Evidence-based medicine, shared decision making and the hidden curriculum: a qualitative content analysis
| Autor: | Emélie Braschi, Dawn Stacey, France Légaré, Roland Grad, Douglas Archibald |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Medical education
Evidence-based medicine 020205 medical informatics Relation (database) Hidden curriculum Sample (statistics) 02 engineering and technology Education Defensive medicine Paternalism 03 medical and health sciences 0302 clinical medicine Content analysis 0202 electrical engineering electronic engineering information engineering Humans Original Article 030212 general & internal medicine Curriculum Psychology Decision Making Shared Shared decision making Education Medical Undergraduate |
| Zdroj: | Perspectives on Medical Education |
| ISSN: | 2212-277X 2212-2761 |
| Popis: | Introduction Medical 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. Methods We 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. Results PowerPoint 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. Electronic supplementary material The online version of this article (10.1007/s40037-020-00578-0) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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