1. The Hidden Curriculum Friend or Foe for Educators in Patient Safety?

2. I have nothing to disclose… Cheryl Holmes MD FRCPC MHPE Clinical Associate Professor, Dept. of Medicine UBC Southern Medical Program

7. Potential Solutions: 1. Change the System

8. 2. Change the Doctors Potential Solutions:

9. 1. Change the System 2. Change the Doctors 3. Educate new Doctors to be different “We look with great hope at the possibility that the next generation of clinicians will get it” Graber 2009 Potential Solutions:

13. How do we train learners to resist adopting unsafe practices they encounter in the clinical environment?

14. Social Learning Theory Social Learning Theory Strongman Routine Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory

15. Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory Social Influence Theory Social Influence Theory

16. Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory Professional Identity Formation

17. Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory Experiential Learning Theory Experiential Learning Theory

18. Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory Reflective Practice Reflective Practice

19. Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformative Learning Theory Transformative Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory Transformative Learning Theory Transformative Learning Theory

20. How do we train learners to resist adopting unsafe practices they encounter in the clinical environment?

21. Choosing

22. ReflectingChoosing

23. NoticingReflectingChoosing

24. PrimingNoticingReflectingChoosing

25. PrimingNoticingReflectingChoosing Reflective Practice Reflective Practice Experiential Learning Theory Experiential Learning Theory Transformati ve Learning Theory Transformati ve Learning Theory Social Learning Theory Social Learning Theory Professional Identity Formation Social Influence Theory Social Influence Theory

26. Conclusions Q1: How do we train learners to resist adopting unsafe practices that they see in the clinical environment? A1: By enabling intentional selection of behaviors that validate and reinforce best medical identity

27. Conclusions PrimingNoticingReflectingChoosing A2: By developing and reinforcing reflective competencies during critical transitions Q2: How do we enable intentional choices in their new professional practice?

28. Glenn Regehr, PhD Associate Director, Research

29. Dr. Allan Jones Regional Associate Dean UBC Southern Medical Program

30. …the Students UBC Southern Medical Program

31. The Hidden Curriculum Friend or Foe for Educators in Patient Safety?