On October 23rd, 2014, we updated our
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Case–control study showing disciplinary action among practicing physicians by medical boards was strongly associated with unprofessional behavior in medical school.
Students with the strongest association were those who were described as “irresponsible” or as having diminished ability to improve their behavior ( self-awareness or capacity ).
Missing immunizations/evaluations, and self-assessment inaccuracy were significantly correlated with unprofessional behavior in the clinical years
Papadakis et al. NEJM 2005; 353:2673-82
Peer review is essential to professional independence
We can do better in identifying problems before graduation and subsequent licensure.
What is effective peer review?
Where and how do we educate our students to do effective peer review?
Data indicates that peer feedback is a powerful motivator for improvement
Societally-expected professional activity
Both a judicial process and an educational process
Different strategies exist to accomplish the goal of student involvement
Peter G. Dominick, Richard R. Reilly and Jack W. Mcgourty, The Effects of Peer Feedback on Team Member Behavior, Group Organization Management 1997; 22; 508
President, Student Professional Conduct Committee, Indiana University School of Dentistry
Vice-Chair, Honor System Review Committee
University of Michigan School of Dentistry
Student Professional Conduct Committee
Why a Student Professional Conduct Committee?
Students involved in self-governing, alignment with the ADA Code of Professional Conduct
Ethical obligations are part of the self-regulation process
The Student Professional Conduct Committee
Comprised solely of a Peer Review Board:
-3 students from each DDS class
-2 from each dental hygiene class
-1 from dental assisting class
One faculty member advisor
Faculty Students Administration Judicial Advisory Recommendation 4
Six Values of Professionalism* * ADEA House of Delegates Statement 2009 5
Possible Recommendations by the SPCC:
1. Dismiss the Case
2. Decide the Course of Action
-Permanent letter in SPCC File
3. Forward the case to the PCC
-Any change in academic standing
-Permanent Letter in Student File
Recommendations* to PCC
Recommendations occur after interviews, witness accounts, and formal discussion
… Do we feel the actions demonstrated are UNPROFESSIONAL?
Uphold the Code of Professional Conduct
Forward to the PCC
* ALL RECOMMENDATIONS are based on the individual case. The goal is reform.
Benefits of a Student Professional Conduct Committee
Able to uncover facts and information quickly
Diversity of the group of student professionals makes decisions that are well-thought through on every angle
Clinical professionals have our own culture and language…“Is it something we would do?”
Focus on reform - recommendations from peers is more powerful
Process is easy to understand, students know the system
Challenges for the Student Professional Conduct Committee
Committee members are required to be dedicated (challenges of balancing time and schedules)
New members each year, getting members up to speed on the process takes time and commitment
Cases can be sent back or a different decision can be reached by the PCC
The Honor System Policy University of Michigan School of Dentistry Zahid Ahmed Class of 2010
The Honor Pledge
“… to have established the highest concepts of honor and personal integrity, and to maintain these concepts during matriculation in the School and, following graduation, as a dentist or dental hygienist.”