A number of letters in the 27 April issue of the New England Journal of Medicine comment on an earlier report that showed a close association between unprofessional behaviour in medical school and subsequent disciplinary action by US state medical boards.Even among a control group of physicians who had not received disciplinary action,nearly 20 per cent were found to have behaved unprofessionally as medical students.It is pointed out that if unprofessional students are permitted to become unprofessional doctors a real crisis will have to be faced in the near future.
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