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Hidden Curriculum in Medical Residency Programs: A Scoping Review Publisher



Pourbairamian G1 ; Bigdeli S1 ; Soltani Arabshahi SK1 ; Yamani N2 ; Sohrabi Z1 ; Ahmadi F3 ; Sandars J4
Authors
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Authors Affiliations
  1. 1. Center for Educational Research in Medical Sciences (CERMS), Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  2. 2. Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Nursing Department, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
  4. 4. Edge Hill University Medical School, Edge Hill University, Ormskirk, United Kingdom

Source: Journal of Advances in Medical Education and Professionalism Published:2022


Abstract

Introduction: Hidden curriculum is important in medical education and has numerous, long-lasting effects on medical residency. The present scoping review seeks to investigate, identify, and plot the main concepts relating to hidden curriculum and its dimensions, domains, impacts and factors in medical residency courses based on the main references and evidence. Methods: Scoping review methodology was used to guide a search of electronic databases for relevant papers. Of the 394 abstracts initially identified, after screening of both abstracts and full-text papers, 43 studies were selected for inclusion in this review. Following abstraction of key information from each study, a content analysis was undertaken. Results: Eleven themes were identified from the content analysis: 1) Organizational Issues (13.77%), 2) Socio-cultural Issues (10.5%), 3) Professional Issues (13.41%), 4) Communicational Factors (8.7%), 5) Educational Issues (22.83%), 6) Resident Personal Characteristics (21.01%), and 7) Resident Educational Characteristics (9.78%). Among the extracted effective hidden curriculum factors, the role modeling had the highest frequency and was emphasized in the studies. Conclusions: Although this study explained and identified the components, elements and also the preparation of the initial format of the hidden curriculum framework of the medical residency program, its results can reduce the negative effects of the hidden curriculum on it. More extensive and in-depth studies with different qualitative methods or mixed methods related to the hidden curriculum in different contexts and disciplines of medical residency are recommended to define characteristics of a constructive hidden curriculum of medical residency programs. © 2022, Shriaz University of Medical Sciences. All rights reserved.
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