Chinese Journal of Medical Education ›› 2024, Vol. 44 ›› Issue (11): 853-857.DOI: 10.3760/cma.j.cn115259-20240129-00100

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Analysis of attitude and influencing factors on academic integrity for medical postgraduates

Zhao Lianyi1, Qiu Liru2, Wang Fang3, Zhang Qi4, Hou Changrong1   

  1. 1Postgraduate Department, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China;
    2Department of Pediatrics, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China;
    3Department of Health Statistics, School of Public Health, Xuzhou Medical University, Xuzhou 221000, China;
    4Department of Hematology, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430030, China
  • Received:2024-01-29 Online:2024-11-01 Published:2024-10-29
  • Contact: Hou Changrong, Email: chrhou@tjh.tjmu.edu.cn
  • Supported by:
    Research Fund Project of Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science & Technology (2019YJJC18)

Abstract: Objective To investigate the attitude and influencing factors on academic integrity for medical postgraduates, as well as to inform the promotion of academic integrity. Methods A survey was conducted among graduate students by the cluster sampling at Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology, between October 2021 and October 2023. The Bio-psychological-social medical model was utilized to evaluate the effects of social, psychological, and personal factors on medical postgraduates' attitudes toward academic integrity. Data were analyzed using chi-square test and binary logistic regression. Results A total of 1 151 graduate students participated in this study. 14.2% (163/1 151) of respondents exhibited potential risky attitudes toward academic integrity. The logistic regression analysis showed no significant variation between personal factors (all P>0.05). Psychologically, graduate students with less pressure to publish were 0.65 times more likely to display potential risky attitudes toward academic integrity than those with high pressure (OR=0.65, 95% CI=0.44-0.98). Socially, graduate students who perceived a positive research environment were 0.46 times more likely to exhibit potential risky attitudes toward academic integrity than those in a poor climate (OR=0.46, 95%CI=0.29-0.73). Those who had participated in research training in the last year were 0.66 times more likely to have potential risky attitudes toward academic integrity than those without such training (OR=0.66 , 95% CI=0.45-0.96). Graduate students exposed to advertisements for paper writing or publishing in the last year were 2.67 times more likely to have potential risky attitudes toward academic integrity than those who had not received relevant advertisements (OR=2.67, 95% CI=1.87-3.80). Conclusions The attitudes of a minority of medical graduate students toward academic integrity are at potential risk. Reducing publication pressure, fostering a supportive research environment, promoting research integrity education, and curbing the commercialization of academic work may help reduce the incidence of academic misconduct.

Key words: Education, medical, graduate, Academic integrity, Influencing factor

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