title: Development of inventory for polyprofessionalism lapses at the proto-professional stage of health professions education together with recommended responses.
abstract: OBJECTIVE
  To identify behaviours and attitudes that exhibit poor professionalism at the proto-professional stage of undergraduate health professions education, and investigate the extent and nature of agreement by faculty on appropriate responses by undergraduate students in the UK.
  
  
  METHODS
  A preliminary inventory of 69 items of behaviour and attitude was derived from literature review and 1-month observation at a UK teaching site. Reference Groups were formed by e-mail solicitation of senior medical educators in the UK and the Dundee Medical School to identify consensus on the relevant items and the appropriate responses.
  
  
  RESULTS
  The multi-stage study generated a preliminary inventory with 42 items and identified clear areas of consensus among faculty on appropriate responses by students to lapses in professionalism.
  
  
  CONCLUSIONS
  There is a broad range of consensus on the relevance of more than 40 forms of poor professionalism at the proto-professional undergraduate level and the appropriate responses that students should feel empowered to make to observed lapses. These data will give guidance in the development of e-learning programmes for UK students and to undergraduate Fitness to Practise Committees as they seek consistency in responding to lapses in professionalism by students and teachers at the undergraduate level.
authors.affiliation: Centre for Medical Education, Dundee Medical School, 484 Perth Road, Dundee DD2 1LR, Scotland. s.l.roff@dundee.ac.uk
authors.forename: Sue
authors.initials: S
authors.lastname: Roff
authors.forename: Kabir
authors.initials: K
authors.lastname: Dherwani
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D004501:Education, Medical / Q000458:organization & administration* / Q000592:standards; D005178:Faculty; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D028743:Professional Misconduct; D012737:Sex Factors