By their own admission, medical hospitalists are guilty of many types of unprofessional behavior, says a recent paper ^[1] published ahead of print in the Journal of Hospital Medicine. A group of researchers from the University of Chicago surveyed medical hospitalists from three major Chicago area teaching institutions. The respondents themselves rated each listed behavior on a professionalism scale. There were 77 responses from a pool of 101 hospitalists who were sent the questionnaires. The study asked respondents to state whether they had either engaged in and/or observed unprofessional conduct.

The key findings were as follows:

Most of the respondents had engaged in at least one unprofessional behavior.

The most common unprofessional behavior was (I hope you are sitting down) having non-medical/personal conversations, such as discussing plans for the evening, in hospital corridors. [Gasp!]

Over 60% of these doctors admitted that they ordered a routine test as “urgent” as a way of obtaining results more quickly. (Can you believe it?)

My favorite is that 40% confessed that they had made fun of or disparaged the emergency department team for missing findings. (Unreported but very likely true is that 60% of those questioned committed another unprofessional act, which was lying by claiming they had never made fun of or disparaged any ED MDs. The only physicians I know who do not routinely make fun of the ED staff are pathologists because they never deal directly with the ED. Before all you ED docs get your panties in a knot, I am certain all of you disparage all of us too.)

Other alleged unprofessional behaviors were celebrating a blocked admission, going to work when ill, and texting during conferences.

Another interesting finding was that for every one of the over 30 unprofessional behaviors listed in the questionnaire, hospitalists said they had observed many more such behaviors than they admitted to participating in.

It makes you wonder who was committing all of these sins. Maybe it was the surgeons.

Despite what many of us surgeons may have believed, this survey shows that medical hospitalists are really pretty normal. But I suspect there will be corrective actions for doctors at the three hospitals that participated in the study. A curriculum will be developed and monitoring metrics will be established. Maybe listening devices or video cameras will be placed in hallways. These scandalous acts must be stopped.

A final note — this study was supported by grants from two different sources.

Skeptical Scalpel is a practicing surgeon and was a surgical department chairman and residency program director for many years. He is board-certified in general surgery and a surgical sub-specialty and has re-certified in both several times. For the last two years, he has been blogging at SkepticalScalpel.blogspot.com ^[2] and tweeting as @SkepticScalpel ^[3]. His blog has had more than 260,000 page views, and he has over 3500 followers on Twitter.