The effects of academic unprofessional behaviour on disciplinary action by medical boards: Systematic review and meta-analysis

IF 1.2 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Clinical Teacher Pub Date : 2024-02-07 DOI:10.1111/tct.13740

Maria Inês da Rosa, Luciane Bisognin Ceretta, Milton Arruda Martins, Laura Colonetti, Tamy Colonetti, Antonio Jose Grande, Patricia Tempski

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Abstract

Objective

The objective of this study is to evaluate the association of disciplinary actions by regulatory councils and unprofessional behaviour during medical graduation.

Methods

A search strategy was developed using the terms: ‘physicians’, ‘disciplinary action’, ‘education’, ‘medical’, ‘undergraduate’ and their synonyms, subsequently applied to the electronic databases MEDLINE, Embase, Cochrane Library, LILACs and grey literature, with searches up to November 2023. The risk of bias was assessed using the Newcastle-Ottawa scale and statistical analysis was performed using the RevMan software.

Results

A total of 400 studies were found in the databases, and 15 studies were selected for full-texting reading. Four studies met the inclusion criteria and were included, bringing together a total of 3341 evaluated physicians. Three studies were included in the meta-analysis, showing a greater chance of disciplinary actions among physicians who exhibited unprofessional behaviour during medical graduation (OR: 2.54; 95%CI: 1.87–3.44; I²: 0%; P < 0.0001; 3077 participants; physicians with disciplinary action: 107/323; control physicians: 222/2754).

Conclusions

There is a statistically significant association between unprofessional behaviour during medical undergraduate study and subsequent disciplinary actions by Medical Councils. The tools for periodic assessments of student behaviour during undergraduate studies can be a perspective for future studies aimed at reducing disciplinary actions among physicians.

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学术不专业行为对医学委员会纪律处分的影响：系统回顾与荟萃分析。

研究目的本研究旨在评估监管委员会的纪律处分与医学毕业期间非专业行为之间的关联：采用以下术语制定了搜索策略方法：使用 "医生"、"纪律处分"、"教育"、"医学"、"本科生 "及其同义词制定了检索策略，随后应用于电子数据库 MEDLINE、Embase、Cochrane Library、LILACs 和灰色文献，检索期截至 2023 年 11 月。使用纽卡斯尔-渥太华量表评估偏倚风险，并使用RevMan软件进行统计分析：结果：在数据库中共找到 400 项研究，并选择了 15 项研究进行全文阅读。有 4 项研究符合纳入标准并被纳入，共有 3341 名医生接受了评估。三项研究被纳入荟萃分析，结果显示，在医学专业毕业期间表现出不专业行为的医生受到纪律处分的几率更大（OR：2.54；95%CI：1.87-3.44；I2：0%；P 结论：不专业行为与纪律处分之间存在统计学意义上的显著关联：医学本科学习期间的不专业行为与随后医学委员会的纪律处分之间存在统计学意义上的重大关联。对学生在本科学习期间的行为进行定期评估的工具可作为未来研究的一个视角，旨在减少医生的纪律处分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.90

自引率

5.60%

发文量

113

期刊介绍： The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.