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A controlled experiment with a medical student honor system.

F S Sierles1, B D Kushner, P B Krause

  • 1Department of Psychiatry and Behavioral Sciences, University of Health Sciences/Chicago Medical School, Illinois.

Journal of Medical Education
|September 1, 1988
PubMed
Summary

A medical school

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Area of Science:

  • Medical Education
  • Academic Integrity

Background:

  • Student-led honor codes can supplement traditional proctoring systems.
  • Evaluating the effectiveness of honor systems versus proctoring is crucial for academic integrity.

Purpose of the Study:

  • To compare cheating rates in unproctored versus proctored examinations.
  • To assess student perceptions of academic integrity under different examination conditions.

Main Methods:

  • A controlled experiment comparing unproctored (behavioral science) and proctored (physiology, neuroscience) examinations.
  • Anonymous questionnaires were used to collect data on cheating and observation of cheating.

Main Results:

  • Significantly higher rates of cheating and observed cheating occurred in unproctored behavioral science exams.
  • Few students who observed cheating reported it, and they did not name offenders.

Conclusions:

  • Unproctored examinations may lead to increased academic dishonesty.
  • Student-reported cheating is low, even when observed, suggesting challenges in honor system enforcement.

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