How Italian students learn to become physicians: A qualitative study of the hidden curriculum

Medical Teacher

Volumn 33, Issue 12, 2011, Pages 989-996

  Lamiani, Giulia ^a   Leone, Daniela ^a   Meyer, Elaine C ^b   Moja, Egidio A ^a  

^a UNIVERSITY OF MILAN   (Italy)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; ATTITUDE TO HEALTH; CLINICAL COMPETENCE; CURRICULUM; DOCTOR PATIENT RELATION; EDUCATION; EDUCATIONAL STATUS; FEMALE; GROUP PROCESS; HUMAN; ITALY; LEARNING; MALE; MEDICAL EDUCATION; MEDICAL SCHOOL; MEDICAL STUDENT; METHODOLOGY; PHYSICIAN; PSYCHOLOGICAL ASPECT; QUALITATIVE RESEARCH; TEACHING;

ADULT; CLINICAL COMPETENCE; CURRICULUM; EDUCATION, MEDICAL; EDUCATIONAL MEASUREMENT; EDUCATIONAL STATUS; FEMALE; GROUP PROCESSES; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HUMANS; ITALY; LEARNING; MALE; PHYSICIAN-PATIENT RELATIONS; PHYSICIANS; QUALITATIVE RESEARCH; SCHOOLS, MEDICAL; STUDENTS, MEDICAL; TEACHING; YOUNG ADULT;

EID: 84855687383     PISSN: 0142159X     EISSN: 1466187X     Source Type: Journal    
DOI: 10.3109/0142159X.2011.577467     Document Type: Article

References (35)

1. Baider L, Surbone A. 2010. Cancer and the family: The silent words of truth. J Clin Oncol 28:1269-1272.
2. Bellini LM, Shea JA. 2005. Mood change and empathy decline persist during three years of internal medicine training. Acad Med 80:164-167. (Pubitemid 40165714)
3. Benson S. 1970. The hidden curriculum. New York: Knopf.
4. Brainard AH, Brislen HC. 2007. Learning professionalism: A view from the trenches. Acad Med 82:1010-1014.
5. Browning DM, Meyer EC, Truog RD, Solomon MZ. 2007. Difficult conversations in health care: Cultivating relational learning to address the hidden curriculum. Acad Med 82:905-913. (Pubitemid 47339825)
6. Costantini A, Baile WF, Lenzi R, Costantini M, Ziparo V, Marchetti P, Grassi L. 2009. Overcoming cultural barriers to giving bad news: Feasibility of training to promote truth-telling to cancer patients. J Cancer Educ 24:180-185.
7. Costantini M, Marasso G, Montella M, Borgia P, Cecioni R, Beccaro M, Sguazzotti E, Bruzzi P. 2006. Diagnosis and prognosis disclosure among cancer patients. Results from an Italian mortality follow-back survey. Ann Oncol 17:853-859.
8. Davenport BA. 2000. Witnessing and the medical gaze: How medical students learn to see at a free clinic for the homeless. Med Anthropol Q 14:310-327.
9. Emanuel EJ, Emanuel LL. 1992. Four models of the physician-patient relationship. JAMA 267:2221-2226.
10. Feudtner C, Christakis DA, Christakis NA. 1994. Do clinical clerks suffer ethical erosion? Students' perceptions of their ethical environment and personal development. Acad Med 69:670-679. (Pubitemid 24261012)
11. Gaufberg EH, Batalden M, Sands R, Bell SK. 2010. The hidden curriculum: What can we learn from third-year medical student narrative reflections? Acad Med 85:1709-1716.
12. Gofton WMD, Regehr G. 2006. What we don't know we are teaching: Unveiling the hidden curriculum. Clin Orthop Relat Res 449:20-27. (Pubitemid 44231776)
13. Gruppo Gargnano. 2007. La comunicazione e la relazione con il malato: quale formazione nelle Facoltà mediche italiane? Presentazione del "Progetto Gargnano". Medicina e Chirurgia 40-41:1670-5. Errata corrige, ibidem 42:1777,2008.
14. Haffetry FW. 1998. Beyond curriculum reform: Confronting medicine's hidden curriculum. Acad Med 734:403-407.
15. Haffetry FW, Franks R. 1994. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med 69:861-871. (Pubitemid 24365512)
16. Haidet P, Dains J, Paterniti DA, Hechtel L, Chang T, Tseng E, Rogers JC. 2002. Medical students' attitudes toward the doctor-patient relationship. Med Educ 36:568-574. (Pubitemid 34595665)
17. Haidet P, Stein HF. 2006. The role of the student-teacher relationship in the formation of physicians. The hidden curriculum as a process. J Gen Intern Med 21:S16-S20.
18. Inui T. 2003. A flag in the wind. Educating for professionalism in medicine. Washington, DC: Association of American Medical Colleges.
19. Kurtz S, Silverman J, Benson J, Draper J. 2003. Marrying content and process in clinical method teaching: Enhancing the Calgary-Cambridge Guides. Acad Med 78:802-809. (Pubitemid 36993082)
20. Lamiani G, Meyer EC, Leone D, Vegni E, Browning DM, Rider EA, Truog RD, Moja EA. 2011. Cross-cultural adaptation of an innovative approach to learning about difficult conversations in healthcare. Medical Teacher 33:e57-e64.
21. Lamiani G, Meyer EC, Rider EA, Browning DM, Vegni E, Mauri E, Moja EA, Truog RD. 2008. Assumptions and blind spots in patient-centredness: Action research between American and Italian healthcare professionals. Med Educ 42:712-720. (Pubitemid 351814306)
22. Lempp H, Seale C. 2004. The hidden curriculum in undergraduate medical education: Qualitative study of medical students' perceptions of teaching. BMJ 329:770-773. (Pubitemid 39361867)
23. Mauri E, Vegni E, Lozza E, Parker PA, Moja EA. 2009. An exploratory study on the Italian patients' preferences regarding how they would like to be told about their cancer. Support Care Cancer 17:1523-1530.
24. McManus IC, Vincent CA, Thom S, Kidd J. 1993. Teaching communication skills to clinical students. BMJ. 306:1322-1327. (Pubitemid 23136747)
25. Meyer EC, Brodsky D, Hansen AR, Lamiani G, Sellers DE, Browning DM. 2011. An interdisciplinary, family-focused approach to relational learning in neonatal intensive care. J Perinatol 31:212-219.
26. Meyer EC, Sellers DE, Browning DM, McGuffie K, Solomon MZ, Truog RD. 2009. Difficult conversations: Improving communication skills and relational abilities in health care. Pediatr Crit Care Med 10:352-359.
27. Odone L, Ferrari S, Vegni E, Moja EA. 2006. Il corso di Comunicazione e Relazione in Medicina del Polo San Paolo della Facoltà di Medicina e Chirurgia dell'Università degli Studi di Milano. Medicina e Chirurgia 33:1328-1334.
28. Ratanawongsa N, Teherani A, Hauer KE. 2005. Third-year medical students' experiences with dying patients during the internal medicine clerkship: A qualitative study of the informal curriculum. Acad Med 80:641-647. (Pubitemid 40961998)
29. Richards L, Morse JM. 2009. Readme first for a user's guide to qualitative methods. 1st Italian ed. Milano: Franco Angeli.
30. Rosenfield PJ, Jones L. 2004. Striking a balance: Training medical students to provide empathetic care. Med Educ 38:927-933. (Pubitemid 39223005)
31. Skiles J. 2005. Teaching professionalism: A medical student's opinion. Clin Teach. 2:66-71.
32. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J. 2000. The impact of patient-centered care on outcomes. J Fam Pract 49:796-804.
33. Surbone A, Ritossa C, Spagnolo AG. 2004. Evolution of truth telling attitudes and practices in Italy. Crit Rev Oncol Hematol 52:165-172. (Pubitemid 39593752)
34. Surbone A. 2008. Information to cancer patients: Ready for new challenges? Support Care Cancer 16:865-868.
35. Wear D. 1998. On white coats and professional development: The formal and the hidden curricula. Ann Intern Med 129:734-737. (Pubitemid 28507148)