Asunto(s)
Técnicas y Procedimientos Diagnósticos , Atención Dirigida al Paciente , Comunicación , Continuidad de la Atención al Paciente , Errores Diagnósticos , Servicio de Urgencia en Hospital , Política de Salud , Humanos , Neoplasias/diagnóstico , Neoplasias/psicología , Relaciones Médico-Paciente , Derivación y ConsultaAsunto(s)
Glándulas Suprarrenales/microbiología , Fiebre/etiología , Histoplasma/aislamiento & purificación , Histoplasmosis/diagnóstico , Uveítis/etiología , Glándulas Suprarrenales/patología , Anciano , Fatiga/etiología , Histoplasmosis/complicaciones , Humanos , Masculino , Miastenia Gravis/complicaciones , Pérdida de PesoAsunto(s)
Embolia Pulmonar/diagnóstico , Síncope/etiología , Infecciones Oportunistas Relacionadas con el SIDA/tratamiento farmacológico , Síndrome de Inmunodeficiencia Adquirida/complicaciones , Síndrome de Inmunodeficiencia Adquirida/tratamiento farmacológico , Enfermedad Aguda , Adulto , Terapia Antirretroviral Altamente Activa , Caquexia/etiología , Deshidratación , Diagnóstico Diferencial , Diarrea/tratamiento farmacológico , Humanos , Masculino , Embolia Pulmonar/complicaciones , Embolia Pulmonar/diagnóstico por imagen , Radiografía , Taquicardia , Ultrasonografía , Trombosis de la Vena/diagnóstico por imagen , Trombosis de la Vena/etiología , Disfunción Ventricular/diagnóstico , Disfunción Ventricular/etiologíaRESUMEN
In this issue, Grimm and Maxfield report the results of an analysis of the outcomes of manuscripts listed as "provisionally accepted," "accepted," "in press," and "submitted" on applications to a university radiology residency program. Their surprising finding that one-third of manuscripts listed as "accepted" or "in press" were not published two years after being included on an application raises questions about the reasons for these discrepancies.The authors of this commentary argue that one explanation for these findings is that some applicants deliberately misrepresented facts in order to be seen as more attractive candidates. After examining the professionalism implications of the study by Grimm and Maxfield, the authors offer recommendations for addressing lapses in students' professionalism early on. They recommend that medical school admissions and teaching faculty establish clear and unshakable expectations that untruths will not be tolerated regardless of the difficult administrative challenges that may ensue. Further, medical school admissions committees should select entrance criteria that reward collaborative behaviors and honesty in addition to academic achievement. The authors encourage more longitudinal, systematic analyses of potential fabrications in residency applications, with the goal of fostering a culture of trust in medicine.