To the point: reviews in medical education—taking control of the hidden curriculum

Chuang, Alice; Nuthalapaty, Francis S.; Casey, Petra M.; Kaczmarczyk, J; Cullimore, Amie J.; Dalrymple, John L.; Dugoff, Lorraine; Espey, Eve; Hammoud, Maya M.; Hueppchen, Nancy A.; Katz, Nadine T.; Peskin, Edward

doi:10.1016/j.ajog.2010.04.035

Cited by 70 publications

(63 citation statements)

References 44 publications

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“…We found that interns start with a moderate amount of DM exposure and malpractice concern (MC), and that MC decreased slightly by the end of residency 10. Given this early appearance of DM and MC, we postulated that much of this DM and MC may arise during medical school, and that there may be a “hidden curriculum” as described by other investigators 11,12,13. The purpose of this study was to characterize medical students' exposure to defensive medicine during medical school rotations, i.e., determine whether a hidden curriculum of DM exists.…”

Section: Introductionmentioning

confidence: 86%

Study of Medical Students’ Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”

Johnston¹,

Rodriguez²,

Suarez³

et al. 2014

WestJEM

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Introduction: Defensive medicine is a medical practice in which health care providers' primary intent is to avoid criticism and lawsuits, rather than providing for patients' medical needs. The purpose of this study was to characterize medical students' exposure to defensive medicine during medical school rotations.Methods: We performed a cross-sectional survey study of medical students at the beginning of their third year. We gave students Likert scale questionnaires, and their responses were tabulated as a percent with 95% confidence interval (CI).Results: Of the 124 eligible third-year students, 102 (82%) responded. Most stated they rarely worried about being sued (85.3% [95% CI=77.1% to 90.9%]). A majority felt that faculty were concerned about malpractice (55.9% [95% CI=46.2% to 65.1%]), and a smaller percentage stated that faculty taught defensive medicine (32.4% [95% CI=24.1% to 41.9%]). Many students believed their satisfaction would be decreased by MC and lawsuits (51.0% [95% CI=41.4% to 60.5%]). Some believed their choice of medical specialty would be influenced by MC (21.6% [95% CI=14.7% to 30.5%]), and a modest number felt their enjoyment of learning medicine was lessened by MC (23.5% [95% CI=16.4% to 32.6%]). Finally, a minority of students worried about practicing and learning procedures because of MC (16.7% [95% CI=10.7% to 25.1%]).Conclusion: Although third-year medical students have little concern about being sued, they are exposed to malpractice concerns and taught considerable defensive medicine from faculty. Most students believe that fear of lawsuits will decrease their future enjoyment of medicine. However, less than a quarter of students felt their specialty choice would be influenced by malpractice worries and that malpractice concerns lessened their enjoyment of learning medicine. [West J Emerg Med. 2014;15(3):293–298.]

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Section: Introductionmentioning

confidence: 86%

Study of Medical Students’ Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”

Johnston¹,

Rodriguez²,

Suarez³

et al. 2014

WestJEM

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“…Further, unprofessional behavior is perpetuated when learners and colleagues observe faculty behaving poorly (Gino et al 2009). The learning environment is also adversely affected by unprofessional behavior through faculty's failure to model and therefore to teach aspects of professionalism or by undermining the stated goals of the curriculum (Ephgrave et al 2006;Chuang et al 2010;Byszewski et al 2012).…”

Section: Introductionmentioning

confidence: 99%

Unprofessional behavior by specialty: A qualitative analysis of six years of student perceptions of medical school faculty

2014

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“…Diversos autores que destacan las influencias de currículo informal y oculto [27][28][29][30][31][32] concluyen que se requiere un reconocimiento y tomar conciencia de su existencia, lo cual puede transformarlos en una herramienta para revisar y humanizar la educación médica clínica.…”

Section: Discussionunclassified

Educación médica para la Atención Primaria de Salud: visión de los docentes y estudiantes

Parada-Lezcano

Cortés

2016

Rev. méd. Chile

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To the point: reviews in medical education—taking control of the hidden curriculum

Cited by 70 publications

References 44 publications

Study of Medical Students’ Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”

Study of Medical Students’ Malpractice Fear and Defensive Medicine: A “Hidden Curriculum?”

Unprofessional behavior by specialty: A qualitative analysis of six years of student perceptions of medical school faculty

Educación médica para la Atención Primaria de Salud: visión de los docentes y estudiantes

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