Res Dev Med Educ. 2020;9(1): 6.
doi: 10.34172/rdme.2020.006
  Abstract View: 297
  PDF Download: 207

Original Research

Challenging behaviors in medical students: clarification of observations of professors

Hossein Karimi Moonaghi 1,2* ORCID logo, Ali Emadzadeh 2 ORCID logo, Raheleh GharibNavaz 2, Mostafa Rad 3 ORCID logo, Hakimeh Sabeghi 4 ORCID logo, Houra AshrafiFard 5 ORCID logo, Eshagh Ildarabadi 6 ORCID logo

1 Nursing and Midwifery Care Research Center, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Medical Education, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Nursing, Elderly Health Research Center, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
4 School of Management and Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran
5 Department of Medical Education, Tehran University of Medical Sciences, Tehran, Iran
6 Esfarayen University of Medical Sciences, Esfarayen, Iran


Background: Incivility or challenging behaviors in the scientific environment are so harmful that they cannot be neglected. Therefore, these behaviors should be addressed promptly and effectively. The aim of this study was to identify challenging behaviors from other behaviors and evaluate the severity of these behaviors from the viewpoint of university professors in medical students.

Methods: This descriptive cross-sectional study was performed on a sample of 110 faculty members in Faculty of Medicine of Mashhad University of Medical Sciences. To identify challenging behaviors from other behaviors, the majority (>50%) was considered. Also, to determine the challenging intensity of each behavior, behaviors that had higher scores were regarded as very high challenging behaviors.

Results: Based on the review of external and internal resources and the viewpoints of professors,32 behaviors were prepared in the form of a checklist for the faculty members to identify the challenge and severity of it. Behaviors such as student insolence, disturbance of class order, and non-respect of rules, as well as disruptive behavior with professors were recognized as the most challenging behaviors. Regarding the intensity of the student incivility, the disruptive behavior with professors, the non-customary jokes, the disruptive behavior with students, and the lack of compliance with the charter of patient rights were considered as very high incivility.

Conclusion: Students’ challenging behaviors interferes in their own learning, others’ learning,staff as well as other individuals’ rights, and order and security of educational environment.Professors and instructors ought to identify these behaviors and manage them.

Keywords: Challenging, Incivility, Medical students, Behavior, Opinion
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Submitted: 22 Feb 2020
Accepted: 11 Apr 2020
ePublished: 12 May 2020
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