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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. 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. 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. 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. 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.

Background The hidden curriculum encompasses the underlying values, norms, and behaviors conveyed indirectly through educational environments, significantly shaping medical students' professional adaptability. This study addresses the research gap in understanding the relationship between hidden curriculum components and professional adaptability among medical students at Jundishapur University of Medical Sciences. The innovation lies in quantifying this relationship using robust statistical methods. The objective was to evaluate how these hidden curriculum elements impact students' ability to adapt professionally. Methods This cross-sectional study involved 882 medical students, with a final sample size determined via Morgan's table, including 216 medical student during clerkship and 216 during internship,selected through census sampling. Data were collected using validated professional adaptability and hidden curriculum questionnaires and analyzed using Pearson correlation coefficients. Results Critical thinking showed the highest correlation with professional adaptability ( r  = 0.942, p  < 0.001), followed by teaching methods ( r  = 0.874, p  < 0.001). supportive environments ( r  = 0.809, p  < 0.001) and Student–teacher interactions ( r  = 0.781, p  < 0.001) also exhibited strong positive relationships. Other components, such as curriculum content and administrative structure, demonstrated moderate correlations. Conclusion These findings underscore the importance of the hidden curriculum in enhancing educational quality and professional training in medical education, highlighting the necessity for educators to integrate these elements consciously into their teaching strategies.

This paper draws from an institutionally-funded phenomenological study of international PhD students' academic acculturation, which focuses on the distinctive strengths, challenges, and hidden opportunities facing this cohort within the context of their transition from one academic culture to another. The first section introduces the theoretical base employed in the study and is then followed by exploring the conceptualisations of the hidden curriculum and its associated concepts: 'the third space' and 'darkness in higher education'. Drawing upon our study findings, the second section illustrates practical exemplars of finding and harnessing the hidden curriculum. Without discounting the wide range of formal and informal institutional support provisions designed to facilitate international PhD students' acculturation to a new academic setting, our study findings strongly endorse that students themselves have a crucial role to play in their complex transitional journey. Our study also offers a unique insight, i.e. if found, the hidden curriculum is an effective tool not only for international PhD students' coping and survival but even more importantly, in thriving in new societal and academic contexts.

Australian education policies increasingly value equity and diversity, but these policies are not necessarily implicitly supported through curriculum. This study explores the hidden curriculum in senior school Drama and Theatre Studies in the state of Victoria, through an equity audit of texts prescribed through each subject’s playlists, solos, and monologues between 2001/2002 and 2019. Data were collected and analysed on the ethnicities and genders of playwrights and creators, as well as the playlists’ theatre companies and theatres. The findings show that both Drama and Theatre Studies, but particularly Theatre Studies, significantly underrepresent women and culturally diverse playwrights and creators. Opportunities for change can be seen in the Drama playlists, which have achieved gender equity and are approaching equitable cultural diversity. I discuss these findings against four points of choice wherein key stakeholders might critically engage with issues of ethnicity and gender.

Objective. This systematic review’s purpose is to improve clarity for the meaning of patient-centered care in the JCPP Pharmacists’ Patient Care Process and to provide an initial foothold for faculty to address “hidden curricula” that undermine the concept. Our corresponding objectives were to identify and describe the conceptualizations defining patient-centered care from the pharmacy literature; and compare the meaning of patient-centeredness in the pharmacy literature with the construct’s seminal conceptualizations from other professional groups. Findings. The search protocol produced 61 unique sources from the pharmacy literature. More than two-thirds of these results lacked precise use of terminology consistent with the literature or operational depth or theoretical exploration of the term’s meaning. The remaining sources yielded two separate conceptualizations of patient-centeredness with three commonalities but key differences between their grounding in the construct’s seminal sources in the broader health care literature. Summary. The pharmacy literature clarifies the meaning of patient-centered care in the patient-pharmacist encounter, but additional understanding is needed at meso- (ie, health care) and macro-levels (ie, legislation, accreditation, payment, workforce dynamics) of care. This expansion of understanding may reduce dissonance between the formal and hidden curricula on patient-centeredness associated with health professional student disillusionment, contempt for faculty and institutions, and reductions in empathy and ethics. Increasing use of integrative case-based training, equitably blending patient-centeredness considerations with other curricular content, represents one strategy for reducing the presence and negative impact of hidden curricula.

The importance of professional skills teaching and assessment within veterinary education has recently been highlighted in the veterinary education literature. This academic discourse follows the acknowledgement by both veterinary employers and graduates themselves that new graduates often lack the professional skills and attitudes needed for success in clinical veterinary practice. Traditionally, veterinary curricula have focused solely on teaching content knowledge and clinical skills; however, veterinary education curricula clearly must also contain dedicated instruction in veterinary professionalism. This must include instruction in communication skills, emotional intelligence, cultural awareness, teamwork abilities, dispute resolution strategies and the awareness that multiple approaches may be required to resolve challenges. It has become unrealistic to expect students to rely on observation and role modelling to foster the development of professionalism. There is a need to incorporate explicit learning activities that reinforce the knowledge, attitudes, values, and behaviours that characterise veterinary professionalism. While role modelling remains a key aspect of the veterinary professionalism learning that takes place through the informal/hidden curriculum, many students have often had more experiences with negative role models than with positive ones. This can lead to the development of a tolerance or normalisation of negative behaviours and a decline in students’ perceptions of professionalism. This article aims to continue recent conversations on professional skills teaching within veterinary education, define what is meant by veterinary professionalism and consider the plethora of terminology used when trying to establish a definition, highlight those attributes of veterinary professionalism deemed important by veterinary stakeholders for career success and employability, and explore the challenges of incorporating the teaching and assessment of professional traits into veterinary education.

The hidden curriculum is considered to be between the designed and experienced curricula. One of the challenges that medical educators face is to understand what students learn in real clinical settings. The aim of the present study was to answer this question: What is hidden in hidden medical curriculum? This study was a qualitative content analysis. Participants were selected through purposive sampling. Data collection was performed through unstructured interviews and continued until data saturation. Data were analyzed simultaneously with data collection using MAXQDA10 software. Data validity was confirmed based on the proposed Lincoln and Guba criteria. The main theme that emerged in this study was implicit learning. Professional ethics, spiritual, social and cultural issues, and clinical skills are the five major themes that were presented in this study. These themes and their subthemes are transferred during an implicit learning experience in hidden curriculum. Since a wide range of issues are mostly transferred by hidden curriculum, it is essential to have a dynamic approach to educational environments. This is especially important in clinical settings, as the process of learning is constantly happening in the backyard.

Since 2001, the Chinese government had passed a series of policies known as 'the two primary responsibilities' to allow the rural migrant children to attend urban public schools. However, what the migrant children actually experienced in and after negotiating access to these schools deserves serious attention from educators, scholars and policymakers. Based on prolonged ethnographic fieldwork in a Beijing public school, this study demonstrated three key aspects of exclusions in migrant children's schooling experiences, namely, (1) access to school, (2) in-class participations and (3) peer interactions, and examined the 'hidden curriculum' in the existing school practices that prevented migrant children from integrating successfully in the urban school settings. We found that academic performance lay at the root of social exclusions, but the local educators' perceptions of migrant children as outsiders, the urban-oriented school curricular and urban children's involvement (vis-à-vis migrant children's little involvement) in the extracurricular activities at school as well as the paid supplementary trainings outside school together formed the 'hidden curriculum' that led to the marginalization of migrant students in the urban school system.

This essay aims to explore the theoretical limitations that hidden curricula—hidden normative values, beliefs, and knowledge that are often considered problematic—place on our understanding of teacher–pupil relationships. It applies Habermas’ theory of communicative action—synonymous with mutual understanding and predicated on his concept of the lifeworld—to analyse hidden curricula. It finds that hidden curricula limit teachers’ comprehension of teacher–pupil relationships dependent on pupils’ responses to teacher-level hidden curricula. Where they respond with compliance, pupils limit expressions of their subjectivity; conversely, where they reject teacher-level hidden curricula, pupils’ subjective lifeworlds are already disrupted by them. Both responses impede teachers’ understanding of teacher–pupil relationships. In addition, pupil-level hidden curricula, which are often asymmetrical and oriented in response to teacher-level hidden curricula, present another barrier to teachers unveiling hidden curricula and the subjectivities of teacher–pupil relationships. In effect, pupil-level hidden curricula render teachers ‘alone in a crowd’. Finally, I argue that systematically examining hidden curricula represents strategic action—communicative action’s counterpoint—and colonisation of pupils’ lifeworlds. While hidden curricula present significant theoretical limitations to understanding teacher–pupil relationships, teachers might use this as a ‘pedagogical hinge’, freeing them from the unknowable and uncontrollable to a more practical view of teacher–pupil relationships.

Teaching about spirituality and health is recommended by the American Association of Medical Colleges and partially implemented in some US medical schools as well as in some faculties of other countries. We systematically surveyed Medical School Associate Deans for Student Affairs (ADSAs) in three German-speaking countries, assessing both projects on and attitudes towards Spiritual Care (SC) and the extent to which it is addressed in undergraduate (UME), graduate (GME), and continuing (CME) medical education (in this article, UME is understood as the complete basic medical education equivalent to college and Medical School. GME refers to the time of residency). We executed a cross-sectional qualitative complete online-survey, addressing ADSAs of all accredited 46 medical schools in these countries. Anonymized responses could be analyzed from 25 (54.3%). No faculty provides a mandatory course exclusively dedicated to SC. Fourteen medical schools have UME courses or contents on SC, and 9 incorporate SC in mandatory classes addressing other topics. While most of the respondents indicate that spirituality is important for (a) the patients for coping and (b) for health care in general and thus, support the teaching of SC in UME, only half of them indicate a need for an SC curriculum in UME. Even if funding and training support were available, only a few of the respondents would agree to provide more of the sparse curricular time. A majority of the participating medical schools have curricular content on SC, predominantly in UME. However, most of the content is based on voluntary courses. Despite acknowledging its importance to patients, ADSAs and medical teachers are still reflecting on the divergences in patients' and doctors' spiritual orientations and its consequences for implementing spirituality into the medical education.