Exploring the "Hidden Curriculum" in Emergency Medicine Training Programs
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Date
2007-08
Authors
LeBlanc, Constance
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Abstract
Introduction:
The Emergency Department (ED) is popular with learners. Amid the chaos we teach,
sometimes oblivious to messages sent and lessons taught. This exploration of the "hidden
curriculum" is a glimpse at the some of the content of this curriculum in two postgraduate
Emergency Medicine (EM) programs. The objective of this study was to stimulate
reflection on the importance of role modeling in medical education and hopefully to
moderate the content.
Methods:
A survey and subsequent focus group interviews of faculty and residents in two
Emergency Medicine (EM) training programs was conducted. The surveys were mailed
in October 2005 and the focus group interviews conducted in May 2006.
Results:
The main focus of the hidden curriculum messages were inter- and intra-disciplinary
disrespect in the provision of care. Messages also related to patient care in the form of
lack of respect, laughing at patients, and blaming them. Other elements identified
included gender issues, lifestyle expectations and financial concerns.
Conclusions:
The perceived content of the hidden curriculum was different for faculty and residents.
We must heighten role-modeling consciousness.
Description
Keywords
Canada , Emergency medical services , Emergency medical personnel