Mastering the Hidden Curriculum

Medical students and residents are immersed in a busy world with unspoken expectations, invisible challenges, and other influences that comprise a hidden curriculum. This book provides a deeper understanding of this complex system, unique "insider" perspectives, and practical advice.

Dr. Vance Lehman obtained a Bachelor of Science in biochemistry and completed medical school at the University of Wisconsin-Madison. He then completed a radiology residency and neuroradiology fellowship at Mayo Clinic, Rochester, Minnesota. Dr. Lehman has been a consultant neuroradiologist at Mayo Clinic since 2012. He is currently an Associate Professor of Radiology, having authored or co-authored over 120 peer-reviewed academic research and educational articles. He has served as head of neuroradiology education (which oversees greater than 50 residents and 6-7 fellows per year, and medical students) at Mayo Clinic and has been a long-term member of the neuroradiology physician recruitment committee, amongst many other appointments. He recently received the 2024 Carman Excellence in Education Award from Mayo Clinic. Dr. Lehman's clinical practice focuses on innovative advanced imaging techniques and interventions, including minimally invasive MRI-guided neurointerventional/neurosurgical procedures in the brain, including MRI-guided focused ultrasound and laser interstitial thermal ablation. For these procedures, he works side-by-side with the Mayo Clinic neurosurgical faculty and trainees. On the innovation side, he spearheaded the first focused ultrasound program for refractory facet joint pain in the Unites States and established the intracranial vessel wall imaging program at Mayo Clinic. He is active in several radiology and interventional pain management professional societies, including serving frequently on key committees (educational, research, evidence-based medicine, meeting planning). He is frequently invited to speak at national and international venues. In his personal life, he is the proud spouse of an accomplished Mayo Clinic physician in dermatology/dermatopathology and enjoys raising their two daughters. He has a strong interest in personal health and fitness (frequently participating in half and full marathons, including the Boston Marathon) and other aspects of well-being.

Acknowledgments. Author Biography. Contributors. Abbreviations. Part I: Foundations. Chapter 1 Introduction. Chapter 2 The Hidden Curriculum. Chapter 3 Learning Medicine. Chapter 4 Medical Vocabulary. Chapter 5 Medical Decision-Making. Part II: Themes. Chapter 6 History. Chapter 7 Culture. Chapter 8 Hierarchy. Chapter 9 Conflict. Chapter 10 Change. Chapter 11 Psychology. Chapter 12 Gender-Related Topics. Chapter 13 Generational Trends. Chapter 14 Expectations. Chapter 15 Communication. Chapter 16 Professionalism. Chapter 17 Well-Being. Part III: Special Topics. Chapter 18 First-Generation Physicians. Chapter 19 Cadavers, Clinical Anatomy, and Autopsies. Chapter 20 White Coat Ceremonies and Oaths. Chapter 21 Compassion and Empathy. Chapter 22 Religion and Spirituality. Chapter 23 Organization, Productivity, and Habit. Chapter 24 Failure. Chapter 25 Medical Writing. Chapter 26 Research. Chapter 27 Statistics. Chapter 28 Evidence-Based Medicine. Chapter 29 Logical Fallacies and Cognitive Biases. Chapter 30 Social Media. Chapter 31 Leadership and Management. Chapter 32 Meetings, Workplace Politics, and Difficult People. Chapter 33 Mentors, Sponsors, and Role Models. Part IV: Clinical Rotations. Chapter 34 Introduction to Clinical Rotations. Chapter 35 Learning Strategies on Clinical Rotations. Chapter 36 Clinical Professionalism. Chapter 37 Teamwork. Chapter 38 Outpatient, Observational, and Visiting Rotations. Chapter 39 Inpatient Rotations. Chapter 40 Procedures. Chapter 41 Pathology and Radiology. Chapter 42 Social Determinants of Health. Chapter 43 Evaluations and Feedback. Chapter 44 Conferences, Medical Societies, and Industry. Chapter 45 Applying to Residency or Other Positions. Part V: Mastery. Chapter 46 Synthesizing the Hidden Curriculum. Chapter 47 Becoming an Expert. Chapter 48 Complexity, Connections, and Chaos. References. Index.