Evidence map›Paper›PMID 41257082›Full record

ReviewAdvances in medical education and practice2025

Effects of Hidden Curriculum on Medical Education and Strategies to Reshape Hidden Curriculum as a Curriculum Promotor - A Systematic Review.

Himayat Ullah, Sarwat Huma, Nafisa Tahir, Ghulam Yasin, Muhammad Ashraf, Hossam Shabana, Basant Mostafa Gabr, Mohammed Yunus, Junaid Sarfraz Khan

Abstract readReview
In one paragraph

Review in Advances in medical education and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. The Hidden Curriculum in the Postgraduate Psychiatry Trainee Program.Indian journal of psychological medicine · 2026
    Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Himayat UllahDepartment of Medicine, College of Medicine at Shaqra, Shaqra University, Shaqra, Saudi Arabia.ORCID 0000-0001-5533-4591
Sarwat HumaDepartment of Health Professions Education, Health Services Academy, Islamabad, Pakistan.
Nafisa TahirDepartment of Medicine, NUST School of Health Science, Islamabad, Pakistan.
Ghulam YasinDepartment of Medicine, College of Medicine at Shaqra, Shaqra University, Shaqra, Saudi Arabia.
Muhammad AshrafDepartment of Medicine, College of Medicine at Shaqra, Shaqra University, Shaqra, Saudi Arabia.
Hossam ShabanaDepartment of Medicine, College of Medicine at Shaqra, Shaqra University, Shaqra, Saudi Arabia.ORCID 0000-0003-1674-2722
Basant Mostafa GabrMedical Microbiology and Immunology, Faculty of Medicine, Tanta University, Tanta, Egypt.ORCID 0000-0002-3509-0347
Mohammed YunusDepartment of Pathology, Kabul University of Medical Sciences, Kabul, Afghanistan.ORCID 0009-0001-1258-044X
Junaid Sarfraz KhanDepartment of Health Professions Education, Health Services Academy, Islamabad, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The objective of this review is to analyze the hidden curriculum with respect to its potential as a curriculum promotor or inhibitor of medical curricula, and to review the strategies that can help make it one of the curriculum promotors. Data Sources: We searched PubMed, Cochrane Reviews, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) library, with Google Scholar for grey literature, using specified keywords with a time limit from January 2000 to December 2023. We included original articles, review articles and meta-analyses, book chapters, and books focusing on the hidden curriculum effects on curriculum. Data Extraction and Synthesis: Three different reviewers independently searched the relevant literature. The Best Evidence Medical Education (BEME) quality criteria were used to assess the quality, the Critical Appraisal Skills Program (CASP) checklists for risk of bias assessment, and the GRADE-CERQual framework for confidence of evidence in each article. Findings were synthesized by using thematic synthesis to identify promotive and inhibitory effects along with recommended strategies. Results: A total of 23 articles were selected for full review. These articles infer that the hidden curriculum can affect the medical curriculum in both negative and positive ways. A few of the curriculum-promoting effects of hidden curriculum are soft skills (interpersonal, communication, and professional behaviors often labelled as soft skills in the literature) and practical knowledge acquisition, cultural proficiency, moral growth, and professionalism. The negative or inhibitory effects include a detrimental learning environment, learning unprofessional and unethical practices, gender inequities, stress, and burnout. Strategies that should be adopted to overcome the inhibitory effects of the hidden curriculum include raising awareness among the stakeholders regarding the hidden curriculum, aligning the hidden curriculum with the intended curriculum, institutional and administrative policies, role modelling, and mentorship. Conclusion: Hidden Curriculum plays a very crucial role in medical education. By addressing its due importance, it can highly enhance the competence of future health professionals.

Indexed as

curriculum promotors and inhibitorshidden curriculumhidden curriculum in medical educationpositive and negative effects of hidden curriculum

Identifiers

PMID41257082
PMCPMC12622399

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.