today. 2013;33(4):346–352. doi:10.1016/j.nedt.2012.12.015
   PubMed Web of Science ®Google Scholar
• McCabe DL, Treviño LK. Academic dishonesty: honor codes and other contextual influences. J Higher Educ. 1993;64(5):522–538. doi:10.1007/978-94-6300-040-6_16
   Web of Science ®Google Scholar
• Curtis GJ, Clare J, Vieira E, Selby E, Jonason PK. Predicting contract cheating intentions: dark personality traits, attitudes, norms, and anticipated guilt and shame. Pers Individ Dif. 2022;185:111277. doi:10.1016/J.PAID.2021.111277
   Web of Science ®Google Scholar
• Veríssimo AC, Conrado GAM, Barbosa J, Gomes SF, Oliveira P, Ribeiro L. Academic Misconduct in Medical Students: Do Psychological Well-Being Traits Play a Role? In: Book of abstracts of the 7th European Conference on Academic Integrity and Plagiarism; June 9-11, 2021; Brno, Czech Republic; pages 139–142. Available from: https://academicintegrity.eu/conference/proceedings/2021/book_of_abstracts2021.pdf. Accessed August 8, 2022.
   Google Scholar