Hidden Curricula, Ethics, and Professionalism
Authors: Dinesh John, Tanya George
Journal: Annals of Internal Medicine (2018)

Letters18 September 2018Hidden Curricula, Ethics, and ProfessionalismDinesh John, MD, MMM, CPE, CPHQ and Tanya George, MDDinesh John, MD, MMM, CPE, CPHQSyracuse VA Medical Center, Syracuse, New York (D.J.)Search for more papers by this author and Tanya George, MDState University of New York Upstate Medical University, Syracuse, New York (T.G.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0350 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:I enjoyed Lehmann and colleagues' (1) position paper on the hidden curricula of lessons embedded in culture but believe that an opportunity was missed to emphasize a key facet of patient safety culture: error and near-miss reporting (2). If ethics and professionalism are considered the hidden curricula, I consider near-miss reporting to be in deep hiding. Attending physicians might pay lip service to this concept but seldom use it as a teachable moment for housestaff and medical students. Health care remains decades behind “high-reliability organizations,” for which near-miss reporting is a cornerstone of safety culture.I vividly ...References1. Lehmann LS, Sulmasy LS, Desai S; ACP Ethics, Professionalism and Human Rights Committee.. Hidden curricula, ethics, and professionalism: optimizing clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Ann Intern Med. 2018;168:506-8. [PMID: 29482210]. doi:10.7326/M17-2058 LinkGoogle Scholar2. Van Spall H, Kassam A, Tollefson TT. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. Curr Opin Otolaryngol Head Neck Surg. 2015;23:292-6. [PMID: 26126125] doi:10.1097/MOO.0000000000000177 CrossrefMedlineGoogle Scholar3. Makary MA, Daniel M. Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. [PMID: 27143499] doi:10.1136/bmj.i2139 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: Syracuse VA Medical Center, Syracuse, New York (D.J.)State University of New York Upstate Medical University, Syracuse, New York (T.G.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0350. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoHidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments in Becoming and Being a Physician: A Position Paper of the American College of Physicians Lisa Soleymani Lehmann , Lois Snyder Sulmasy , Sanjay Desai , and Hidden Curricula, Ethics, and Professionalism Lisa Soleymani Lehmann , Lois Snyder Sulmasy , and Sanjay Desai Hidden Curricula, Ethics, and Professionalism Mano Soshi and Yasuharu Tokuda Metrics 18 September 2018Volume 169, Issue 6Page: 425KeywordsDisclosureHealth careSafety ePublished: 18 September 2018 Issue Published: 18 September 2018 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...