• Annals of family medicine · Mar 2015

    Why medical schools are tolerant of unethical behavior.

    • de Oliveira VidalEdison IglesiasEIInternal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Sao Paulo, Brazil eiovidal@fmb.unesp.br., Vanessa Dos Santos Silva, Maria Fernanda Dos Santos, Alessandro Ferrari Jacinto, BoasPaulo José Fortes VillasPJInternal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Sao Paulo, Brazil., and Fernanda Bono Fukushima.
    • Internal Medicine Department, Universidade Estadual Paulista (UNESP), Botucatu, Sao Paulo, Brazil eiovidal@fmb.unesp.br.
    • Ann Fam Med. 2015 Mar 1; 13 (2): 176180176-80.

    AbstractThe exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavior within medical schools including fear of retaliation and lack of mechanisms to ensure anonymity. Second, deans and directors do not want to look for unethical behavior in their colleagues. Third, most of us have learned to take disrespectful circumstances in health care institutions for granted. Fourth, the accreditation of medical schools around the world does not usually cover the processes or outcomes associated with fostering ethical behavior in students. Several initiatives promise to change that picture.© 2015 Annals of Family Medicine, Inc.

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