The purpose of this study was to assess the acceptability of various behavi
ours including cheating behaviours and their prevalence during medical scho
ol training. Medical students from second- and fourth-year classes at one m
edical school anonymously completed a questionnaire (response rate 54%). Fo
rty-nine students (39%) had altered or manipulated data and 37 students (29
%) had falsified references or a bibliography even though these behaviours
were considered unacceptable by the majority. Less commonly acknowledged be
haviours included reporting an aspect of a physical examination as normal w
hen inadvertently omitted, copying a report from a friend's paper or copyin
g from a neighbour during an examination without the person realizing. The
results are discussed in light of the novel selection process of the school
and educational recommendations that the students themselves made.