title: Croatian medical students see academic dishonesty as an acceptable behaviour: a cross-sectional multicampus study.
abstract: OBJECTIVE
  To provide insights into the students' attitude towards academic integrity and their perspective of academic honesty at Croatian medical schools.
  
  
  METHODS
  A cross-sectional study using an anonymous questionnaire containing 29 questions on frequency of cheating, perceived seriousness of cheating, perceptions on integrity atmosphere, cheating behaviour of peers and on willingness to report misconduct. Participants were third-year (preclinical) and fifth-year (clinical) students from all four Croatian Schools of Medicine. Outcome measures were descriptive statistical correlates and differences in students' self-reported educational dishonesty, perceptions of cheating behaviour and medical school integrity atmosphere.
  
  
  RESULTS
  Of the 1074 students enrolled in the third and fifth year, 662 (62%) completed the questionnaire. A large proportion of the students (97%) admitted using some method of cheating and 78% admitted engaging in at least one form of misconduct. About 50% had a lenient attitude towards six acts of academic dishonesty. Only 2% reported another student for cheating. Risk factors for cheating were strongly correlated with students' perceptions of peer cheating behaviour, peer approval of cheating, low perception of seriousness of cheating and inappropriate severity level of exams and teaching materials.
  
  
  CONCLUSIONS
  Cheating is prevalent in Croatian medical schools and academic dishonesty is seen as acceptable behaviour among numerous future Croatian doctors.
authors.affiliation: Department of Physiology, University of Zagreb School of Medicine, Salata 3, Zagreb 10000, Croatia. skukolja@gmail.com
authors.forename: Suncana
authors.initials: S
authors.lastname: Kukolja Taradi
authors.forename: Milan
authors.initials: M
authors.lastname: Taradi
authors.forename: Zoran
authors.initials: Z
authors.lastname: Dogas
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D017523:Croatia; D003430:Cross-Sectional Studies; D008192:Deception; D004504:Education, Medical, Undergraduate / Q000592:standards*; D004521:Educational Measurement / Q000592:standards*; D005260:Female; D006801:Humans; D008297:Male; D015279:Organizational Culture; D028743:Professional Misconduct / Q000941:ethics* / Q000523:psychology; D013337:Students, Medical / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult