Teaching Fellow And A Medical School Examiner

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Introduction I am a clinical teaching fellow and a medical school examiner. My role involves giving tutorials and lectures to third, fourth and fifth year medical students that are posted to our hospital. Some of the tutorials are at the bedside and could be during or after ward rounds. Because of these teaching activities, I have frequent interactions with them. When the third year students started their rotation, I was asked by the medical school to conduct formative clinical assessments for these medical students. The aim of the assessment was to determine what learning deficiencies the student has, where they need to focus on and what support they will need from the academic fellows. The students were given the timetable for the…show more content…
I was taken aback by this request and wondered why he thought this was acceptable behaviour. As far as I was concerned, even though this was a clinical assessment, what he was requesting is similar to trying to get exam papers prior to an exam or asking an examiner to set particular questions for him. . It raised a few ethical issues for me 1. Probity 2. Professional attitude and behaviour 3. My duty to the student 4. Duty to the medical school 5. Consequence for patients in the future 6. Should I report the student? My initial/gut reaction was to say I will not accede to his request, however, I decided to look at this dilemma and base my decision based on some ethical theories and the GMC code of practice. Regarding Probity and Professional Attitude and Behaviour, I decided to explore what the General Medical Council (GMC) says. According to the GMC Code of Practice: “Doctors and students must be willing to contribute to the teaching, training, appraising and assessing of students and colleagues. They are also expected to be honest and objective when appraising or assessing the performance of others, in order to ensure students and colleagues are maintaining a satisfactory standard of practice.” “Probity means being honest and trustworthy, and acting with integrity. Good medical practice requires doctors to make sure that their behaviour at all times justifies the trust that patients and the public place in the medical profession.” It
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