ArticlePerspectives on medical education2020
Evidence-based medicine, shared decision making and the hidden curriculum: a qualitative content analysis.
Article in Perspectives on medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Integrating Shared Decision-Making into Undergraduate Oncology Education: A Pedagogical Framework.Journal of cancer education : the official journal of the American Association for Cancer Education · 2024Pooled it
- How defensive medicine is defined in European medical literature: a systematic review.BMJ open · 2022Pooled it
- Article
- Assessment of the learning environment among medical students at Tabuk University, Saudi Arabia: a cross-sectional study.Frontiers in medicine · 2026Article
- Article
- Defensive medicine through the lens of the managerial perspective: a literature review.BMC health services research · 2023Review
- What Do Students' Questionnaire Responses Tell Us about Their Language around Person-Centred Care? An Exploratory Sentiment Analysis.Healthcare (Basel, Switzerland) · 2023Article
- Undergraduate courses of evidence-based medicine in Peruvian medical schools: Characteristics and addressed topics.Heliyon · 2023Article
- Return of individual genomic research results within the PRAEGNANT multicenter registry study.Breast cancer research and treatment · 2023Article
- Shared Decision-Making: Some cautionary observations in the context of elite sport.Sports medicine - open · 2022Article
- Why do medical residents prefer paternalistic decision making? An interview study.BMC medical education · 2022Article
- A qualitative interview study of Australian physicians on defensive practice and low value care: "it's easier to talk about our fear of lawyers than to talk about our fear of looking bad in front of each other".BMC medical ethics · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMedical education should portray evidence-based medicine (EBM) and shared decision making (SDM) as central to patient care. However, misconceptions regarding EBM and SDM are common in clinical practice, and these biases might unintentionally be transmitted to medical trainees through a hidden curriculum. The current study explores how assumptions of EBM and SDM can be hidden in formal curriculum material such as PowerPoint slides.
methodsWe conducted a qualitative content analysis using a purposive sample of 18 PowerPoints on the management of upper respiratory tract infections. We identified concepts pertaining to decision making using theory-driven codes taken from the fields of EBM and SDM. We then re-analyzed the coded text using a constructivist latent thematic approach to develop a rich description of conceptualizations of decision making in relation to EBM and SDM frameworks.
resultsPowerPoint slides can relay a hidden curriculum, which can normalize: pathophysiological reasoning, unexplained variations in clinical care, the use of EBM mimics, defensive medicine, an unrealistic portrayal of benefits, and paternalism. DISCUSSION: Addressing the hidden curriculum in formal curricular material should be explored as a novel strategy to foster a positive attitude towards EBM and SDM and to improve patient outcomes by encouraging the use of these skills.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.