RT Journal Article SR Electronic T1 Why Medical Schools Are Tolerant of Unethical Behavior JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 176 OP 180 DO 10.1370/afm.1763 VO 13 IS 2 A1 de Oliveira Vidal, Edison Iglesias A1 Silva, Vanessa dos Santos A1 Santos, Maria Fernanda dos A1 Jacinto, Alessandro Ferrari A1 Boas, Paulo José Fortes Villas A1 Fukushima, Fernanda Bono YR 2015 UL http://www.annfammed.org/content/13/2/176.abstract AB The exposure to unethical and unprofessional behavior is thought to play a major role in the declining empathy experienced by medical students during their training. We reflect on the reasons why medical schools are tolerant of unethical behavior of faculty. First, there are barriers to reporting unprofessional behavior within medical schools including fear of retaliation and lack of mechanisms to ensure anonymity. Second, deans and directors do not want to look for unethical behavior in their colleagues. Third, most of us have learned to take disrespectful circumstances in health care institutions for granted. Fourth, the accreditation of medical schools around the world does not usually cover the processes or outcomes associated with fostering ethical behavior in students. Several initiatives promise to change that picture.