Differences in attitudes to the scenarios between years. Students were asked whether they felt John was wrong
| Per cent | |||||
|---|---|---|---|---|---|
| Scenario | Response | Year 1 | Year 2/3 | Year 4 | Year 5 |
| 1. John forges Dr Cloony’s signature on a piece of work—for example, patient presentation, record of achievement. *p<0.001 | Yes | 98 (95.7 to 100.3) | 98 (95.8 to 100.2) | 82 (73.9 to 90.1) | 84 (72.8 to 91.2) |
| No | 1 (−0.6 to 1.6) | 1 (−0.5 to 1.5) | 7 (1.6 to 12.4) | 6 (0.3 to 11.7) | |
| Not sure | 1 (−0.6 to 1.6) | 1 (−0.5 to 1.5) | 11 (4.4 to 17.6) | 10 (4.2 to 19.8) | |
| 2. John copies answers in a degree exam from Jean. | Yes | 99 | 98 | 97 | 100 |
| No | 1 | 1 | 3 | 0 | |
| Not sure | 0 | 1 | 0 | 0 | |
| 3. John chats to Jean about the OSCE Jean has just completed and John is about to go into. | Yes | 32 | 45 | 55 | 42 |
| No | 34 | 27 | 28 | 32 | |
| Not sure | 34 | 28 | 17 | 26 | |
| 4. John copies from textbooks or published papers and lists them as references. | Yes | 17 | 25 | 18 | 33 |
| No | 55 | 54 | 67 | 52 | |
| Not sure | 28 | 21 | 15 | 15 | |
| 5. John copies directly from textbooks or published papers without acknowledging the source. | Yes | 84 | 82 | 82 | 78 |
| No | 6 | 9 | 9 | 13 | |
| Not sure | 10 | 9 | 9 | 9 | |
| 6. John copies Jean’s work—for example, patient presentation, SSM report, case discussion. | Yes | 90 | 93 | 92 | 90 |
| No | 7 | 4 | 5 | 7 | |
| Not sure | 3 | 3 | 3 | 3 | |
| 7. John lends Jean his work to look at, and she copies it without telling him. | Yes | 26 | 32 | 30 | 37 |
| No | 61 | 59 | 65 | 60 | |
| Not sure | 13 | 9 | 5 | 3 | |
| 8. John lends Jean his work to copy. | Yes | 55 | 59 | 66 | 77 |
| No | 23 | 26 | 23 | 20 | |
| Not sure | 22 | 15 | 11 | 3 | |
| 9. John writes a piece of work—for example, patient presentation etc for Jean. | Yes | 79 | 83 | 82 | 86 |
| No | 12 | 11 | 16 | 12 | |
| Not sure | 9 | 6 | 2 | 2 | |
| 10. John writes “Nervous system examination—normal” in his patient presentation when he hasn’t performed the procedure. *p<0.001 | Yes | 97 (94.2 to 99.8) | 69 (61.7 to 76.3) | 52 (41.5 to 62.5) | 74 (62.4 to 83.6) |
| No | 1 (−0.6 to 1.6) | 14 (8.5 to 19.5) | 32 (22.2 to 41.8) | 16 (7.2 to 24.8) | |
| Not sure | 2 (−0.3 to 4.3) | 17 (11.1 to 22.9) | 16 (8.2 to 23.7) | 10 (2.1 to 15.9) | |
| 11. John resubmits work already submitted for a different part of the course—for example, a SSM report for his fourth year project. *p<0.001 | Yes | 62 (54.1 to 69.9) | 61 (53.2 to 68.8) | 37 (26.8 to 47.2) | 29 (18.1 to 39.1) |
| No | 17 (10.9 to 23.1) | 23 (16.3 to 29.7) | 46 (34.5 to 55.5) | 54 (42.0 to 66.0) | |
| Not sure | 21 (14.4 to 27.6) | 16 (10.2 to 21.8) | 17 (9.9 to 26.1) | 17 (7.9 to 26.1) | |
| 12. John submits his thesis from a previous degree for his special study module. *p=0.007 | Yes | 29 (21.6 to 36.4) | 56 (48.2 to 63.8) | 46 (35.5 to 56.5) | 45 (32.9 to 57.1) |
| No | 38 (30.1 to 45.9) | 31 (23.7 to 38.3) | 38 (27.8 to 48.2) | 44 (31.9 to 56.1) | |
| Not sure | 33 (25.4 to 40.6) | 13 (7.7 to 18.3) | 16 (8.3 to 23.7) | 11 (3.4 to 18.6) | |
| 13. John submits work submitted the previous year by his senior. | Yes | 91 | 95 | 91 | 94 |
| No | 6 | 3 | 7 | 6 | |
| Not sure | 3 | 2 | 2 | 0 | |
| 14. John and Jean submit the same SSM report. *p=0.002 | Yes | 75 (68.0 to 82.0) | 59 (51.1 to 66.9) | 58 (50.0 to 66.0) | 68 (56.8 to 79.2) |
| No | 5 (1.5 to 8.5) | 18 (11.9 to 24.1) | 21 (12.3 to 29.7) | 14 (5.6 to 22.4) | |
| Not sure | 20 (13.5 to 26.5) | 23 (16.3 to 29.7) | 21 (12.3 to 29.7) | 18 (8.7 to 27.3) | |