Stanek Agatha, Clarkin Chantalle, Bould M Dylan, Writer Hilary, Doja Asif
Faculty of Medicine, University of Ottawa, 451 Smyth Rd, Ottawa, ON, K1H 8M5, Canada.
Children's Hospital of Eastern Ontario, 401 Smyth Rd, Ottawa, ON, K1H 8L1, Canada.
BMC Med Educ. 2015 Sep 26;15:156. doi: 10.1186/s12909-015-0437-8.
The hidden curriculum represents influences occurring within the culture of medicine that indirectly alter medical professionals' interactions, beliefs and clinical practices throughout their training. One approach to increase medical student awareness of the hidden curriculum is to provide them with readily available examples of how it is enacted in medicine; as such the purpose of this study was to examine depictions of the hidden curriculum in popular medical television programs.
One full season of ER, Grey's Anatomy and Scrubs were selected for review. A summative content analysis was performed to ascertain the presence of depictions of the hidden curriculum, as well as to record the type, frequency and quality of examples. A second reviewer also viewed a random selection of episodes from each series to establish coding reliability.
The most prevalent themes across all television programs were: the hierarchical nature of medicine; challenges during transitional stages in medicine; the importance of role modeling; patient dehumanization; faking or overstating one's capabilities; unprofessionalism; the loss of idealism; and difficulties with work-life balance.
The hidden curriculum is frequently depicted in popular medical television shows. These examples of the hidden curriculum could serve as a valuable teaching resource in undergraduate medical programs.
隐性课程代表医学文化中发生的影响，这些影响在医学专业人员的整个培训过程中间接改变他们的互动、信念和临床实践。提高医学生对隐性课程认识的一种方法是为他们提供关于其在医学中如何体现的现成例子；因此，本研究的目的是考察热门医学电视节目中对隐性课程的描绘。
选取《急诊室的故事》《实习医生格蕾》和《我的实习医生生活》完整的一季进行审查。进行总结性内容分析，以确定隐性课程描绘的存在情况，并记录例子的类型、频率和质量。另一位审查员也随机观看了每个系列的部分剧集，以确定编码的可靠性。
所有电视节目中最普遍的主题是：医学的等级性质；医学过渡阶段的挑战；榜样的重要性；患者的非人性化；伪造或夸大自身能力；不专业；理想主义的丧失；以及工作与生活平衡的困难。
隐性课程在热门医学电视节目中经常被描绘。这些隐性课程的例子可作为本科医学课程中宝贵的教学资源。
