1. The ‘worthy’ patient: rethinking the ‘hidden curriculum’ in medical education.
- Author
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Higashi, RobinT., Tillack, Allison, Steinman, MichaelA., Johnston, C.Bree, and Harper, G.Michael
- Subjects
CURRICULUM evaluation ,EVALUATION of medical education ,ACADEMIC medical centers ,CONCEPTUAL structures ,ETHICS ,INTERVIEWING ,LABOR productivity ,MEDICAL students ,SCIENTIFIC observation ,PATIENT psychology ,PHYSICIAN-patient relations ,PHYSICIANS ,RESEARCH funding ,SOUND recordings ,STUDENT attitudes ,TIME ,ETHNOLOGY research ,DECISION making in clinical medicine ,NARRATIVES ,THEMATIC analysis - Abstract
This paper examines how physicians determine the quality and quantity of time to devote to each patient, and how these decisions are taught to physicians-in-training as part of the ‘hidden curriculum’ in medical education. The notion of moral economy is used to analyze how judgments of patient worth come to guide and influence interactions among physicians and physicians-in-training and patients, and how these interactions impact medical care. However, this paper also questions the notion of the hidden curriculum as a static or reified concept. Instead, the paper uses participant narratives to show how physicians-in-training are not simply passive recipients of the hidden curriculum but also actively resist judging patients based on perceptions of worth, even as they learn to operate within a moral economy of care. [ABSTRACT FROM PUBLISHER]
- Published
- 2013
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