Harnessing the Hidden Curriculum: A Four-Step Approach to Developing and Reinforcing Reflective Competencies in Medical Clinical Clerkship

Autor/inn/en	Holmes, Cheryl L.; Harris, Ilene B.; Schwartz, Alan J.; Regehr, Glenn
Titel	Harnessing the Hidden Curriculum: A Four-Step Approach to Developing and Reinforcing Reflective Competencies in Medical Clinical Clerkship
Quelle	In: Advances in Health Sciences Education, 20 (2015) 5, S.1355-1370 (16 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1382-4996
DOI	10.1007/s10459-014-9558-9
Schlagwörter	Hidden Curriculum; Clinical Experience; Medical Students; Medical Education; Reflection; Competence; Professional Identity + Suchen Sie Ihr Suchwort? Heimlicher Lehrplan; Medizinische Ausbildung; Kompetenz
Abstract	Changing the culture of medicine through the education of medical students has been proposed as a solution to the intractable problems of our profession. Yet few have explored the issues associated with making students partners in this change. There is a powerful hidden curriculum that perpetuates not only desired attitudes and behaviors but also those that are less than desirable. So, how do we educate medical students to resist adopting unprofessional practices they see modeled by supervisors and mentors in the clinical environment? This paper explores these issues and, informed by the literature, we propose a specific set of reflective competencies for medical students as they transition from classroom curricula to clinical practice in a four-step approach: (1) "Priming"--students about hidden curriculum in their clinical environment and their motivations to conform or comply with external pressures; (2) "Noticing"--educating students to be aware of their motivations and actions in situations where they experience pressures to conform to practices that they may view as unprofessional; (3) "Processing"--guiding students to analyze their experiences in collaborative reflective exercises and finally; (4) "Choosing"--supporting students in selecting behaviors that validate and reinforce their aspirations to develop their best professional identity. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01