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医学教育中隐性课程的积极影响:一项范围综述

The Positive Influence of the Hidden Curriculum in Medical Education: A Scoping Review.

作者信息

Meyer Rhoda, Archer Elize, Smit Liezl

机构信息

Faculty of Medicine and Health Sciences, Department of Health Professions Education, University of Stellenbosch, Tygerberg, Parow, South Africa.

Faculty of Medicine and Health Sciences, Department of Paediatrics and Child Health, University of Stellenbosch, Tygerberg, Parow, South Africa.

出版信息

Med Sci Educ. 2025 Apr 11;35(3):1817-1826. doi: 10.1007/s40670-025-02380-1. eCollection 2025 Jun.

DOI:10.1007/s40670-025-02380-1
PMID:40625946
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12228870/
Abstract

The negative influence of the hidden curriculum in medical education is often foregrounded in the literature. This scoping review explores the positive influence of the hidden curriculum on medical student's learning, offering recommendations to harness its potential for teaching and learning. Following Arksey and O'Malley's six-stage review process, four themes were developed: positive role-modelling, supportive team environments, positive institutional culture, and navigating ambiguity. These factors shape the positive influences of the hidden curriculum, influencing students' implicit learning. By acknowledging the diverse aspects of the hidden curriculum, faculty and clinical teachers can prepare students to critically reflect on their learning experiences, recognizing the positive influences that enable learning and shape their identities as professionals.

摘要

医学教育中隐性课程的负面影响在文献中常常被凸显出来。本综述探讨了隐性课程对医学生学习的积极影响,并提出利用其教学潜力的建议。遵循阿克西和奥马利的六阶段综述过程,确定了四个主题:积极的榜样作用、支持性的团队环境、积极的机构文化以及应对不确定性。这些因素塑造了隐性课程的积极影响,影响着学生的隐性学习。通过认识到隐性课程的不同方面,教师和临床教师可以帮助学生批判性地反思他们的学习经历,认识到那些促进学习并塑造其专业身份的积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/4956c5f6afb0/40670_2025_2380_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/9361dd9f3c3a/40670_2025_2380_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/4bdf29ca6704/40670_2025_2380_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/4956c5f6afb0/40670_2025_2380_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/9361dd9f3c3a/40670_2025_2380_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/4bdf29ca6704/40670_2025_2380_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c3ce/12228870/4956c5f6afb0/40670_2025_2380_Fig3_HTML.jpg

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本文引用的文献

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JBI Evid Synth. 2023 Mar 1;21(3):520-532. doi: 10.11124/JBIES-22-00123.
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Scoping reviews: reinforcing and advancing the methodology and application.范围综述:加强和推进方法和应用。
Syst Rev. 2021 Oct 8;10(1):263. doi: 10.1186/s13643-021-01821-3.
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Students' and Faculty Perspectives Toward the Role and Value of the Hidden Curriculum in Undergraduate Medical Education: a Qualitative Study from Saudi Arabia.
学生和教师对本科医学教育中隐性课程的作用和价值的看法:来自沙特阿拉伯的一项定性研究。
Med Sci Educ. 2021 Apr 8;31(2):753-764. doi: 10.1007/s40670-021-01247-5. eCollection 2021 Apr.
4
Exploring the Hidden Curriculum's Impact on Medical Students: Professionalism, Identity Formation and the Need for Transparency.探索隐性课程对医学生的影响:职业素养、身份形成与透明度需求
Med Sci Educ. 2020 Jul 24;30(3):1107-1121. doi: 10.1007/s40670-020-01021-z. eCollection 2020 Sep.
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Medical Students' Attitudes toward Self-harm, and Curricular Influences on Attitude Development.医学生对自我伤害的态度以及课程对态度发展的影响。
Acad Psychiatry. 2022 Apr;46(2):194-201. doi: 10.1007/s40596-021-01436-9. Epub 2021 Mar 24.
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Analyzing the interaction of main components of hidden curriculum in medical education using interpretive structural modeling method.运用解释结构建模方法分析医学教育中隐性课程主要构成要素的相互作用。
BMC Med Educ. 2020 Jun 1;20(1):176. doi: 10.1186/s12909-020-02094-5.
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The informal curriculum of family medicine - what does it entail and how is it taught to residents? A systematic review.家庭医学的非正式课程——它包括哪些内容,以及如何向住院医师教授?系统评价。
BMC Fam Pract. 2020 Mar 11;21(1):49. doi: 10.1186/s12875-020-01120-1.
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Teaching the affective domain in community-based medical education: A scoping review.基于社区的医学教育中情感领域的教学:一项范围综述。
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Psychological safety, the hidden curriculum, and ambiguity in medicine.心理安全感、隐性课程与医学中的模糊性。
Clin Rheumatol. 2020 Mar;39(3):667-671. doi: 10.1007/s10067-019-04889-4. Epub 2020 Jan 4.
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