Reasoning when it counts: students' rationales for action on a professionalism exam
Language: 
English
Short Title: 
Reasoning when it counts
Abstract: 

BACKGROUND: Previous research explored students' reasoning in the face of professional dilemmas, using interviews in response to videotaped scenarios. This study determined the effects of a change in context (to a written exam) and format (video versus text scenarios) on students' response patterns. METHOD: Fifty-three students were randomized to videotaped or text-based scenarios in the context of a mock written exam. Responses were coded by two raters. RESULTS: Interrater reliability was high (kappa = 0.872). There were no differences in response patterns between the video and text groups. When compared with the interview setting, students' exam responses showed a shift towards more "acceptable" rationales for action; however, they still considered implications for themselves. CONCLUSIONS: This shift in responses indicates that students took the exam seriously. Their continued reference to implications for themselves might therefore reflect a sense that their status as students makes these considerations legitimate; alternatively, students' interpretation of altruism may be different than what the profession avows.

Author(s): 
Ginsburg, Shiphra R.
Regehr, Glenn
Mylopoulos, Maria
Item Type: 
Journal Article
Publication Title: 
Academic Medicine: Journal of the Association of American Medical Colleges
Journal Abbreviation: 
Acad Med
Publication Date: 
2007-10
Publication Year: 
2007
Pages: 
S40-43
Volume: 
82
Issue: 
10 Suppl
ISSN: 
1040-2446
DOI: 
10.1097/ACM.0b013e31813ffda4
Library Catalog: 
PubMed
Extra: 
PMID: 17895688

Turabian/Chicago Citation

Shiphra R. Ginsburg, Glenn Regehr and Maria Mylopoulos. 2007-10. "Reasoning when it counts: students' rationales for action on a professionalism exam." Academic Medicine: Journal of the Association of American Medical Colleges 82: 10 Suppl: S40-43. 10.1097/ACM.0b013e31813ffda4.

Wikipedia Citation

<ref> {{Cite journal | doi = 10.1097/ACM.0b013e31813ffda4 | issn = 1040-2446 | volume = 82 | pages = S40-43 | last = Ginsburg | first = Shiphra R. | coauthors = Regehr, Glenn, Mylopoulos, Maria | title = Reasoning when it counts: students' rationales for action on a professionalism exam | journal = Academic Medicine: Journal of the Association of American Medical Colleges | date = 2007-10 | pmid = | pmc = }} </ref>