Kusnoor Anita V, Falik Ruth
Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA.
South Med J. 2013 Aug;106(8):479-83. doi: 10.1097/SMJ.0b013e3182a14388.
The reported prevalence of cheating among US medical students ranges from 0% to 58%. Cheating behaviors include copying from others, using unauthorized notes, sharing information about observed structured clinical encounters, and dishonesty about performing physical examinations on patients. Correlates of cheating in medical school include prior cheating behavior, burnout, and inadequate understanding about what constitutes cheating. Institutional responses include expulsion, reprimands, counseling, and peer review. Preventing cheating requires establishing standards for acceptable behavior, focusing on learning rather than assessment, involving medical students in peer review, and creating a culture of academic integrity. Cheating in medical school may have serious long-term consequences for future physicians. Institutions should develop environments that promote integrity.
据报道，美国医学生中作弊行为的发生率在0%至58%之间。作弊行为包括抄袭他人、使用未经授权的笔记、分享有关观察到的结构化临床会诊的信息，以及在对患者进行体格检查时弄虚作假。医学院校中作弊行为的相关因素包括既往作弊行为、职业倦怠以及对作弊行为构成的理解不足。学校的应对措施包括开除、训斥、辅导和同行评审。防止作弊需要制定可接受行为的标准，注重学习而非评估，让医学生参与同行评审，并营造学术诚信的文化氛围。医学院校中的作弊行为可能会给未来的医生带来严重的长期后果。院校应营造促进诚信的环境。
