Hidden Curriculum Research Articles

The Hidden Curriculum in Which Medical Students Learn to Understand and Manage Unprofessional Behaviour: A Qualitative Interview Study

The Hidden Curriculum in Which Medical Students Learn to Understand and Manage Unprofessional Behaviour: A Qualitative Interview Study

Case Study of Transforming and Scaling Entrepreneurial Internship Access in IHE

This case study explores innovative approaches to expand access to high-quality internships and improve equitable student outcomes. It focuses on Lehigh University’s virtual Innovation Internship program, partnered with the Nasdaq Entrepreneurial Center and Epixego Inc. The program aims to address challenges in traditional internships, such as hidden curriculum, false narratives, and unequal social environments. By incorporating self-assessment of learning competencies and enhancing student agency, the program doubled its capacity to 40 students. The study measured student self-efficacy, occupational identity choice, and outcome expectations based on various factors. Results showed that students changed internship preferences across occupation categories and experienced increases in entrepreneurial self-efficacy (3%), occupational identity (7%), and perception of entrepreneurship education (4%). This multifaceted approach demonstrates the potential for innovative internship designs to improve accessibility and student development outcomes.

Bringing to light: resistance and the hidden curriculum.

Bringing to light: resistance and the hidden curriculum.

Integration of Wasaṭiyyah Values in the Curriculum at Modern Islamic Boarding Schools in Central Sulawesi

This research discusses integrating wasaṭiyyah values into the curriculum of modern Islamic boarding schools in Central Sulawesi. This research examines two problems, namely wasaṭiyyah values incorporated in the modern Islamic boarding school curriculum and the approach used in integrating these wasaṭiyyah values. This research uses a qualitative case study method. The data was collected through direct food observations, in-depth interviews with several informants, and document analysis. Data were analyzed using a thematic approach that focused on the main themes that emerged during data analysis. The research findings reveal that wasaṭiyyah values are integrated with both Islamic boarding schools based on the values developed by the Indonesian Ulema Council. These values include Tawassuṭ, Tawāzun, I'tidāl, Tasāmuḥ, Musāwāh, Shūrā, Islāh, Awlawiyyah, Taṭawwur wa ibtikār, and Tahaddur. The integration process also includes other values related to the five soul values that underlie the life of the two Islamic boarding schools. Integrating wasaṭiyyah values in the two Islamic boarding schools was done through a contributive-cultural, integrated-intra-curricular, textual-additive, and contextually applicable approach. Wasaṭiyyah values are integrated into the curriculum through the Prescribed/intended curriculum, also called the core curriculum and Hidden Curriculum. Site 1 (Modern Darussalam Gontor Campus 11 Ittihadul Ummah Poso) adds the Tested curriculum type. The theoretical implication of this research is a deeper understanding of the interaction between tradition and modernity in Islamic education, especially in modern Islamic boarding schools.

Novice clinician educator professional identity formation through a longitudinal mentorship: a qualitative study

BackgroundThe professional identity of doctors is evolving with physicians now required to be ‘scholars’, facilitating the education of students and healthcare teammates as educators. Mentoring is widely practiced and is postulated to facilitate professional identity formation (PIF) through socialization.Preliminary literature review suggested few studies looking into how formal mentoring programmes affect PIF of novice clinician educators, particularly an Asian context. I hope to understand the perceived professional identity of such educators, and what changes in professional identity are observed after longitudinal mentorship, using the social cognitive career theory (SCCT) as an underpinning framework.MethodsA qualitative study explored perspectives of mentees with less than two years teaching experience and participating in a formal mentoring programme. Semi-structured interviews were conducted at the beginning and end of the programme. Thematic analysis and coding of these taped and transcribed interviews was performed and triangulated with an elite interview. Mind maps were constructed to appreciate the inter-relatedness of themes and evaluated using the SCCT framework. Methodology was anchored to the Consolidated Criteria for Reporting Qualitative Research checklist.ResultsSeven mentees were recruited. All were Chinese except for two Indians. All had less than six months experience with educational activities. None had formal training in medical education. Median duration postgraduate was six years. One was from a surgical discipline, others were from a range of medical disciplines. Themes identified included background influences, learning experiences and outcome expectations which affected self-efficacy, leading to mentees attaining goals and performing actions which effected their professional identity development, which was in-turn affected by contextual influences. Most perceived themselves as clinicians rather than medical educators. Concepts underpinning PIF included socialisation (role modelling and mentorship, communities of practice, sense of belonging), experiential learning, the hidden curriculum and reflective practice.ConclusionsNovice clinician educators mostly have a hierarchical identity. Role modelling and mentorship, active participation in communities of practice, promotion of a sense-of-belonging, experiential learning combined with reflective practice are important components for socialisation, synergistically facilitating PIF in novice clinician educators. Overcoming contextual barriers, being cognisant of cultural practices and addressing concerns in the hidden curriculum can assist educators in development of their professional identity.

Revisiting the conceptualisation and implications of medicine's 'hidden curriculum'.

In medical training and practice, our professional attributes, attitudes, perceptions, character traits and identities are fundamentally shaped by our lived experiences and observations in clinical and para-clinical settings instead of being inculcated through formal curriculum or classroom teaching. For instance, clinical acumen, communication skills and bedside manners are learnt through role modelling and experiential learning in the course of clinical rotations. Likewise, one's attitudes, professional behaviours and inclinations are often also influenced by direct/indirect observations of the actions of others in the medical fraternity in various clinical and non-clinical settings. This is also what is often termed as the 'hidden curriculum' of medicine. In this article, we sought to provide a practical conceptualisation of the hidden curriculum in medical training, which we describe as lived experiences and personal observations of medical trainees and residents in clinical and para-clinical spaces, which shape their perceptions of the medical profession (vocational identity and purpose), patients (patient-physician relationship) and colleagues (intra- and inter-professional relationships), with downstream implications on physician well-being and clinical decision-making. Although this idea of a 'hidden curriculum' has conventionally carried predominantly negative connotations in medical literature, we suggest that it is an inevitable part of medical education and practice, which, through deliberate regulation, can potentially be shaped to create more positive and meaningful effects in the professional development of medical trainees.

Integration of Artificial Intelligence in Islamic Higher Education: Comparative Responses between Indonesia and Thailand

This study aims to compare the responses of Islamic Universities in Indonesia and Thailand to the adoption of artificial intelligence (AI) in Islamic education learning. This comparative qualitative research collected data from in-depth interviews, participatory observation, and analysis of relevant documents at UIN Walisongo Semarang (Indonesia) and Darul Maarif Islamic College Patani (Thailand). The collected data were analyzed thematically using triangulation, member checking, and audit trail validation models. The findings of this study show similarities and differences; both institutions have not specifically incorporated AI into the formal curriculum as a course, only integrating it implicitly in the hidden curriculum such as research, workshops, and seminars. Indonesian Islamic universities view AI as an important tool for modernizing Islamic education, especially in distance learning and the digitalization of Qur'anic teaching. In contrast, although AI is not explicitly banned in Thailand, there are concerns about its impact on the role of traditional teachers and Islamic cultural values. Regarding ethics, Indonesian students are less likely to consider the potential bias of AI towards Islamic religious information. In contrast, Thai students are more wary of the impact of technology on their religious values. Mastery of AI technology also showed significant differences, with Indonesian students being more advanced.

CRAFTING A FOUCAULDIAN GENEALOGY METHOD FOR ANALYZING CURRICULUM-AS-DISCOURSE IN SOUTH AFRICA

Introduction/Frame: (Contextualization/Justification) Viewing curriculum as discourse can enable educators to identify how historical markers of discrimination are repeated. Historical markers are archaeologically embedded in the various dimensions of a curriculum and find expression in preferred ways of thinking, speaking, doing, and being. Such historical hypernorms are often maintained by practical rationalities, or technologies of power that reify their taken-for-granted legitimacy as ‘truth regimes’. Research Question/Objectives: This phase of the study aimed to critically explore and disclose how the (socio/politico-historically constructed) rules of knowledge-formation in a contemporary occupational therapy curriculum-as-discourse, are reproduced and maintained as truths at a university that historically supported apartheid in South Africa. Methodology: A Foucauldian Discourse Analysis (FDA) approach was used to systematically craft a genealogy analysis method from foundational Foucauldian theory. Adjacent, a lens of the ‘dimensions of the curriculum’ was employed: i.e., the formal, the informal, the hidden, and the negated curriculum. Various data sources were categorized accordingly, e.g., overarching policy documents; social events; timetables and prescribed texts; physical teaching spaces; espoused values, and underlying assumptions modelled during assessment in teaching and learning spaces. Results: Following the four rules of knowledge-formation that ensued from an archaeology analysis, the contemporary reification of the historical markers was problematised through various technologies of power and self, as well modes of reasoning. Examples are pervasive white demographics of both students and faculty reifying cognitive monopoly and mono-cultural epistemologies; the rationalization of highly ritualized (over)assessment of students suppressing adult-to-adult transactionalism in andragogy practices; the reproduction of mono-cultural epistemologies in clinical training operating in the hidden curriculum. Final considerations: Consciously dismantling the rationalising strategies for the continuation of discriminatory patterns of inclusion and exclusion in a curriculum, can open a space for critical dialogue, disruption, and reconfiguration of a curriculum-as-discourse towards social justice, and epistemic freedom in (higher) education.

More Than Body Parts: A New Ethos of Anatomy Education

Abstract A new ethos of anatomy education goes beyond the learning of body parts in the traditional curriculum. In the traditional curriculum, the focus of only providing information on the structure of the human body left certain learning opportunities overlooked, marginalized, or dismissed as irrelevant; thus, opportunities to foster and shape professional attributes in health care learners were lost. Furthermore, changes in curricula structures and reductions in anatomy teaching hours have necessitated a transformation in how anatomy education is perceived and delivered. This article presents an examination of a contemporary ethos of anatomy education that draws together concepts from teaching theory, educational trends, and emerging research to maximize the anatomy learning experience with body donors. Social constructivism, the spiral curriculum, and the hidden curriculum can be leveraged to facilitate a unique educational experience. Furthermore, contemporary perspectives on the ethics and history of anatomy that support contextual learning indicate how these subjects are well suited to authenticate and consolidate learning, while supporting the relational and humanistic delivery of health care education. When anatomy education is conceptualized as a first clinical experience in a health care curriculum, it provides the opportunity to develop and enhance professional identity formation at a foundational stage. By embracing and incorporating a wider range of considerations into educational practice, a new ethos for anatomy education fosters history-informed professional identity formation that offers transformative learning opportunities for an ethical practice in the art of healing.

Correction to “Understanding gender and sexuality: The hidden curriculum in English schools”

Correction to “Understanding gender and sexuality: The hidden curriculum in English schools”

Cultural capital, black holes, and the hidden curriculum: an analysis of grade repetition in Spain

ABSTRACT In this article I explain the contradiction between the averagely high and equitable scores that Spanish students obtained in the last three editions (2015, 2018, and 2022) of the Program for International Student Assessment, and Spain’s extremely high and unequitable rate of grade repetition in schools. After ruling out alternative explanations for this discrepancy, I explore the hypothesis that grade repetition in Spain is an effect of the hidden curriculum. Methodologically speaking, my explanation establishes analogies with Einstein’s theory of relativity and draws on its spatial topoi to conceptualize the difference between the official and the hidden curriculum and the undemocratic conflation between upper- and middle-class cultural capital and academic skills. This conflation, I argue, lies behind said contradiction between Spanish students’ scores in PISA and the rates of grade repetition in Spain.

Ethnic bias and the hidden curriculum: The impact of routine inclusion of ethnicity in medical education assessment

Introduction: In 2012, the University of Otago Medical School in New Zealand amended high stakes examination questions to routinely include ethnicity. This policy change was prompted by the assessment committee, including the Māori subcommittee. This study aimed to examine the portrayal of Māori patients and to explore the impact of routine inclusion of ethnicity. Methods: A quantitative description of demographic variables of examination questions and responses (role-model answers, multiple-response preferred answer, guidelines for markers) from a pre policy (2009–2011), post policy (2012–2013) and follow-up period (2018–2019) was undertaken. A qualitative content analysis of Māori examination questions was conducted with consideration of trends over time. Results: The majority (98%) of examination questions did not report ethnicity prior to the 2012 policy, whereas around 80% of cases did post policy implementation. Three themes were identified: the non-adherent Māori patient, determinants of health and the patient assigned Māori ethnicity. Examination questions and responses that portrayed Māori as being non-adherent were more common prior to the implementation of the policy. Post policy, many questions did not require students to consider the relevance of ethnicity but presented an increase in social and cultural contextual information of the patient over time. Conclusion: Policy implementation by the assessment committee led to less racist stereotyping and “othering” of Māori patients and prompted further refinement of social and cultural determinants of health over time. Future recommendations include increasing representation of Māori as a reflection of the increased burden of disease alongside representing intersectionality using other socio-cultural indicators.

Hidden curriculum in accounting education in the digital era: the evolution, role, controversies, challenges and implications

Hidden curriculum in accounting education in the digital era: the evolution, role, controversies, challenges and implications

Bioethics in integral training of professionals in the health area

Introduction: The integration of Bioethics in the training of professionals is introduced as a prevailing need today; Bioethics training in Latin America is in an initial stage and is not regular, therefore, the reasons why bioethics should be an integral part of the education of future professionals are explored, highlighting the benefits for both individuals and society in general. Objective: Place Bioethics in the integral training of professionals in the health area.Method: Research was carried out with a qualitative and descriptive approach, the analysis method of bibliographic and regulatory review was applied; the sources of information were: books, databases, meta search engines, repositories of doctoral theses and official government pages that compile documents and regulations. Results: A structure is presented to integrate Bioethics with the substantive functions of Higher Education Institutions; and at the same time, the fundamental contents of the Bioethics competence are proposed so that they are part of the professional training of undergraduate students of health majors in a transversal way throughout their student path, without leaving aside the importance of learning through the hidden curriculum. Conclusions: Institutions must integrate a Bioethics structure with consultative, preventive and decision-making functions that allow them to face problems or risks that are created in institutional dynamics.

Exploring the perceptions of senior medical students on gender and pain: a qualitative study of the interplay between formal and hidden curricula

ObjectiveExplore the perceptions of senior medical students on the relationship between gender and pain and examine how formal and hidden curricula in medical education shape their experiences.DesignWe conducted a cross-sectional...

Citizenship, Race and the Hidden Curriculum: A Review of David Gillborn's Article

Citizenship, Race and the Hidden Curriculum: A Review of David Gillborn's Article

Gifted Programming Identification Procedures: A Hidden Curriculum

Gifted Programming Identification Procedures: A Hidden Curriculum

Practical epistemology of history teachers and its relationship to normative injunctions

Over the past few decades, significant work has been done regarding the epistemic beliefs of history teachers. However, nuanced epistemic beliefs do not appear to manifest as regularly as may be expected in teaching practices (Wilke et al., 2022). While exploring the normative injunctions imposed in part by the hidden curriculum (Giroux & Penna, 1979), the “school form” (Barthes & Alpe, 2018), and the challenges that history teachers face, this article argues that explicit and implicit demands made on history teachers generate a form of practical epistemology, which goes beyond epistemological beliefs. While at times this appears at odds with their understanding of history as a discipline, it enables them to meet the diverse mandates and directives they encounter. We believe that the concept of practical epistemology (Gholami, 2017) provides avenues for reflection that deserve to be pursued. Lastly, regarding criterialist epistemology (Maggioni, VanSledright, & Alexander, 2009) and historical thinking (Seixas & Morton, 2013), we emphasize that they themselves could be subjected to a critical review by both students and teachers in their practice.

The social construction of time and its influence on medical education.

Few sociocultural constructs exist that are so deeply embedded in our daily lives and able to influence our thoughts, behaviours and interactions than time itself. Time spans all cultures, and yet many of us have not critically engaged with how time effects what we do, how we perceive and the ways in which we interact. As such, our relationship to time remains almost invisible running in the background nearly unnoticed until it is somehow brought into conscious awareness. In this paper, we draw on Levine's concepts of clock time and event time as different perspectives on time, demonstrating how they play out in medical education and clinical practice within the United States and Brazil. Clock time treats time as something external to our lives, fixed by the natural world and measured by clocks. Event time is conceptualised more flexibly, where the duration of activities depends on internal cues related to the flow and progression of events rather than strict schedules. By contrasting these differences, we hope to make visible the way that time influences our choices for educating physicians and provide a foundation for medical education to begin questioning how time is positioned, experienced and understood as a powerful force in the shaping of our profession. Additionally, we consider these perspectives within the concepts of Taylorism and Slow Medicine to better understand their links to medicine's formal and hidden curriculum in hopes of raising awareness and create new visions for medical education.

Redefining the Professional Identity of the Surgeon by Reflecting on Critical Incidents in London, United Kingdom

INTRODUCTION: Critical incidents are increasingly prevalent documented events in National Health Service (NHS) hospitals in the United Kingdom. Claims are made against the NHS in cases of medical negligence, with Obstetrics and Gynaecology accounting for 15% of the total claims, the second highest among all specialties.  OBJECTIVE: To understand the impact of critical incidents on the developing surgical identity of Obstetric and Gynaecological trainees in London, United Kingdom. METHODS: A Qualitative study using semi-structured styled interviews. The interviews were audio-recorded and subsequently transcribed. The data was then analysed. Six trainees, of specialist trainee level three to seven were interviewed separately. This consisted of five female and one male doctors. This is within the current gender ratio difference in London. RESULTS: Undergoing a critical incident was felt to be a traumatic experience for all trainees involved. The incident itself and its management by the department, hospital or deanery had a significant impact on the psycho-social well-being of the doctor involved. Critical incidents can negatively affect the professional development of the surgeon. Surgical identity is an area that appears to be in the hidden curriculum, however many trainees struggled to define what their surgical identity was and how it may have been affected. CONCLUSION: Critical incidents cause significant psycho-social distress for the developing surgeon. Surgical identity should be implicitly understood within medical education. This study highlights the urgent need for those writing medical curricula; both undergraduate and postgraduate to make the implicit explicit. Surgical identity discourse must be a priority for the new curriculum. Professionalism and an ability to endure the psychological stress caused by undergoing critical incidents is likely to be enhanced, by creating a strong sense of belonging within the surgical profession. The loss of the traditional apprenticeship model and its mentors must be considered within the new design.