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Asociación Colombiana de Otorrinolaringología y Cirugía de Cabeza y cuello, Maxilofacial y Estética Facial (ACORL)

2021, Number 3

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Acta de Otorrinolaringología CCC 2021; 49 (3)

Hidden Curriculum in Medicine Education: Narrative Review

Lugo-Machado JA, Jacobo-Pinelli R

Language: Spanish
References: 48
Page: 238-243
PDF size: 142.92 Kb.


ABSTRACT

Educational processes in medicine are highly complex and paradoxicals due to the fact that it is a profession of immense prestige, where science and technology with its most recent advances are applied, however, in the educational and training field, it does not happen. Thus, there are a number of needs that transform the obsolete educational paradigms that perpetuate the training of doctors with a worn out, exhausted and withered human sense.
In this narrative review, we address the aspects not included in any document of educational practice in medical training, elements that affect the moral and ethical aspects of the profession, culminating in a loss of professional humanism.


REFERENCES

  1. Patiño Restrepo JF. Abraham Flexner y el Flexnerismo.Fundamento Imperecedero de la Educación Médica Moderna.Medicina. 1998;20(48):6-14.

  2. Balarezo-López G. Sociología médica: origen y campo de acción.Revista de Salud Pública. 2018;20(2):265-70.

  3. Rodríguez de Castro F. Proceso de Bolonia (V): el currículooculto. Educ. méd. 2012; 15(1):13-22.

  4. Feudtner C, Christakis DA, Christakis NA. Do clinicalclerks suffer ethical erosion? Students’ perceptions of theirethical environment and personal development. Acad Med.1994;69(8):670-9.

  5. Christakis DA, Feudtner C. Ethics in a short white coat: theethical dilemmas faced by medical students. Acad Med.1993;68(4):249-54.

  6. Reddy ST, Farnan JM, Yoon JD, Leo T, Upadhyay GA,Humphrey HJ, et al. Third-year medical students’ participationin and perceptions of unprofessional behaviors. Acad Med.2007;82(10 Suppl):S35-9.

  7. Brainard AH, Brislen HC. Viewpoint: learning professionalism:a view from the trenches. Acad Med. 2007;82(11):1010-14.

  8. Collier VU, McCue JD, Markus A, Smith L. Stress in medicalresidency: status quo after a decade of reform? Ann Intern Med.2002;136(5):384-90.

  9. Arora VM, Wayne DB, Anderson RA, Didwania A, FarnanJM, Reddy ST, Humphrey HJ. Changes in perception of andparticipation in unprofessional behaviors during internship.Acad Med. 2010;85(10 Suppl):S76-80.

  10. Maslach C JS, Leiter MP. Maslach Burnout Inventory Manual.3.a ed. Palo Alto, CA: Consulting Psychologist Press; 1996.

  11. Thomas NK. Resident burnout. JAMA. 2004;292(23):2880-89.

  12. West CP, Huschka MM, Novotny PJ, Sloan JA, Kolars JC,Habermann TM, et al. Association of perceived medical errorswith resident distress and empathy: a prospective longitudinalstudy. JAMA. 2006;296(9):1071-8.

  13. Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout andself-reported patient care in an internal medicine residencyprogram. Ann Intern Med. 2002;136(5):358-67.

  14. Azzarito L. Gender, the hidden curriculum and physicaleducation through girls’ eyes. Research Quarterly for Exerciseand Sport. 2011;82(1):A33-A33.

  15. Barbón-Pérez OG, Borges-Oquendo L, Añorga-Morales JA.La Educación Avanzada ante las exigencias de los procesosde profesionalización pedagógica en la Educación Médica.Educación Médica Superior, 2015, 29(2).

  16. Fernández-Sacasas JA. Educación médica: el objeto, elsujeto desdoblado y el contexto. Educación Médica Superior.2012;26(3):361-63.

  17. Domínguez LC. Instrumentos para la evaluación del clima deaprendizaje en residencias médicas: síntesis de la evidencia ala luz de las definiciones psicométricas. Educ Med;2018;19Sup(s3):335-49.

  18. Lizzio A, Wilson K, Simons R. University students’ perceptionsof the learning environment and academic outcomes:implications for theory and practice. Stud High Educ.2002;27(1):27-52.

  19. Roff S, McAleer S, Skinner A. Development and validationof an instrument to measure the postgraduate clinical learningand teaching educational environment for hospital-based juniordoctors in the UK. Med Teach. 2005;27(4):326-31.

  20. Lombarts KM, Heineman MJ, Scherpbier AJ, Arah OA. Effectof the learning climate of residency programs on faculty’steaching performance as evaluated by residents. PLoS One.2014;9(1):e86512.

  21. Biggs J, Tang C. Teaching for quality learning at university.Maidenhead. Berkshire, UK: McGraw-Hill Education; 2007.

  22. Cassar, K. Development of an instrument to measure thesurgical operating theatre learning environment as perceivedby basic surgical trainees. Medical teacher. 2004;26(3):260-64

  23. Feletti GI, Clarke RM, Construct validity of a learningenvironment survey for medical schools. Educational andPsychological Measurement. 1981;41(3):875-82.

  24. Pololi L, Price J. Validation and use of an instrument to measurethe learning environment as perceived by medical students.Teaching and learning in Medicine. 2000;12(4):201-07.

  25. Suárez-Obando F, Díaz-Amado E. La formación ética de losestudiantes de medicina: la brecha entre el currículo formal y elcurrículo oculto. Acta bioethica. 2007;13(1):107-13.

  26. Rojas A. “Curriculum oculto” en medicina: una reflexióndocente. Revista médica de Chile. 2012;140(9):1213-17.

  27. Balboni MJ, Bandini J, Mitchell C, Epstein-Peterson ZD,Amobi A, Cahill J, et al. Religion, Spirituality, and the HiddenCurriculum: Medical Student and Faculty Reflections. J PainSymptom Manage. 2015;50(4):507-15.

  28. Hamui-Sutton A, Vives-Varela T, Gutiérrez-Barreto S, Castro-Ramírez S, Lavalle-Montalvo C, Sánchez-Mendiola M. Culturaorganizacional y clima: el aprendizaje situado en las residenciasmédicas. Investigación en educación médica. 2007;3(10):74-84.

  29. Marcillo CC. ¿Qué es el currículum oculto? Revista CientíficaRetos de la Ciencia. 2019;3(1):58-66.

  30. Jackson PW. La vida en las aulas. Madrid: Ediciones Morata,1998.

  31. Hafferty FW. Beyond curriculum reform: confrontingmedicine’s hidden curriculum. Acad Med. 1998;73(4):403-7.

  32. Prat-Corominas J, Palés-Argullós J, Nolla-Domenjó M, Oriol-Bosch A, Gual A. Proceso de Bolonia (II): educación centradaen el que aprende. Educ Med. 2010;13(4): 197-203.

  33. Gaufberg EH, Batalden M, Sands R, Bell SK. The hiddencurriculum: what can we learn from third-year medical studentnarrative reflections? Acad Med. 2010;85(11):1709-16.

  34. Sinclair S. Making Doctors: An Institutional Apprenticeship.Oxford, UK: Berg; 1997.

  35. Helman C. The dissection room. En: Body Myths. London, UK:Chatto and Windus; 1991. p. 114-23.

  36. Coldicott Y, Pope C, Roberts C. The ethics of intimateexaminations-teaching tomorrow’s doctors. BMJ.2003;326(7380):97-101.

  37. Hundert EM, Douglas-Steele D, Bickel J. Context in medicaleducation: the informal ethics curriculum. Med Educ.1996;30(5):353-64.

  38. Brainard AH, Brislen HC. Viewpoint: learning professionalism:a view from the trenches. Acad Med. 2007;82(11):1010-4.

  39. Coulehan J, Williams PC. Vanquishing virtue: the impact ofmedical education. Acad Med. 2001;76(6):598-605.

  40. Ginsburg S, Regehr G, Stern D, Lingard L. The anatomyof the professional lapse: bridging the gap betweentraditional frameworks and students’ perceptions. Acad Med.2002;77(6):516-22.

  41. Lempp H, Seale C. The hidden curriculum in undergraduatemedical education: qualitative study of medical students’perceptions of teaching. BMJ. 2004;329(7469):770-3.

  42. Haidet P, Kelly PA, Chou C; Communication, Cirriculum, andCulture Study Group. Characterizing the patient-centerednessof hidden curricula in medical schools: development andvalidation of a new measure. Acad Med. 2005;80(1):44-50.

  43. Torralba KD, Jose D, Byrne J. Psychological safety, the hiddencurriculum, and ambiguity in medicine. Clin Rheumatol.2020;39(3):667-671.

  44. Doja A, Bould MD, Clarkin C, Eady K, Sutherland S, WriterH. The hidden and informal curriculum across the continuumof training: A cross-sectional qualitative study. Med Teach.2016;38(4):410-18.

  45. Bates V. Yesterday’s Doctors: The Human Aspects of MedicalEducation in Britain, 1957-93. Med Hist. 2017;61(1):48-65.

  46. MacLeod A. The hidden curriculum: is it time to re-consider theconcept? Med Teach. 2014;36(6):539-40.

  47. Martimianakis MA, Michalec B, Lam J, Cartmill C, TaylorJS, Hafferty FW. Revue de l’humanisme, curriculum caché etréforme de l’éducation: revue de la portée et analyse thématique.Acad Med. 2015;90(11 Suppl.):S5-S13.

  48. Lawrence C, Mhlaba T, Stewart KA, Moletsane R, Gaede B,Moshabela M. The Hidden Curricula of Medical Education: AScoping Review. Acad Med. 2018;93(4):648-56.




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