The hidden curriculum: What can we learn from third-year medical student narrative reflections?

Academic Medicine

Volumn 85, Issue 11, 2010, Pages 1709-1716

  Gaufberg, Elizabeth H ^a   Batalden, Maren ^a   Sands, Rebecca ^b   Bell, Sigall K ^b  

^a CAMBRIDGE HEALTH ALLIANCE   (United States)

^b BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

EID: 78649323528     PISSN: 10402446     EISSN: None     Source Type: Journal    
DOI: 10.1097/ACM.0b013e3181f57899     Document Type: Article

References (31)

1. Hafferty FW. Beyond curriculum reform: Confronting medicine's hidden curriculum. Acad Med. 1998;73:403-407.
2. White CB, Kumagai AK, Ross PT, Fantone JC. A qualitative exploration of how the conflict between the formal and informal curriculum influences student values and behavior. Acad Med. 2009;84:597-603.
3. Brainard AH, Brislen HC. Viewpoint: Learning professionalism: A view from the trenches. Acad Med. 2007;82:1010-1014.
4. Sinclair S. Making Doctors: An Institutional Apprenticeship. Oxford, UK: Berg; 1997.
5. Helman C. The dissection room. In: Body Myths. London, UK: Chatto and Windus; 1991:114-123.
6. Coldicott Y, Pope C, Roberts C. The ethics of intimate examinations-Teaching tomorrow's doctors. BMJ. 2003;326:97-101.
7. Hundert EM, Douglas-Steele D, Bickel J. Context in medical education: The informal ethics curriculum. Med Educ. 1996;30:353-364.
8. Christakis DA, Feudtner C. Ethics in a short white coat: The ethical dilemmas that medical students confront. Acad Med. 1993;68:249-254.
9. Kassenbaum DG, Cutler ER. On the culture of student abuse in medical school. Acad Med. 1998;73:1149-1158.
10. Coulehan J, Williams P. Vanquishing virtue: The impact of medical education. Acad Med. 2001;76:598-605.
11. Ginsburg S, Regehr G, Stern D, Lingard L. The anatomy of the professional lapse: Bridging the gap between traditional frameworks and students' perceptions. Acad Med. 2002;77:516-522.
12. Lempp H, Seale C. The hidden curriculum in undergraduate medical education: Qualitative study of medical students' perceptions of teaching. BMJ. 2004;329:770-773.
13. Haidet P, Kelly A, Chou C; Communication, Curriculum, and Culture Study Group. Characterizing the patient-centeredness of hidden curricula in medical schools: Development and validation of a new measure. Acad Med. 2005;80:44-50.
14. Branch W, Pels RJ, Lawrence RS, Arky R. Becoming a doctor. Critical-incident reports from third-year medical students. N Engl J Med. 1993;329:1130-1132.
15. Branch WT Jr. Use of critical incident reports in medical education. A perspective. J Gen Intern Med. 2005;20:1063-1067.
16. Karnieli-Miller O, Vu TR, Holtman MC, Clyman SG, Inui TS. Medical students' professionalism narratives: A window on the informal and hidden curriculum. Acad Med. 2010;85:124-133.
17. Fischer MA, Harrell HE, Haley HL, et al. Between two worlds: A multi-institutional qualitative analysis of students' reflections on joining the medical profession. J Gen Intern Med. 2008;23:958-963.
18. Branch WT, Arky RA, Woo B, Stoeckle JD, Levy DB, Taylor WC. Teaching medicine as a human experience: A patient-doctor relationship course for faculty and first-year medical students. Ann Intern Med. 1991;114:482-489.
19. Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, Calif: Sage; 1990.
20. Wiggleton C, Petrusa E, Loomis K, et al. Medical students' experiences of moral distress: Development of a Web-based survey. Acad Med. 2010;85:111-117.
21. Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical environment and personal development. Acad Med. 1994;69:670-679.
22. Swick H, Szenas P, Danoff D, Whitcomb ME. Teaching professionalism in undergraduate medical education. JAMA. 1999;282:830-832.
23. Hochschild AR. Emotion work, feeling rules, and social structure. Am J Sociol. 1979;85:551-575.
24. Saarni C. The Development of Emotional Competence. New York, NY: The Guilford Press; 1999.
25. Newton B, Barber L, Clardy J, Cleveland E, O'Sullivan P. Is there hardening of the heart during medical school? Acad Med. 2008;83:244-249.
26. Hojat M, Mangione S, Nasca TJ, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38:934-941.
27. Haglund M, aan het Rot M, Cooper NS, et al. Resilience in the third year of medical school: A prospective study of the associations between stressful events occurring during clinical rotations and student well-being. Acad Med. 2009;84:258-268.
28. Wear D, Skillicorn J. Hidden in plain sight: The formal, informal, and hidden curricula of a psychiatry clerkship. Acad Med. 2009;84:451-458.
29. Lown BA, Chou CL, Clark WD, et al. Caring attitudes in medical education: Perceptions of deans and curriculum leaders. J Gen Intern Med. 2007;22:1514-1522.
30. Suchman AL, Williamson PR, Litzelman DK, et al. Toward an informal curriculum that teaches professionalism: Transforming the social environment of a medical school. J Gen Intern Med. 2004;19:501-504.
31. Quaintance JL, Arnold L, Thompson GS. What students learn about professionalism from faculty stories: An "appreciative inquiry" approach. Acad Med. 2010;85:118-123.