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Misrepresentation of Academic Accomplishments by Applicants for Gastroenterology Fellowships

TO THE EDITOR: The report by Sekas and Hutson [1] and the accompanying editorial [2] are most disturbing. My initial reaction is, Say it ain't so, Joe. I suggest that before we accept as fact that an incredibly high percentage of applicants falsified their documents, we take one critical step, which Sekas and Hutson unfortunately omitted. Each of the accused applicants should have been confronted with the discrepancies and asked to explain them. This simple step might, I hope, have shown that many of the misrepresentations were examples of sloppy referencing, an extraordinarily common error, particularly among the young and inexperienced. I believe that it is not too late to take this essential step and to report on the results in a supplementary note in Annals. Otherwise, the 30.2% figure for misrepresentation may be permanently and unjustly enshrined in the public perception. My comments are not intended to minimize the qualitative seriousness of academic misrepresentation but rather to put it into more reasonable proportions.