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Beyond the Scope: The Hidden Curriculum in GI Fellowship and Its Implication for Change
Nicholas Noverati1, Ananya Venkatesh2, Gretchen Diemer3
1Division of Gastroenterology and Hepatology, Department of Medicine, Thomas Jefferson University Hospital, 132 S 10th St Ste 480 Main, Philadelphia, PA, 19107, USA. Nicholas.noverati@jefferson.edu.
Digestive Diseases and Sciences
|August 27, 2025
Summary
The hidden curriculum in gastroenterology (GI) fellowship training significantly impacts fellows. Understanding these unwritten lessons is key to improving fellowship education and professional development.
Area of Science:
- Medical Education
- Graduate Medical Education
- Gastroenterology Fellowship
Background:
- The hidden curriculum, unwritten lessons impacting learner experience, is well-documented in undergraduate medical education.
- Its role in graduate medical education, particularly in procedural subspecialties like gastroenterology (GI) fellowship, remains less understood.
Purpose of the Study:
- To explore and define the hidden curriculum within GI fellowship training.
- To gather insights from fellows to enhance the educational experience.
Main Methods:
- Qualitative analysis of semi-structured virtual interviews.
- Grounded theory approach applied to interview data.
Main Results:
- Twelve fellows from six programs participated.
- Four major themes emerged: Hierarchies and Training Dynamics, Endoscopic and Procedural Training, Professional Aspirations and Career Perspectives, and Patient Care and Challenges.
Conclusions:
- Identified hidden curriculum elements in GI fellowship training.
- Recommendations include fostering collaboration, formalizing endoscopic training, addressing career stereotypes, and modeling patient communication.
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