Dr. Mushlin is director, Preliminary Medicine Internship, and master clinician, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Dr. Katz is director, Internal Medicine Residency, and vice chair for education, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Acad Med. 2013 Nov;88(11):1598-9. doi: 10.1097/ACM.0b013e3182a7f99a.
In this issue, Grimm and Maxfield report the results of an analysis of the outcomes of manuscripts listed as "provisionally accepted," "accepted," "in press," and "submitted" on applications to a university radiology residency program. Their surprising finding that one-third of manuscripts listed as "accepted" or "in press" were not published two years after being included on an application raises questions about the reasons for these discrepancies.The authors of this commentary argue that one explanation for these findings is that some applicants deliberately misrepresented facts in order to be seen as more attractive candidates. After examining the professionalism implications of the study by Grimm and Maxfield, the authors offer recommendations for addressing lapses in students' professionalism early on. They recommend that medical school admissions and teaching faculty establish clear and unshakable expectations that untruths will not be tolerated regardless of the difficult administrative challenges that may ensue. Further, medical school admissions committees should select entrance criteria that reward collaborative behaviors and honesty in addition to academic achievement. The authors encourage more longitudinal, systematic analyses of potential fabrications in residency applications, with the goal of fostering a culture of trust in medicine.
在本期中，Grimm 和 Maxfield 报告了对大学放射科住院医师项目申请中列为“临时接受”、“接受”、“即将出版”和“提交”的手稿结果进行分析的结果。他们令人惊讶地发现，三分之一列为“接受”或“即将出版”的手稿在被列入申请两年后并未发表，这引发了对这些差异原因的质疑。本评论的作者认为，对这些发现的一种解释是，为了被视为更有吸引力的候选人，一些申请人故意歪曲事实。在研究了 Grimm 和 Maxfield 的研究对专业精神的影响之后，作者为解决学生在早期的专业精神失误提出了建议。他们建议医学院招生和教学人员明确并坚定不移地规定，无论可能随之而来的行政挑战有多么困难，都不容忍不诚实的行为。此外，医学院招生委员会应选择奖励合作行为和诚实而非学术成就的入学标准。作者鼓励对住院医师申请中潜在捏造行为进行更多的纵向、系统分析，以培养医学领域的信任文化。
