Bioethics Discussion Blog: A Medical Student and YOU: The "Hidden Curriculum"

REMINDER: I AM POSTING A NEW TOPIC ABOUT ONCE A WEEK OR PERHAPS TWICE A WEEK. HOWEVER, IF YOU DON'T FIND A NEW TOPIC POSTED, THERE ARE AS OF MARCH 2013 OVER 900 TOPIC THREADS TO WHICH YOU CAN READ AND WRITE COMMENTS. I WILL BE AWARE OF EACH COMMENTARY AND MAY COME BACK WITH A REPLY.

TO FIND A TOPIC OF INTEREST TO YOU ON THIS BLOG, SIMPLY TYPE IN THE NAME OR WORDS RELATED TO THE TOPIC IN THE FIELD IN THE LEFT HAND SIDE AT TOP OF THE PAGE AND THEN CLICK ON “SEARCH BLOG”. WITH WELL OVER 900 TOPICS, MOST ABOUT GENERAL OR SPECIFIC ETHICAL ISSUES BUT NOT NECESSARILY RELATED TO ANY SPECIFIC DATE OR EVENT, YOU SHOULD BE ABLE TO FIND WHAT YOU WANT. IF YOU DON’T PLEASE WRITE TO ME ON THE FEEDBACK THREAD OR BY E-MAIL DoktorMo@aol.com

IMPORTANT REQUEST TO ALL WHO COMMENT ON THIS BLOG: ALL COMMENTERS WHO WISH TO SIGN ON AS ANONYMOUS NEVERTHELESS PLEASE SIGN OFF AT THE END OF YOUR COMMENTS WITH A CONSISTENT PSEUDONYM NAME OR SOME INITIALS TO HELP MAINTAIN CONTINUITY AND NOT REQUIRE RESPONDERS TO LOOK UP THE DATE AND TIME OF THE POSTING TO DEFINE WHICH ANONYMOUS SAID WHAT. Thanks. ..Maurice

FEEDBACK,FEEDBACK,FEEDBACK! WRITE YOUR FEEDBACK ABOUT THIS BLOG, WHAT IS GOOD, POOR AND CONSTRUCTIVE SUGGESTIONS FOR IMPROVEMENT TO THIS FEEDBACK THREAD

Tuesday, May 21, 2013

A Medical Student and YOU: The "Hidden Curriculum"





Another in a series of threads regarding the ethical/professional issues that could involve a medical student and you or a family member as a patient. This thread is based on the book Professionalism in Medicine : A Case-Based Guide for Medical Students. Cambridge:Cambridge University Press; 2010 and  from the website "Professionalism in Medicine" prepared by Jefferson Medical College in Philadelphia Pennsylvania. This thread begins with a video dramatization of a vignette which is followed by a faculty member perspective commentary.First go to the following link, read, view and then return and present the visitors to this thread your own view of the particular professional issue from the perspective of the patient:Commitment to Professional Competence

A STARTING COMMENT FROM ME:


Being competent as a physician requires proper education and experience. Much of the basic education in diagnosis and the treatment of the patient's disease actually occurs during the first two years of medical school. It is there where the theory and also the scientific basis for accomplishing these responsibiities are presented. What happens as part of the student, intern or resident's professional development after these two years is a learning activity which can be distorted by various suspected or realistic practicalities and clinical habits of those performing the instruction. This later teaching regarding the profession of medicine has been called the "hidden curriculum". Often this "hidden curriculum" while perhaps assumed to facilitate certain clinical actions and certain doctor-patient relationships may, in fact, pose unnecessary patient cost and unnecessary patient harm and may even go against medical professional code of ethics. Though it is doubtful that the "hidden curriculum" in medical education and behavior will ever be eliminated, however knowing about this phenomenon should provide patients with a reason to retain a touch of attention and indeed a bit of skepticism with regard to the behavior and decisions of their physicians. ..Maurice.

1 Comments:

At Tuesday, May 21, 2013 9:20:00 AM, Blogger Maurice Bernstein, M.D. said...

Being competent as a physician requires proper education and experience. Much of the basic education in diagnosis and the treatment of the patient's disease actually occurs during the first two years of medical school. It is there where the theory and also the scientific basis for accomplishing these responsibiities are presented. What happens as part of the student, intern or resident's professional development after these two years is a learning activity which can be distorted by various suspected or realistic practicalities and clinical habits of those performing the instruction. This later teaching regarding the profession of medicine has been called the "hidden curriculum". Often this "hidden curriculum" while perhaps assumed to facilitate certain clinical actions and certain doctor-patient relationships may, in fact, pose unnecessary patient cost and unnecessary patient harm and may even go against medical professional code of ethics. Though it is doubtful that the "hidden curriculum" in medical education and behavior will ever be eliminated, however knowing about this phenomenon should provide patients with a reason to retain a touch of attention and indeed a bit of skepticism with regard to the behavior and decisions of their physicians. ..Maurice.

 

Post a Comment

<< Home