Saturday, December 1, 2012

Blog 10


In the final blog, I would like to gather all my thoughts (sheep) and get them to a safe place and close the gates just to allow time to integrate the thought, learning and application, thus fitting in with the metaphor of the sheepdog and wanders.

The whole process of transformational learning begins with oneself. In order to achieve a lasting impact on the students we need to embrace the value system we want the students to practice. In my past blogs I have looked into the various values and attitudes associated with being a successful physician. Anatomy educators with the other educators of the introductory module of medical education have a great impact on how medical education is perceived by the students. Critically reflective teaching practices adjust, modify and modulate teaching from year to year. The effect is that it naturally creates an atmosphere of educational flux. The educational flux generates a messy and yet structured learning environment. Structured enough so that the essence of the teaching is not overlooked; messy enough to be receptive to the voices of the students and the messy structure provides space to reflect themes of the hidden curriculum.

The mention of a hidden curriculum takes be back to the feedback I received from our profs, is there a need to have a hidden curriculum and how much of it should be hidden? Originally I did ask myself at several occasions why we need to keep this part of the curriculum hidden. The curriculum focuses on the cognitive domain and the hidden curriculum focuses on the affective and value domain. The hidden curriculum takes care of aligning the overall education plan in Medical Education as it related to the various levels of educations. These themes that are envisioned in the hidden curriculum are the pillars that support the structure and culture1 within the education system at an intentional level. What happens if we do not have these themes weaved into the system? I would think the each educator will be intentionally or unintentionally flavouring the learning environment with their own underlying culture that may or may not be in lines with that intended for medical education.

In class and by reading the blogs of my fellow classmates, I have realized that the power invested in the teacher is not only to explicitly meet the expectations of the curriculum but also to use the learning environment to build a relationship with the students. This relationship will serve as a “neuron” to transmit the stimuli that generate numerous connections; these connections will then be converted to effective and affective learning experiences. If we could provide opportunities where the students could reflect on the these learning experiences not only at a cognitive level but also at a critical thinking that enables deep learning; maybe, these very same value and culture would be practiced in their relationship with their patients2.
During the process of higher education we are involved in a deep way with influencing future leaders of the society.  This influence is often superficial and students often wonder why they needed to cover that particular concept in their curriculum. These concepts are intermingled with emotions evoked and the social and cultural issues the student relate to, whether it be positive or negative. Why not then use the limited time we as educators have with the students to at least create an awareness of attitudes and ethics that they could reflect on positively and come to embrace in their respective careers.

2.      Futurehealth.ucsf.edu/pdf_files/relationshipcentered.pdf

                                                                                                                

3 comments:

  1. Hi Anna, A thoughtful blog, as usual.
    Your hidden agenda discussion stimulated some thoughts about my identity as a scholarly teacher.
    Being human, in a holsitic sense, dictates that when we interact with others we leave them with an essence of ourselves. I believe that if a scholarly teacher wishes to leave the essence of a desire for life long learning, for knowing the truth, for a willingness to always be curious and seeking, then the essence we leave is a valuable one. This is what will come through in our hidden agenda, even if we don't overtly identify it.
    When you asked why we "need to keep this part of the curriculum hidden," my thought was that if we are truly honest with ourselves and have identified ourselves as honourable people, we don't have to. I believe that we simply should be aware of what one's hidden agenda is and not be ashamed of it, if it is overtly exposed, reveal or simply stated. That is a major part of identifying ourselves as scholarly teachers.

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  2. Hi Anna,
    I've enjoyed your weekly blogs and journey of self discovery. I read and appreciate Brenda's comment on your blog this week and have the following to offer.
    Are the hidden curriculum always evident to the instructor? A critically reflective instructor may be aware of some of the hidden curriculum but as we discovered in our review of our Monday night course, the students identified hidden curriculum that was different than what was identified by the instructors.
    I'm not really sure where that leaves us witht he ideas of hidden curriculum but perhaps as we transform as instructors, our hidden curriculum change, shift or morph into something different, unlike it's origins.
    Beth

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  3. Hi Anna,

    I liked your last statement because I also believe that (now) that values and attitudes do not necessarily have to be part of a hidden curriculum. Though I am a little conflicted because I think that there will always be some type of hidden curriculum unless we reach some amazing level of enlightenment and self knowledge.

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