Beyond curriculum reform: confronting medicine's professionalism and hidden curriculum
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Hidden curriculum is the set of unwritten social and interpersonal values, rules, assumptions, and expectations that are implicitly conveyed at the level of the organization. The personal development and "professionalization" of the student occurs through modelling, the medical school "culture", and the "hidden curriculum". The rapid explosion of new technologies in medicine, the instant availability to patients of up to date information via the internet, changes in patterns of care and the increasing legalization of medicine all call for a new physician contract with society. Notwithstanding the appropriate emphasis on professionalism in the curriculum there are disturbing data that students and medical students graduate with less moral sensitivity than when they started.