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Cheating in 
EMS Education
Cheat Sheet 
Don’t kid yourself 
Cheating doesn’t have to happen 
Reinforce the right things 
Swift consequences 
Preventi...
Audience Question 
Cheating is common in 
EMS education.
Academic Dishonesty
Scenario: Question Recalls
Is this cheating?
Resource Flashnotes.com
Scenario: CE Articles
Is this cheating?
Scenario: Online Con Ed
Is this cheating?
Dishonesty in Online Courses
Dishonesty in Online Courses 
• Different rules for online quizzes 
• Rules not explicitly stated 
• Scope of cheating was...
Cheating Definition
Scope of 
Cheating
Cheating in a Pervasive Problem
Research about Cheating 
“Nearly every research report 
on cheating … has concluded 
that cheating is rampant.“ 
Cheating ...
Cheating is a Lifelong Habit
Cheating at All Grade Levels
Cheating in School Student Reasons 
1. Others are cheating 
2. No honor code 
3. Required courses 
4. Heavy workload 
5. N...
Institutions with Higher Incidence
PA Student Attitudes and Behaviors
PA Student Attitudes and Behaviors
Cheating by USAF Officers
Cheating by Fire Officers
Cheating by Nursing Students
Cheating by Firefighter Recruits
Cheating by EMS Students???
Cheating by Paramedics
Audience Question 
What factors is mostly likely to 
lead to cheating?
College Placement Paid Test Takers
Cheating by EMT
Cheating by EMS Instructors 
• Change answers 
• Falsify records 
• Provide information 
• Ignore misbehavior 
• Fail to e...
Cheating by Personnel (Parents)
Words have Meaning 
Use the “Clock” 
You need to 
know OPQRST 
The Know patient this cheated 
for 
the death 
test 
method
Study Aids or Cheat Sheets
Study Aids or Cheat Sheets
Study Aids or Cheat Sheets
Scenario: Clinical Skills
Is this cheating?
Academic Dishonesty 
Cheating 
Plagiarism 
Deception 
Fabrication 
Impersonation 
Bribery 
Any attempt to give or 
obtain ...
Most Common is Plagiarism
Cheating Low and High Tech 
Taking, giving , or 
receiving 
information 
Unauthorized 
materials use 
Circumventing 
Proce...
Cheating and Technology 
• Tougher to define cheating 
• Plagiarism is easier 
• Reduces sharing friction
Limited Impact 
of Barriers
Exam Stakes and Risks 
High Stakes 
High Risk 
High Risk 
Low Stakes 
High Stakes 
Low Risk 
Low Stakes 
Low Risk 
Risk 
P...
Challenge to Accuse and Prosecute
Ingrained in the Culture 
Win Ends Small All for Together, 
Justifies 
Teams 
One, 
Fail One The Together 
Means 
for All ...
Computer Based Testing 
Compromised by 
poor questions, 
poor security, and 
poor oversight
Cheating Technique Sharing 
How to cheat on a test
Easy Access to Cheating Techniques 
How Students Cheat… 
Merely Interesting!
Lots of Cheating Techniques
Solutions
Far Fewer Solutions
A Simple Solution 
Announce penalties 
for cheating 
Ask students 
NOT to cheat
Some Possible Solutions
We are Responsible 
• Role model 
• Discuss academic honesty 
• Honor code 
• Values education 
• Student selection 
• App...
Role Model Academic Integrity
Discuss Academic Honesty 
Scenario 1 Scenario 2 Scenario 3 Scenario 4 
Sharing Falsifying 
CE test 
questions and 
Incorre...
Audience Question 
Does your 
program/organization 
have an academic 
dishonesty policy?
Institution Honor Code
Institution Honor Code
Institution Honor Code
Challenge of Enforcement
Integrity is a Two Way Commitment
Academic Dishonesty Consequences
Appropriate Consequences 
Downgrade 
Fail assignment 
Re-test 
Fail class 
School dismissal 
Criminal charge 
Permanent re...
Values Education with I CARE 
“The founders of the I CARE program 
envision a world where individuals of all 
ages underst...
Values of Academic Integrity 
Honesty 
Trust 
Fairness 
Respect 
Responsibility 
Courage
Employee or Student Selection 
• Behavior based questions 
• Reference checks 
• Past work performance 
• Effective and se...
Plagiarism Prevention 
Define 
Examples 
Citation practices 
Clear guidelines 
Verify content
Plagiarism Prevention
Learn Academic Integrity
Culture Change and Reinforcement
Focus on Competency
Reward Learning and Effort
Actual Group Problem Solving
Test Timing 
KSA 
Training 
Competent? 
Complete 
No 
Yes
Test Based on Objectives
Write Better Questions 
What is the average heart rate of a patient with 
acute heart failure? 
a. 80 
b. 90 
c. 100 
d. 1...
Write Better Questions 
In 140 characters or less explain 
airway management. 
vs. 
Demonstrate proper airway 
management ...
Test High Level Knowledge 
Situation Mnemonics 
analysis 
Time Differentials 
intervals 
Drug Actions doses 
based on 
fin...
Incremental Assignments
Importance of Connection 
Less cheating… 
• More interaction 
• More connection 
• More respect 
• More knowledge 
"Oldmec...
Cheating by EMT
Optimize Testing Environment 
• Clear instructions 
• Room set-up 
• Required supplies 
• Personally monitor 
• Video reco...
Celebrate Ingenuity
Summary 
Cheating is present 
Cultural acceptance 
Objectives matter 
Simple actions 
Complex strategies 
Focus on compete...
Questions 
Search
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Cheating in EMS Education - Slides for EMS World 2014

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Slides I intended to present on November 11, 2014 at EMS World Expo. Due to severe weather in the upper midwest I was unable to fly to Nashville and present. The slides are provided to any attendees that may be interested in the content of this presentation.

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Cheating in EMS Education - Slides for EMS World 2014

  1. 1. Cheating in EMS Education
  2. 2. Cheat Sheet Don’t kid yourself Cheating doesn’t have to happen Reinforce the right things Swift consequences Prevention works Change the battle Test stuff that matters
  3. 3. Audience Question Cheating is common in EMS education.
  4. 4. Academic Dishonesty
  5. 5. Scenario: Question Recalls
  6. 6. Is this cheating?
  7. 7. Resource Flashnotes.com
  8. 8. Scenario: CE Articles
  9. 9. Is this cheating?
  10. 10. Scenario: Online Con Ed
  11. 11. Is this cheating?
  12. 12. Dishonesty in Online Courses
  13. 13. Dishonesty in Online Courses • Different rules for online quizzes • Rules not explicitly stated • Scope of cheating was shocking
  14. 14. Cheating Definition
  15. 15. Scope of Cheating
  16. 16. Cheating in a Pervasive Problem
  17. 17. Research about Cheating “Nearly every research report on cheating … has concluded that cheating is rampant.“ Cheating on Tests: How to Do It, Detect It, and Prevent It
  18. 18. Cheating is a Lifelong Habit
  19. 19. Cheating at All Grade Levels
  20. 20. Cheating in School Student Reasons 1. Others are cheating 2. No honor code 3. Required courses 4. Heavy workload 5. No clear rules or consequences 6. Low risk of being caught and or punished
  21. 21. Institutions with Higher Incidence
  22. 22. PA Student Attitudes and Behaviors
  23. 23. PA Student Attitudes and Behaviors
  24. 24. Cheating by USAF Officers
  25. 25. Cheating by Fire Officers
  26. 26. Cheating by Nursing Students
  27. 27. Cheating by Firefighter Recruits
  28. 28. Cheating by EMS Students???
  29. 29. Cheating by Paramedics
  30. 30. Audience Question What factors is mostly likely to lead to cheating?
  31. 31. College Placement Paid Test Takers
  32. 32. Cheating by EMT
  33. 33. Cheating by EMS Instructors • Change answers • Falsify records • Provide information • Ignore misbehavior • Fail to enforce
  34. 34. Cheating by Personnel (Parents)
  35. 35. Words have Meaning Use the “Clock” You need to know OPQRST The Know patient this cheated for the death test method
  36. 36. Study Aids or Cheat Sheets
  37. 37. Study Aids or Cheat Sheets
  38. 38. Study Aids or Cheat Sheets
  39. 39. Scenario: Clinical Skills
  40. 40. Is this cheating?
  41. 41. Academic Dishonesty Cheating Plagiarism Deception Fabrication Impersonation Bribery Any attempt to give or obtain assistance Copying without proper acknowledgement Providing false information Falsification of date, information, or citations Assuming another’s identity Paying for information or access
  42. 42. Most Common is Plagiarism
  43. 43. Cheating Low and High Tech Taking, giving , or receiving information Unauthorized materials use Circumventing Processes
  44. 44. Cheating and Technology • Tougher to define cheating • Plagiarism is easier • Reduces sharing friction
  45. 45. Limited Impact of Barriers
  46. 46. Exam Stakes and Risks High Stakes High Risk High Risk Low Stakes High Stakes Low Risk Low Stakes Low Risk Risk Promotional exam Stakes Certification exam Licensure exam
  47. 47. Challenge to Accuse and Prosecute
  48. 48. Ingrained in the Culture Win Ends Small All for Together, Justifies Teams One, Fail One The Together Means for All Work Independently
  49. 49. Computer Based Testing Compromised by poor questions, poor security, and poor oversight
  50. 50. Cheating Technique Sharing How to cheat on a test
  51. 51. Easy Access to Cheating Techniques How Students Cheat… Merely Interesting!
  52. 52. Lots of Cheating Techniques
  53. 53. Solutions
  54. 54. Far Fewer Solutions
  55. 55. A Simple Solution Announce penalties for cheating Ask students NOT to cheat
  56. 56. Some Possible Solutions
  57. 57. We are Responsible • Role model • Discuss academic honesty • Honor code • Values education • Student selection • Appropriate focus • Change the evaluation method • Testing
  58. 58. Role Model Academic Integrity
  59. 59. Discuss Academic Honesty Scenario 1 Scenario 2 Scenario 3 Scenario 4 Sharing Falsifying CE test questions and Incorrectly reporting Wasting narcotics without a witness assessments or attendance treatments answers
  60. 60. Audience Question Does your program/organization have an academic dishonesty policy?
  61. 61. Institution Honor Code
  62. 62. Institution Honor Code
  63. 63. Institution Honor Code
  64. 64. Challenge of Enforcement
  65. 65. Integrity is a Two Way Commitment
  66. 66. Academic Dishonesty Consequences
  67. 67. Appropriate Consequences Downgrade Fail assignment Re-test Fail class School dismissal Criminal charge Permanent record
  68. 68. Values Education with I CARE “The founders of the I CARE program envision a world where individuals of all ages understand the importance of ethics and values as they pertain to a person's character and through their actions embody the values of Integrity, Compassion, Accountability, Respect and Empathy in their daily lives.”
  69. 69. Values of Academic Integrity Honesty Trust Fairness Respect Responsibility Courage
  70. 70. Employee or Student Selection • Behavior based questions • Reference checks • Past work performance • Effective and secure entrance exam • Inform of honor code
  71. 71. Plagiarism Prevention Define Examples Citation practices Clear guidelines Verify content
  72. 72. Plagiarism Prevention
  73. 73. Learn Academic Integrity
  74. 74. Culture Change and Reinforcement
  75. 75. Focus on Competency
  76. 76. Reward Learning and Effort
  77. 77. Actual Group Problem Solving
  78. 78. Test Timing KSA Training Competent? Complete No Yes
  79. 79. Test Based on Objectives
  80. 80. Write Better Questions What is the average heart rate of a patient with acute heart failure? a. 80 b. 90 c. 100 d. 110 e. Who cares!
  81. 81. Write Better Questions In 140 characters or less explain airway management. vs. Demonstrate proper airway management for this situation.
  82. 82. Test High Level Knowledge Situation Mnemonics analysis Time Differentials intervals Drug Actions doses based on findings Facts Critique performance
  83. 83. Incremental Assignments
  84. 84. Importance of Connection Less cheating… • More interaction • More connection • More respect • More knowledge "Oldmech" by Dansan4444 - Own work. Licensed under Creative Commons Zero, Public Domain Dedication via Wikimedia Commons - http://commons.wikimedia.org/wiki/File:Oldmech.jpg#mediaviewer/File: Oldmech.jpg
  85. 85. Cheating by EMT
  86. 86. Optimize Testing Environment • Clear instructions • Room set-up • Required supplies • Personally monitor • Video record • Remove bags, books, coats • Disable smart devices (phones, glasses, watches) • Confiscate electronics • Identity verification
  87. 87. Celebrate Ingenuity
  88. 88. Summary Cheating is present Cultural acceptance Objectives matter Simple actions Complex strategies Focus on competency
  89. 89. Questions Search

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