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Christopher Dawson

5% of medical residents plagiarize personal essays

By | July 20, 2010, 10:32am PDT

Summary: What does it mean when even our applicants for medical residency programs cheat?

Not long ago, I featured a story on Turnitin for Admissions, a powerful new tool from the same people who brought us the Turnitin service that is the bane of college students’ existence. The idea behind both is simple (although the technology is remarkably robust): scour the web as well as every other essay ever screened through Turnitin for patterns of duplication and flag essays with possible plagiarism.

As Turnitin has tested and rolled out their admissions software, striking research from early adopting institutions suggests that plagiarism is rampant among graduate school applicants and new findings released yesterday point to similar trends among applicants to medical residency programs. A single study from Harvard Medical School of almost 5000 applicants to residency programs at the Brigham and Women’s Hospital in Boston exposed potential plagiarism in 5% of the personal essays.

While there were significant subgroup differences (applicants from outside the United States were more likely to plagiarize, for example, as were students with low MCAT scores, among other factors). While it may help us feel a little better here in the States to say that only 2% of US applicants (versus 14% of non-US citizens) were flagged for plagiarism, one can’t help but worry about the integrity of any applicants, regardless of nationality, who might be making it through the application process to our most prestigious physician training programs when Turnitin isn’t used to identify potential programs. Would you want your doctor, US citizen or otherwise, operating on your child’s heart or performing a Caesarean section to deliver your baby knowing that he or she lacked enough confidence in his or her abilities to even write his own residency application?

As one of the researchers put it,

I think that is the part that bothers me most..You read this heartfelt anecdote about a person’s illness or a family member’s illness or a particular patient and it turns out not to be their experience at all

The research even led on doctor to suggest that the personal essay was no longer relevant in an age when cutting and pasting and paid essay-writing services and consultants abound. From my perspective, I say keep the essays and use Turnitin for Admissions to quickly weed out those doctors who lack the integrity, confidence or communications skills to bang out their own essays. If applicants are not native English speakers, then they should work with a translator rather than the Internet or an essay writer. After all, we need doctors with diverse cultural experiences and fluency in other languages to address the needs of a diverse population. More than that, though, we need doctors who are highly competent, confident, and, above all, beyond reproach in their integrity.

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Chris Dawson is a freelance writer and consultant with years of experience in educational technology and web-based systems. In 2011, he became the Vice President of Marketing for WizIQ, Inc., a virtual classroom and learning network SaaS provider.

Disclosure

Christopher Dawson

Christopher Dawson is the Vice President of Marketing for WizIQ, Inc., by day and a freelance writer and educational technology consultant by night. Well, most of his colleagues at WizIQ are based in India, so really he's working with them whenever he can stay awake. He has worked for his local school district as a teacher and technology director, for the Johns Hopkins University School of Public Health, and for Biogen, Inc. (now Biogen-IDEC, Inc.). He has also consulted with STATNet and Cytyc Corporation and retains close ties with X2 Development Corporation (now owned by Follett Software, the supplier of the student information system he administered for several years). Follett is paying him a monthly honorarium to act as a presenter for their "SIS Voices for Student Achievement" community (he produces occasional blog posts and hosts a monthly webinar on the use of student information systems to inform data-driven instruction and school-wide change. He regularly purchases and/or recommends Dell hardware. This is because Dell makes good hardware and has truly committed itself to education in innovative ways, particularly with their "Connected Classroom" initiative. It isn't because he has dealings with the company through his role at WizIQ (which he does) or because they have provided him with long-term loans of a variety of equipment for in-depth testing (which they have). Intel (reference designer for the Classmate PCs he has implemented in his local schools) has provided him with long-term loans of Classmate PCs for testing, as have Dell and Lenovo with their educational offerings. He may report on any of these companies as his experiences with them have direct bearing on educational technology; positive reports are not necessarily an endorsement and he receives no direct financial compensation from these companies or any others. Intel paid all expenses for his attendance at the 2009 Intel Classmate PC Ecosystem Summit which he attended as the sole representative of the technology press. He was invited to attend in 2010 but his wife would have killed him if he spent 3 days in Vegas geeking out and left her home alone with a new baby. Acer provided him with a 50% discount on an Aspire One netbook in early 2009 after he tested it for 30 days through their educational seed program. He liked the netbook at the time but it has since broken and sits unused in his office. Canonical sent him Ubuntu lanyards, t-shirts, and mousepads for his kids. He stole one of the lanyards and proudly hangs his keys from it and occasionally features his 8-year old wearing an oversized Ubuntu t-shirt on his Facebook profile. Gunnar Optiks sent him a pair of computer glasses to evaluate for a holiday gift guide. He is wearing them now as he types this because they never asked for them back and they rock out loud. Seriously - they work brilliantly and make it much easier to spend 20 hours a day staring at an LCD. If they ever asked for them back, he would fork over the $99 and buy a pair. Microsoft gave him 2 free copies of Office 2010 professional, a desktop clock, and a useless book on Office 2010 when he attended the launch of Office/Sharepoint 2010. He occasionally uses the SharePoint lanyard they gave him instead of the Ubuntu lanyard for his keys, but feels dirty afterwards. Adobe provided him with a pre-release version of the CS5 Master Collection for evaluation and ultimately provided a full, licensed copy for ongoing testing of educational applications of this admittedly expensive software. Like the Gunnars, if the license expires or they come out with CS6, he'd actually go out and buy it himself. Which is saying something, because he's actually pretty cheap. Any other companies wishing to send him cool things to evaluate, wear, or otherwise adorn his kids are more than welcome to; he promises to disclose it here if he keeps any of the stuff. Finally, because WizIQ is a virtual classroom and learning network provider, Chris, as VP of Marketing, frequently interacts with, seeks out deals with, and directly or indirectly competes with a whole lot of LMS, SIS, and other Education 2.0 companies. In general, he'll limit his reporting about these companies to news that does not impact his relationship with them or with WizIQ. If he reports on them, it's because what they are doing is newsworthy or worth the attention of his readers and not because he's trying to broker some deal, damage competition, or otherwise advance his position in his day job. LMS and SIS companies, along with other online learning communities, are a pretty important part of Ed Tech. If he stops reporting on them completely, there won't be a whole lot left. He'll be sure to call out any overt conflicts of interest if they are unavoidable. Finally, Follett Software Company pays him a little tiny honorarium every month to present on their SIS Voices webinars and to write the occasional blog or discussion thread for them. Since Follett recently bought X2 (maker of an awesome web-based SIS that Chris just happened to have used, served in advisory groups for, and frequently reported on), this is probably also worth disclosing.

Biography

Christopher Dawson

Christopher Dawson grew up in Seattle, back in the days of pre-antitrust Microsoft, coffeeshops owned by something other than Starbucks, and really loud, inarticulate music. He escaped to the right coast in the early 90's and received a degree in Information Systems from Johns Hopkins University. While there, he began a career in health and educational information systems, with a focus on clinical trials and related statistical programming and database modeling. This focus led him to several positions at Johns Hopkins, a couple-year stint in private industry, teaching high school math and technology, and 2 years as the technology director for his local school district. Most recently, he started his own consulting business and is now the Vice President of Marketing for WizIQ, Inc., a virtual classroom and learning network provider. He lives with his wife, five kids (yes, 5), 2 dogs, and a hateful cat in a small town in north-central Massachusetts. Although he is no longer teaching, his roles with WizIQ and ZDNet allow him to continue helping students and teachers add value to education with technology rather than merely adding to the bottom line.
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Not sure that's comparable
rapson 20th Jul 2010
@s_souche

Scientific articles will by nature quote other sources. What to look for there would be uncited references, not repetition. Personal essays, on the other hand, are supposed to be original.
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personal statements were tested
TurnitinRay 20th Jul 2010
it is important to note that it was in fact Personal Statement essays that were run through Turnitin for Admissions. By its nature, there should be very little unoriginal content in a personal statement... or else it wouldn't be so personal.

A sister product called iThenticate (www.ithenticate.com) does work specifically with publishers and researchers, though it takes more human review to validate content matches for proper citation.
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"Would you want your doctor, US citizen or otherwise, operating on your child?s heart or performing a Caesarean section to deliver your baby knowing that he or she lacked enough confidence in his or her abilities to even write his own residency application?"

When you have to have surgery do you care if doctor is a good writer or a good surgeon?
Too much emphasis on irrelevant skills leads to mediocre workers.
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It may also have less to do with lack of confidence but ease. We humans tend to gravitate to taking the easiest path. In a busy world I suspect many might find the temptation of this path part of speeding things up. Values aren't as ingrained as when religions had a greater role to play within education (Things were more black and white then they are now)
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Trust and Integrity DO Matter!
hnoyes 21st Jul 2010
The point -- to some people, including me -- is that personal virtues do matter, as much or more than a specific skill. The Doctor may be good, but if he is a liar or a cheat -- as evidenced by plagiarism -- how can I trust him to make a diagnosis in my best interests, not his? How can I trust that we didn't cheat his way through school, putting me and my family at risk? How can I even trust that he is a "good doctor"? It is difficult to find an independent, trustworthy source of evaluations of a doctor's skill.

I trust the school's accredidation was properly performed and "guarantees" the school meets minimum acceptable standards. I trust that a degree from that school "guarantees" the graduate meets certain minimum standards. I trust the doctor to retain his skills and stay "up to date" in his knowledge. The trust thing goes on and on...

Everything is based on trust, honor, integrity -- your character!

President George Washington said it well:
"I hope I shall possess firmness and virtue enough to maintain what I consider the most enviable of all titles, the character of an honest man."

Once that title is lost, I do not want that Doctor treating me or my family. A patient/physician relationship must be based on trust!

That is why plagiarism matters. That is why cheating in any form matters. That is why dishonesty, duplicity, hypocrisy, and "lack of character" matters.

Character is NOT an "irrelevant skill"! The ability to communicate is NOT an "irrelevant skill".

I have had many medical services and met many doctors. When I needed emergency open-heart sugery, to repair a dissected aorta, there were four surgeons in the world that I considered. Did trust matter? Did reputation matter? Did the character of these surgeons matter? Did "peer review" matter? Did publishing matter? Did writing and lecturing and "sharing their skills and techniques" matter?

Absolutely. All these mattered. All helped build the trust that allowed me to put my life (and indirectly my family's lives) into the hands of Dr. James R. Pluth of the Mayo Clinic in Arizona.

I thank him for being a man of integrity. He saved my life!

We need our trusted institutions to "weed out" any person that is not a person of integrity!
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I don't believe the numbers. Doesn't anybody question the ability of the program to accurately determine plagiarism? These essays are on common themes, addressing similar concerns common to many people. I don't imagine that everybody has unique ideas on that subject. If their essays draw on previously written essays, how is that a problem? It would be stupid to completely write a different essay every time you're asked.

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