Addressing the hidden curriculum in the clinical workplace: A practical tool for trainees and faculty

Medical Teacher
Hanneke MulderOlle Ten Cate

Abstract

The hidden curriculum, commonly described in negative terms, is considered highly influential in medical education, especially in the clinical workplace. Structured approaches to address it are limited in number and scope. This paper presents a practical, value-neutral method called REVIEW (Reflecting & Evaluating Values Implicit in Education in the Workplace), to facilitate reflection and discussion on the hidden curriculum by faculty members and trainees. REVIEW approaches the hidden curriculum as a reflection of the professional microculture of a clinical team. This microculture results from collective problem solving and mutual negotiation when facing different, often conflicting, demands and interests, and their underlying values in daily clinical practice. Using this nonjudgmental conceptual framework, REVIEW employs a series of 50 culture statements that must be prioritized using Q-sort methodology, reflecting how the culture in a particular clinical context (e.g. ward or department) is perceived by faculty members and trainees. This procedure can be done individually or in groups. Most important is the resulting team discussion after the exercise - a discussion about perceptions of actual team culture and the culture de...Continue Reading

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Nov 14, 2018·The Clinical Teacher·Eric H Decloedt, Susan van Schalkwyk
Jan 30, 2020·The Clinical Teacher·Alexander WoywodtMadhavi Paladugu
Aug 3, 2019·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Patricia NevilleAndrea Waylen
Feb 5, 2021·Medical Education·Margaret BearmanChristopher Watling
Apr 23, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Kirk J Brower
Jul 24, 2021·Currents in Pharmacy Teaching & Learning·Jared ButlerGeoffrey C Wall
Dec 19, 2021·Journal of Health Organization and Management·Madeleine KendrickSandra G Leggat

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