What is hidden in hidden curriculum? a qualitative study in medicine

  • Shahram Yazdani Professor, School of Medical Education Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. http://orcid.org/0000-0002-9193-7557
  • Mohammad Reza Andarvazh PhD Graduate of Medical Education, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Assistant Professor, Nasibeh School of Nursing and Midwifery, Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran. http://orcid.org/0000-0002-0605-2843
  • Leila Afshar Associate Professor, Department of Medical Ethics, Shahid Beheshti University of Medical Sciences, Tehran, Iran. http://orcid.org/0000-0003-4349-1041
Keywords:
Hidden curriculum; Medical education; Professional ethics; Implicit learning; Content analysis

Abstract

The hidden curriculum is considered to be between the designed and experienced curricula. One of the challenges that medical educators face is to understand what students learn in real clinical settings. The aim of the present study was to answer this question: What is hidden in hidden medical curriculum?

This study was a qualitative content analysis. Participants were selected through purposive sampling. Data collection was performed through unstructured interviews and continued until data saturation.

Data were analyzed simultaneously with data collection using MAXQDA10 software. Data validity was confirmed based on the proposed Lincoln and Guba criteria.

The main theme that emerged in this study was implicit learning. Professional ethics, spiritual, social and cultural issues, and clinical skills are the five major themes that were presented in this study. These themes and their subthemes are transferred during an implicit learning experience in hidden curriculum.

Since a wide range of issues are mostly transferred by hidden curriculum, it is essential to have a dynamic approach to educational environments. This is especially important in clinical settings, as the process of learning is constantly happening in the backyard.

References

Philip W. Jackson. Life in Classroom. USA: Holt, Rinehart and Winston; 1968.

Woloschuk W, Wright B, McLaughlin K. Debasing the hidden curriculum Academic equality among medical specialties. Can Fam Physician. 2011; 57(1): e26-30.

Hafferty FW. Beyond curriculum reform: confronting medicine's hidden curriculum. Acad Med. 1998; 73(4):403-7.

Haidet P, Kelly A, Bentley S, et al. Not the same everywhere. Patient-centered learning environments at nine medical schools. J Gen Intern Medi. 2002; 21(5): 404-9.

Wear D, Skillicorn J. Hidden in plain sight: The formal, informal, and hidden curricula of a psychiatry clerkship. Acad Med. 2009; 84(4):451-8.

Johnston WF, Rodriguez RM, Suarez D, Fortman J. Study of Medical Students' Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”. West J Emerg Med. 2014; 15(3):293-8.

Chuang AW, Nuthalapaty FS, Casey PM, et al. To the point: reviews in medical education—taking control of the hidden curriculum. Am J Obstet Gynecol. 2010; 203(4):316. e1-6.

Rogers DA, Boehler ML, Roberts NK, Johnson V. Using the hidden curriculum to teach professionalism during the surgery clerkship. J Surg Educ. 2012; 69(3):423-7.

Ebadi SH. Hidden curriculum: an apparent challenge or an unexplored opportunity. International Journal of Academic Research in Progressive Education and Development. 2013; 2(3):62-75.

Burgess B, Bryman A. Analyzing Qualitative Data. UK: Routledge; 1994.

Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-15.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88.

Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ. 1981; 29:75.

Cruess RL, Cruess SR, Steinert Y. Teaching Medical Professionalism: Supporting the Development of a Professional Identity, 2nd ed. UK: Cambridge University Press; 2016.

Jafree SR, Zakar R, Fischer F, Zakar MZ. Ethical violations in the clinical setting: the hidden curriculum learning experience of Pakistani nurses. BMC Medical Ethics. 2015; 16(1):16.

Olthuis G, Dekkers W. Medical education, palliative care and moral attitude: some objectives and future perspectives. Med Educ. 2003; 37(10):928-33.

Kentli FD. Comparison of hidden curriculum theories. European Journal of Educational Studies. 2009; 1(2): 83-8.

Thiedke C, Blue AV, Chessman AW, Keller AH, Mallin R. Student observations and ratings of preceptor's interactions with patients: the hidden curriculum. Teach Learn Med. 2004; 16(4):312-6.

Safaei Movahed S, Bavafa D. Towards Another Meta-theory for understanding the hidden curriculum. Curriculum Planning Knowledge& Research in Educational Sciences. 2013; 10(10(37)):76-96. [ in Persian]

Stanek A, Clarkin C, Bould MD, Writer H, Doja A. Life imitating art: Depictions of the hidden curriculum in medical television programs. BMC Med Educ. 2015; 15:156.

Johnston JL, Cupples ME, McGlade KJ, Steele K. Medical students’ attitudes to professionalism: an opportunity for the GP tutor? Educ Prim Care. 2011; 22(5):321-7.

Azmand S, Ebrahimi S, Iman M, Asemani O. Learning professionalism through hidden curriculum: Iranian medical students’ perspective. J Med Hist Med. 2018; 11: 10.

Balboni MJ, Bandini J, Mitchell C, et al. Religion, spirituality, and the hidden curriculum: medical student and faculty reflections. J Pain Symptom Manage. 2015; 50(4):507-15.

Yüksel S. The role of hidden curricula on the resistance behavior of undergraduate students in psychological counseling and guidance at a Turkish University. Asia Pacific Education Review. 2006; 7:94-107.

Hashemi AS, Fallahi V, Aojinejad A, Samavi SA. The role of the hidden curriculum on social education of high school students. Journal of Life Science and Biomedicine. 2012; 2(5):255-9.

Rojas A. The hidden curriculum in medical teaching. Rev Med Chil. 2012; 140(9): 1213-7.

Dutton L, Sellheim D. The informal and hidden curriculum in physical therapist education. Journal of Physical Therapy Education. 2014; 28(3):50-63.

Hafler JP, Ownby AR, Thompson BM, et al. Decoding the learning environment of medical education: ahidden curriculum perspective for faculty development. Acad Med. 2011; 86(4):440-4.

Karimi Z, Ashktorab T, Mohammadi E, Abedi H. Influential factors on learning through the hidden curriculum in the perspective of undergraduate baccalaureate nursing students. J Adv Med Educ Prof. 2014; 2(2):53-7.

Published
2020-05-10
How to Cite
1.
Yazdani S, Andarvazh M, Afshar L. What is hidden in hidden curriculum? a qualitative study in medicine. J Med Ethics Hist Med. 13.
Section
Original Article(s)