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Changes in perception of and participation in unprofessional behaviors during internship
Vineet M Arora1, Diane B Wayne, R Andy Anderson
1varora@medicine.bsd.uchicago.edu
Background:
Do perceptions of and participation in unprofessional behaviors change during internship?
Method:
Interns at three Chicago medicine residencies anonymously reported participation in unprofessional behaviors before and after internship. On the basis of a prior survey, interns rated 28 unprofessional behaviors from 1 (unprofessional) to 5 (professional). Site-adjusted regression examined changes in participation rates and perception scores.
Results:
Response rates were 93% (105) before and 88% (99) after internship. Participation in on-call unprofessional behaviors increased ("blocking" admissions [12% versus 41%, P < .001], disparaging the ER [27% versus 45%, P = .005], misrepresenting tests as urgent to expedite care [40% versus 60%; P = .003], and signing out by phone [20% versus 42%, P < .001]). Participation in egregious behaviors (fraud, disrespect, misrepresentation) and perceptions of most behaviors remained unchanged.
Conclusions:
Although participation in egregious unprofessional behavior remained unchanged during internship, participation in on-call unprofessional behaviors increased.
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