Punishment: a story for medical educators.

摘要: The author recounts an incident of cheating by two first-year medical students, and how it was handled. One the George, had waited until last minute to write what he called a "stupid" paper that required as final examination in health policy course. His classmate Ellen offered for him, other students also help; no one pointed out this would be unethical. After some hesitation, George persuaded accept Ellen's offer, turned his own. course director deduced deception, when were confronted, they immediately admitted done, blamed only themselves, said been "foolish." Subsequent events showed faculty saw clear-cut case cheating, whereas many felt transgression trivial compared with plagiarizing research or falsifying lab results on patient's chart. Also, chose more severe long-lasting punishment, did not agree with. believes faculty's refusal give clean slate after reasonable time reflected lack forgiveness is antithetical compassionate, forgiving role physician-healer education promotes. She concludes explaining illustrates complex generational cultural differences moral reasoning selection great emphasis places knowing facts rather than working creatively ideas.