Cheating, Irregular Behavior and Other Maladies Plaguing Future Physicians: A Two-Part Series

The road to becoming a physician is paved with many unique challenges. The uphill battle begins with rigorous undergraduate course work, followed by the MCAT and medical school applications. Upon acceptance into medical school, the USMLE (United States Medical Licensing Examination) and its STEP 1 and STEP 2 exams provide another hurdle. At any of these stages, a student can be accused of numerous faults including cheating, misrepresentation, falsification of information, unfair advantages and the many faces of “irregular behavior.”

Today’s post focuses on the challenges imposed on a student prior to entering medical school. On Friday, the implications of various forms of “misconduct” for med students will be dissected (including USMLE irregular behavior and the case of NBME and FSMB v. Optima University LLC).

Prior to medical school, pre-med students must be ambitious, inquisitive and extra cautious about any disciplinary action. A minor blemish on a pre-med student’s academic record (from academic dishonesty or other accusations), will become a major red flag once that student begins the process of applying to med school. Not only will any kind of discipline record hinder a student’s chances of acceptance into med school, an infraction can also ruin that student’s reputation as they apply for residency and beyond.

Because the process of becoming a physician is difficult without having a discipline record, any  charge against a pre-med student must be taken with the upmost seriousness. If a student is accused of any kind of inflammatory behavior (cheating, academic dishonesty, plagiarizing, misrepresentation of information, falsification of information, etc.) that student needs to immediately try to correct the accusation. If a professor or another student is responsible for the accusation, the accused can try to fix the situation by meeting with the accuser before it advances. However, if this fails and the complaint is taken to a higher administration, it is best for the student to consult a legal expert who can represent them in front of an academic committee.

Often, these cases can be resolved informally,through negotiation or mediation. However, occasionally it is necessary that a civil suit be filed against the school, in order to protect the reputation of the student and prevent retaliation. The student must discuss what legal route will work best for their case in order to have the best chances of a positive outcome.

If a pre-med student makes it through undergrad without any kind of discipline record, there is still a chance that something could go wrong during the MCAT, leading to an investigation by the AAMC (Association of American Medical Colleges).

In the event that a student is accused of cheating on the MCAT or disruptive behavior during the test administration resulted in a voided test, it is best for the student to seek legal representation. If a student takes no action, or fails to correct the situation independently, they may be banned from taking the MCAT and have no chance of entering medical school.

After surpassing each obstacle on the way to med school acceptance, students may still be presented with a challenge during the admissions process. Students attempting to be admitted to medical school who are wrongfully denied for various reasons, need to seek legal advice. In one case, a student who was a whistle blower found himself being the subject of retaliation by a medical school professor for whom he had worked in college. After seeking legal counsel, this student was successful in countering the retaliation of the medical school professor and was admitted to the medical school of his choice.

Becoming a physician may be challenging, but the results can be rewarding and worth any sacrifices. A clean slate during your days as a pre-med student will pay off during your medical school admissions cycle and beyond. For more information visit www.TheHealthLawFirm.com or read this article concerning Education Law.

Students Graduating Medical School in Three Years

IMG_5281 fixedBy Danielle M. Murray, J.D.

To combat the nationwide shortage of primary care physicians and the increase in student debt, several medical schools around the country are offering the chance for students to finish school in three years, instead of four. According to a number of news articles, these programs are geared specifically toward medical students looking to practice primary care. The hope is that these programs will be cost less for students and add more primary care physicians to under-served areas.

Schools Across the U.S. Offer Three-Year Degrees.

According to an article in The New York Times, a small number of students are currently participating in the three-year degree program. There are about 16 incoming students in the program at New York University (N.Y.U.), nine students at Texas Tech Health Science Center School of Medicine and an even smaller number are at the Mercer University School of Medicine campus in Georgia. In an interview in The New York Times, the dean at Texas Tech said if this approach works, the schools will open up the program to a larger number of students.

To read the entire New York Times article, click here.

Condensed Medical School Not for Everyone.

According to an article in American Medical News, the condensed medical school eliminates breaks and electives and allows students to begin clerkship training in their second year. This is a full year earlier than the traditional four-year curriculums. In the same article, medical experts warn these accelerated programs are not for everyone, saying it takes a mature person to go through rotations earlier and at a quicker pace.

Students are given a chance to opt out if they decide to pursue a different career path. The American Medical News article explains that at Mercer, students who decide that family medicine is not for them are integrated into the traditional four-year program.

Click here to read the article from American Medical News.

Program Developed to Help with Student Debt and Doctor Shortage.

This three-year program is expected to save a quarter of the cost of medical school, which is more than $49,000 a year in tuition and fees at N.Y.U., according to The New York Times. The money saved helps primary care physicians lessen their debt as they go to work in a lower paying field. This program is expected to attract more students to practice in fields such as pediatrics and internal medicine.

According to the Association of American Medical Colleges, the physician shortage is expected to reach 91,500 physicians by 2020. This program, as it grows, can help alleviate the shortage and bring more doctors to areas in need.

Contact a Health Care Attorney that is Experienced in the Representation of Medical Students, Interns, Residents and Applicants.

The Health Law Firm and its attorneys represent medical school students in disputes with their medical schools, internship supervisors, and in dismissal hearings. We have represented residents, interns and fellows in various disputes regarding their academic and clinical performance, allegations of substance abuse, failure to complete integral parts training, alleged false or incomplete statements on applications, allegations of impairment (because of abuse or addiction to drugs or alcohol or because of mental or physical issues), because of discrimination due to race, sex, national origin, sexual orientation and on other matters.

To contact The Health Law Firm please call (407) 331-6620 or (850) 439-1001 and visit our website at www.TheHealthLawFirm.com.

Comments?

What do you think of a three-year medical school degree for doctors? Do you think the fourth year of medical school is necessary for primary care physicians? Please leave any thoughtful comments below.

Sources:

Hartcocollis, Anemona. “N.Y.U. and Other Medical Schools Offer Shorter Course in Training, for Less Tuition.” The New York Times. (December 23, 2012). From: http://www.nytimes.com/2012/12/24/education/nyu-and-others-offer-shorter-courses-through-medical-school.html?pagewanted=all&_r=0

Krupa, Carolyne. “Med School on the Fast Track: A 3-Year Degree.” American Medical Association. (May 7, 2012). From: http://www.ama-assn.org/amednews/2012/05/07/prl20507.htm

About the Author: Danielle M. Murray is an attorney with The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area.  www.TheHealthLawFirm.com  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.

“The Health Law Firm” is a registered fictitious business name of George F. Indest III, P.A. – The Health Law Firm, a Florida professional service corporation, since 1999.

Copyright © 1996-2012 The Health Law Firm. All rights reserved.

New MCAT Will Put the Social Skills of Potential Doctors to the Test

4 Indest-2009-3By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

The 8,200 aspiring doctors expected to take the Medical College Admission Test (MCAT) this year will be seeing a different exam than their predecessors.

The doctor-patient dynamic is changing. So, to stay on top of this shift in the health care industry, the Association of American Medical Colleges (AAMC) announced in April 2015, the first major revision to the MCAT in 25 years. This test is the first high-stake exam encountered by physicians. The big difference physician hopefuls will notice is that the new test assesses social aptitude and not just hard science.

The New MCAT.

There are some old reliables on the MCAT that are here to stay. The exam will still test on biological sciences and physical sciences.

Here’s what has changed:

– Students will have more questions to answer, but more time to complete each question;

– The new MCAT adds a section covering introductory psychology, sociology and neuroscience;

– The MCAT has replaced its old section on “verbal reasoning” with a broader test of comprehension in the humanities and social sciences;

– The test has eliminated the essay;

– There is a new emphasis on research, including designing studies and analyzing their results;

– The scoring for the new test will be different; and

– Scores for each of the four sections of the MCAT will be reported separately, so medical schools can emphasize or de-emphasize some parts if they choose.

The AAMC created 900 free videos to help students prepare for the new test. To review those videos, click here.

What This Means for Test Takers?

According to a press release from the AAMC, the new MCAT test is part of a broader effort to improve the medical school admission process and to support the holistic review of applicants, which balances experiences, attributes and academic metrics. To read the press release from the AAMC, click here.

There has been a paradigm shift in medical education to acknowledge the competencies physicians need beyond medical knowledge. Doctors now need to possess a broad set of skills that will treat the whole patient. The new exam reflects these changes. It should be obvious that a good physician is well-rounded with many skills that stretch far beyond basic sciences. These proficiencies are now being tested and emphasized at an earlier age.

Regardless of the changes, the same keys to succeeding as a physician applicant will apply: strong grades, competitive MCAT scores, well-rounded extracurricular activities, outstanding recommendation letters, and a promising interview.

Comments?

What are your thoughts on the new MCAT test? Do you think testing more than just basic science on the MCAT is a positive change or unnecessary? Please leave any thoughtful comments below.

Sources:

Diamond, Dan. “For the New Doctors We Need, The New MCAT Isn’t Enough.” Forbes. (April 22, 2015). From: http://www.forbes.com/sites/dandiamond/2015/04/22/we-need-a-new-type-of-doctor-but-will-the-new-mcat-be-enough/

Beck, Melinda. “Medical-College Entrance Exam Gets an Overhaul.” Wall Street Journal. (April 15, 2015). From: http://news.doximity.com/entries/1701511?user_id=2169203

Association of American Medical Colleges. “Future Physicians Take New Medical College Admission Test.” (April 20, 2015). From: https://www.aamc.org/newsroom/newsreleases/430138/20150420.html

About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.

The Health Law Firm” is a registered fictitious business name of George F. Indest III, P.A. – The Health Law Firm, a Florida professional service corporation, since 1999.
Copyright © 1999-2015 The Health Law Firm. All rights reserved.

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