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Published on: September 11, 2021
What we don't know we are teaching: unveiling the hidden curriculum
1Wilson Centre for Research in Education, University Health Network, Toronto, Ontario, Canada.
The hidden curriculum in surgical training transmits implicit values, influencing professionalism and potentially deterring candidates from orthopaedic surgery. Addressing these unintended messages is crucial for professional development and recruitment.
Area of Science:
- Medical Education
- Surgical Training
- Professionalism Studies
Background:
- The "hidden curriculum" in surgical training involves the unintentional transmission of implicit beliefs, attitudes, and behaviors.
- This process is influenced by institutional values and the conduct of surgical educators and healthcare professionals.
- The hidden curriculum significantly impacts the development of professionalism among trainees.
Purpose of the Study:
- To review the role of the hidden curriculum in surgical training.
- To examine its influence on professionalism and career choices, particularly in orthopaedic surgery.
- To emphasize the importance of conscious messaging in professional development and recruitment.
Main Methods:
- Literature review and synthesis of existing research on the hidden curriculum in medical and surgical education.
- Analysis of the impact of implicit messages on trainee development and career decisions.
- Discussion of strategies to mitigate negative influences and enhance positive aspects of the hidden curriculum.
Main Results:
- The hidden curriculum plays a critical role in shaping trainees' professional identity and behavior.
- Implicit messages can inadvertently discourage promising candidates from pursuing careers in fields like orthopaedic surgery.
- Unacknowledged biases and attitudes within the learning environment can negatively affect recruitment.
Conclusions:
- Surgical educators must be aware of and actively manage the hidden curriculum.
- Conscious efforts to transmit positive values are essential for fostering professionalism.
- Addressing the hidden curriculum is vital for attracting and retaining diverse talent in surgical specialties.
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