ArticleMedical science educator2025
The Hidden Curriculum in Which Medical Students Learn to Understand and Manage Unprofessional Behaviour: A Qualitative Interview Study.
Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Changes in medical students' perceptions of ethical climate during their medical training: a follow-up study of a student cohort.BMC medical education · 2026Article
- Bias and discrimination in healthcare through the eyes of future professionals: a qualitative study of student observations.BMC medical education · 2026Article
- From awareness to agency: a Freirean analysis of critical consciousness and social justice among international medical students in the UK.Frontiers in medicine · 2026Article
- A four-step implementation framework for professionalism competency in undergraduate medical education.Frontiers in medicine · 2026Article
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Authors and funding
6 authors.
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Abstract
Objectives: Medical students frequently experience unprofessional behaviours (e.g. incivility, bullying), adversely impacting personal and professional development. Formal reporting is rare, suggesting students manage unprofessional behaviour through alternate means. This study investigated the role of a hidden curriculum in medical students' understanding and management of unprofessional behaviours in medical education. Design: Third-year medical students were recruited from an Australian medical school. Semi-structured interviews were conducted, and thematic analysis was performed to identify themes in how unprofessional behaviour is experienced and managed. Results: All 17 participants had experienced unprofessional behaviour, and most had witnessed it directed at others. Only two participants reported these experiences. Four themes were identified. (1) Students rationalised whether an incident was reportable based on Conclusions: A hidden curriculum was identified whereby students learn to understand and respond to unprofessional behaviour based on their experiences at medical school. The culture of tolerance of unprofessional behaviour and silence in medicine must be addressed if change is to occur. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-024-02208-4.
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