What medicine teaches when it’s not teaching medicine: hidden curriculum and moral formation
Abstract
ABSTRACT Introduction: This theoretical essay analyzes the role of the hidden curriculum in the training of medical students, with emphasis on its effects on their moral and subjective constitution as future professionals. Widely discussed in recent decades in medical education, the hidden curriculum refers to implicit, non-formalized teachings that often contradict the official discourse of training. Development: Based on national and international literature, the essay explores how the daily life of medical schools conveys values, attitudes, and beliefs that shape students’ behavior and ethics. It discusses the tension between the formal curriculum—which frequently values holistic care and empathy, and the hidden curriculum, which may foster hierarchy, dehumanization, and competitiveness. Examples are drawn from academic reports. Conclusion: The essay argues that recognizing and problematizing the hidden curriculum is essential for a more ethical, critical, and equity-oriented medical education. Reflecting on what is taught without being explicitly taught is, in itself, a pedagogical and political gesture that can open paths toward more humane and transformative practice.
Fields of Study & Subjects
Innovations in Medical Education
Empathy and Medical Education
Medical Education and Admissions
Publication details
- Journal / source
- Revista Brasileira de Educação Médica
- Publisher
- FapUNIFESP (SciELO)
- Volume
- 50
- Issue
- 1
- Publication date
- 1 January 2026