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Table 2 Aggregate survey results

From: The professionalism disconnect: do entering residents identify yet participate in unprofessional behaviors?

Behavior

Professionalism rating

Observed or participated

 

Un/Somewhat professional

Neutral

Some/Fully professional

Neither observed or participated

Observed

Participated

Attended a "drugrep" (pharma-sponsored) dinner or social event

165 (44%)

153 (40.8%)

53 (14.1%0

79 (21.1%)

90 (24.0%)

212 (56.5%)

As a woman, wore clothing to the hospital which revealed exposed midriff, cleavage or thighs

347 (92.5%)

18 (4.8%)

6 (1.6%0

143 (38.1%)

233 (62.1%)

5 (1.3%)

Wore wrinkled shirts or pants, tennis shoes, cargo pants to the hospital

325 (86.7%)

39 (10.4%)

7 (1.9%)

101 (26.9%)

191 (50.9%)

89 (23.7%)

Wore a white coat which was in poor condition (e.g. wrinkles, stains, tears in pockets)

301 (80.3%)

64 (17.1%)

5 (1.3%)

84 (22.4%)

152 (40.5%)

145 (38.7%)

"Blocked" an admissions you thought was inappropriate

195 (52%)

111 (29.6%)

63 (16.8%)

150 (40.0%)

172 (45.9%)

59 (15.7%)

Celebrated a "blocked" admission

322 (85.9%)

43 (11.5%)

5 (1.3%)

159 (42.4%)

181 (48.3%)

41 (10.9%)

Disparaged the ER team/outpatient doctor to others for missed findings later discovered on the floor

348 (92.8%)

16 (4.3%)

5 (1.3%)

152 (40.5%)

197 (52.5%)

32 (8.5%)

Friended a patient on Facebook

338 (90.1%)

30 (8%)

3 (0.8%)

306 (81.6%)

70 (18.7%)

5 (1.3%)

Dated a supervising attending

326 (86.9%)

41 (10.9%)

4 (1.1%)

274 (73.1%)

103 (27.5%)

4 (1.1%)

Dated an attending on another service

204 (54.4%)

146 (38.9%)

21 (5.6%)

256 (68.3%)

119 (31.7%)

6 (1.6%)

Had coffee, lunch or a drink with a patient

251 (66.9%)

104 (27.7%)

15 (4%)

295 (78.7%)

72 (19.2%)

14 (3.7%)

Dated a patient

359 (95.7%)

8 (2.1%)

4 (1.1%)

320 (85.3%)

56 (14.9%)

5 (1.3%)

Discussed patient information in a hospital public space (e.g. elevator, cafeteria, parking lot, etc.)

351 (93.6%)

16 (4.3%)

4 (1.1%)

123 (32.8%)

167 (44.5%)

91 (24.3%)

Had a nonmedical/personal conversation in a patient corridor (e.g. discussing evening plans)

185 (49.3%)

146 (38.9%)

39 (10.4%)

100 (26.7%)

96 (25.6%)

185 (49.3%)

Treated staff, technicians, coordinators, etc. differently than physicians

326 (86.9%)

37 (9.9%)

8 (2.1%)

156 (41.6%)

202 (53.9%)

23 (6.1%)

Made fun of a patient to a colleague (e.g. made a derogatory comment about a patient while they were under anesthesia)

359 (95.7%)

8 (2.1%)

4 (1.1%)

166 (44.3%)

188 (50.1%)

27 (7.2%)

Made a disparaging comment about a patient on Facebook, blog, etc.

360 (96%)

6 (1.6%)

4 (1.1%)

292 (77.9%)

86 (22.9%)

3 (0.8%)

Made a disparaging comment about a student, resident, attending, other member of the healthcare team on Facebook, blog, etc.

361 (96.3%)

6 (1.6%)

4 (1.1%)

281 (74.9%)

94 (25.1%)

6 (1.6%)

Skipped a lecture or talk in which attendance was required and no truly urgent patient care issue needed attention

332 (88.5%)

32 (8.5%)

7 (1.9%)

159 (42.4%)

147 (39.2%)

75 (20.0%)

Arrived late to rounds for nonclinical reasons

342 (91.2%)

25 (6.7%)

4 (1.1%)

147 (39.2%)

157 (41.9%)

77 (20.5%)

Shared an answer with a peer during an examination

358 (95.5%)

9 (2.4%)

4 (1.1%)

295 (78.7%)

81 (21.6%)

5 (1.3%)

Cheated on an exam because there wasn't time to study

362 (96.5%)

5 (1.3%)

3 (0.8%)

305 (81.3%)

73 (19.5%)

3 (0.8%)

Used material from the web (ppt slides, papers, etc.) to pass off as original work (without referencing the author)

361 (96.3%)

7 (1.9%)

3 (0.8%)

293 (78.1%)

82 (21.9%)

6 (1.6%)

Encouraged a student to state that they were doctor to expedite patient care

353 (94.1%)

13 (3.5%)

5 (1.3%)

245 (65.3%)

126 (33.6%)

10 (2.7%)

Asked a student to discuss with a patient medical or surgical information which was perceived to be beyond their level of knowledge

354 (94.4%)

12 (3.2%)

3 (0.8%)

263 (70.1%)

104 (27.7%)

14 (3.7%)

Asked a student to perform a medical or surgical procedure on a patient which was perceived to be beyond their level of skill

355 (94.7%)

9 (2.4%)

4 (1.1%)

282 (75.2%)

91 (24.3%)

8 (2.1%)

Performed medical or surgical procedures on a patient beyond perceived level of skill

354 (94.4%)

13 (3.5%)

3 (0.8%)

283 (75.5%)

73 (19.5%)

25 (6.7%)

Misrepresented an ordered test as "urgent" in order to get it expedited

322 (85.9%)

40 (10.7%)

6 (1.6%)

219 (58.4%)

118 (31.5%)

44 (11.7%)

Reported patient information (labs, test results, exam results) as normal when uncertain of the true results

359 (95.7%)

7 (1.9%)

3 (0.8%)

260 (69.3%)

104 (27.7%)

17 (4.5%)

Indicated a test or examination had been completed when it had not (although was intended to be)

362 (96.5%)

6 (1.6%)

2 (0.5%)

281 (74.9%)

93 (24.8%)

7 (1.9%)

Falsified patient records (e.g. backdating a note, documenting physical findings not personally obtained, etc.)

362 (96.5%)

6 (1.6%)

2 (0.5%)

298 (79.5%)

79 (21.2%)

4 (1.1%)

Avoided caring for a patient because of their race, religion, ethnicity, sexuality, etc.

360 (96%)

7 (1.8%)

3 (0.8%)

325 (86.7%)

53 (14.1%)

3 (0.8%)

Signed out patients over the phone

217 (57.9%)

122 (32.5%)

30 (8%)

177 (47.2%)

121 (32.3%)

83 (22.1%)

Posted patient information such as "an interesting rash" or other physical finding on the web, Facebook, blog, etc. without permission)

349 (93.1%)

18 (4.8%)

3 (0.8%)

304 (81.1%)

74 (19.7%)

3 (0.8%)

Filmed or photographed a patient without their consent

356 (94.9%)

10 (2.7%)

3 (0.8%)

293 (78.1%)

80 (21.3%)

8 (2.1%)

Signed out a procedure or task that could have been completed in order to go home as early in the day as possible

348 (92.8%)

18 (4.8%)

2 (0.5%)

244 (65.1%)

131 (34.9%)

6 (1.6%)

Logged false duty hours to protect the GME program and or program director

342 (91.2%)

20 (5.3%)

8 (2.1%)

231 (61.6%)

128 (34.1%)

22 (5.9%)

Stayed past required shift limits to complete a patient care task which could have been signed out

174 (46.4%)

140 (37.3%)

56 (14.9%)

187 (49.9%)

91 (24.3%)

103 (27.5%)

Did not alert one's attending/supervisor that you may have made an error

352 (93.9%)

12 (3.2%)

3 (0.8%)

289 (77.1%)

80 (21.3%)

12 (3.2%)

Did not alert one's attending/supervisor that one of your colleagues had made an error that you were aware of

332 (88.5%)

35 (9.3%)

3 (0.8%)

295 (78.7%)

74 (19.7%)

12 (3.2%)

Used a drug from the sample drug cabinet for an indigent patient

148 (39.5%)

122 (32.5%)

97 (25.9%)

207 (55.2%)

113 (30.1%)

61 (16.3%)

Used a drug from the sample drug cabinet for a friend or family member

200 (53.3%)

60 (16%)

10 (2.7%)

272 (72.5%)

99 (26.4%)

10 (2.7%)

Written or called in a prescription for self

315 (84%)

45 (12%)

10 (2.7%)

289 (77.1%)

71 (18.9%)

21 (5.6%)

Written or called in a prescription for a friend, colleague, etc. (without seeing the patient or making a note in a patient chart)

318 (84.8%)

43 (11.5%)

9 (2.4%)

234 (62.4%)

108 (28.8%)

39 (10.4%)

Accepted a gift from a patient worth < $25

167 (44.5%)

146 (38.9%)

57 (15.2%)

222 (59.2%)

107 (28.5%)

52 (13.9%)

Accepted a gift from a patient worth > $25

296 (78.9%)

66 (17.6%)

6 (1.6%)

286 (76.3%)

89 (23.7%)

6 (1.6%)