2009
DOI: 10.1097/acm.0b013e31819fba36
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A Qualitative Exploration of How the Conflict Between the Formal and Informal Curriculum Influences Student Values and Behaviors

Abstract: Students revealed that their conflict was connected to feelings of powerlessness, along with exacerbating factors including limited time, concerns about expectations for their behavior, and pessimism about change. Role modeling had a significant influence on consequences related to students' patient-centered values.

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Cited by 90 publications
(98 citation statements)
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“…In this regard, concerns have been raised that the process of enculturation during medical education works against the development of a patient-centred medical culture by encouraging detachment, self-interest and objectivity among students (Coulehan and Williams 2003). The concern is that some students might be able to resist the forces that undermine patient-centeredness, but others adopt a 'technical', 'non-reflective' (Coulehan and Williams 2003) or even cynically disengaged (White, Kumagai et al 2009) stance.…”
Section: Background and Rationalementioning
confidence: 99%
“…In this regard, concerns have been raised that the process of enculturation during medical education works against the development of a patient-centred medical culture by encouraging detachment, self-interest and objectivity among students (Coulehan and Williams 2003). The concern is that some students might be able to resist the forces that undermine patient-centeredness, but others adopt a 'technical', 'non-reflective' (Coulehan and Williams 2003) or even cynically disengaged (White, Kumagai et al 2009) stance.…”
Section: Background and Rationalementioning
confidence: 99%
“…This apparent resistance has been understood as stemming from "old-fashioned," paternalistic, clinical values (Gillespie, Florin, and Gillam 2004); from concerns about the resources required to, for example, spend more time talking to patients (Tufano, Ralston, and Martin 2008); from the perception that adopting a patientcentred ideology can threaten clinicians' sense of status in relation to patients and colleagues (O'Flynn and Britten 2006); and even from "cynical disengagement" on the part of students and doctors (Coulehan and Williams 2003;White et al 2009). We would argue that doctors' apparent resistance to patient-centred care, and other similar humanistic medical movements, might stem in part from a the perception that such movements are already consistent with current medical values and practice and that their formalisation into social movements, with the associated bureaucratic criticisms and demands, are yet another sign of managerial disrespect.…”
Section: The Effects Of Perceived Disrespectmentioning
confidence: 99%
“…al., 2010;Lempp & Seale, 2004;Livesey, 2005;Ozkartal, 2013Ozkartal, -2015White, et al, 2009). In addition, students are given national feelings and sentiments, national and moral values and the importance of these values through the implicit learning (Çavdarcı, 2002).…”
Section: Introductionmentioning
confidence: 99%