The Curbsiders Internal Medicine Podcast #125 Hidden Curriculum
Nov 15, 2018
Sanjay Desai, an Internal Medicine program director at Johns Hopkins and coauthor of ACP’s Position Paper on Hidden Curriculum, dives into the often-overlooked aspects of medical training. He illustrates how institutional norms shape both learners and patient interactions through various compelling cases. The discussion emphasizes the balance between education and patient care, uncovering the impact of language and behavior in clinical settings. Desai advocates for a supportive learning environment that prioritizes compassion, autonomy, and effective communication.
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Foster Safe Learning
- Create a safe learning environment where learners feel vulnerable and open to admitting uncertainty.
- Encourage asking questions and admitting mistakes to maximize learning and improve patient care.
Recognizing the Hidden Curriculum
- The hidden curriculum shapes behaviors more powerfully than formal teaching but remains unspoken and unnoticed.
- It can promote both positive and negative norms, requiring awareness from all healthcare team members.
Language and Burnout Impact
- Labels like "crazy" for patients subtly devalue them and affect learner attitudes.
- Resident burnout and negative behaviors often reflect systemic pressures rather than personal failings.
