Post on 18-Jul-2015
The Hidden Curriculum
Friend or Foe for Educators in Patient Safety?
I have nothing to disclose…
Cheryl Holmes MD FRCPC MHPE Clinical Associate Professor, Dept. of Medicine
UBC Southern Medical Program
Potential Solutions:
1. Change the System
1. Change the System
2. Change the Doctors
Potential Solutions:
1. Change the System
2. Change the Doctors
3. Educate new Doctors to be different
“We look with great hope at the possibility that the next
generation of clinicians will get it”
Graber 2009
Potential Solutions:
How do we train learners to resist adopting unsafe practices they encounter in the
clinical environment?
Social Learning Theory
Strongman Routine
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Social InfluenceTheory
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Professional Identity Formation
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Experiential LearningTheory
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Reflective Practice
Reflective Practice
Experiential LearningTheory
Transformative LearningTheory
Social Learning Theory
Professional Identity Formation
Social InfluenceTheory
Transformative LearningTheory
How do we train learners to resist adopting unsafe practices they encounter in the
clinical environment?
Choosing
Reflecting
Choosing
Noticing
Reflecting
Choosing
Priming
Noticing
Reflecting
Choosing
Priming
Noticing
Reflecting
Choosing
Reflective Practice Experiential
LearningTheory
Transformative Learning
Theory
Social Learning Theory
Professional Identity
Formation
Social Influence
Theory
Conclusions
Q1: How do we train learners to resist adopting unsafe practices that they see in the clinical environment?
A1: By enabling intentional selection of behaviors that validate and reinforce best medical identity
Conclusions
Priming
Noticing
Reflecting
Choosing
A2: By developing and reinforcing reflective competencies during critical transitions
Q2: How do we enable intentional choices in their new professional practice?
Glenn Regehr, PhDAssociate Director, Research
Dr. Allan JonesRegional Associate Dean
UBC Southern Medical Program
…the Students
UBC Southern Medical Program
The Hidden Curriculum
Friend or Foe for Educators in Patient Safety?