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Flipping the hidden curriculum to transform pain education and culture

Though long-sought, transformation of pain management practice and culture has yet to be realized. We propose both a likely cause—entrenchment in a biomedical model of care that is observed and then replicated by trainees—and a solution: deliberately leveraging the hidden curriculum to instead imple...

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Autores principales: Mardian, Aram S., Villarroel, Lisa, Quist, Heidi E., Chang, Lynn E., Mintert, Jeffrey S., Su, Tiffany N., Dhanjal-Reddy, Amrita, Hanson, Eric R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10317194/
https://www.ncbi.nlm.nih.gov/pubmed/37404692
http://dx.doi.org/10.3389/fpain.2023.1197374
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author Mardian, Aram S.
Villarroel, Lisa
Quist, Heidi E.
Chang, Lynn E.
Mintert, Jeffrey S.
Su, Tiffany N.
Dhanjal-Reddy, Amrita
Hanson, Eric R.
author_facet Mardian, Aram S.
Villarroel, Lisa
Quist, Heidi E.
Chang, Lynn E.
Mintert, Jeffrey S.
Su, Tiffany N.
Dhanjal-Reddy, Amrita
Hanson, Eric R.
author_sort Mardian, Aram S.
collection PubMed
description Though long-sought, transformation of pain management practice and culture has yet to be realized. We propose both a likely cause—entrenchment in a biomedical model of care that is observed and then replicated by trainees—and a solution: deliberately leveraging the hidden curriculum to instead implement a sociopsychobiological (SPB) model of care. We make use of Implicit Bias Recognition and Management, a tool that helps teams to first recognize and “surface” whatever is implicit and to subsequently intervene to change whatever is found to be lacking. We describe how a practice might use iterations of recognition and intervention to move from a biomedical to a SPB model by providing examples from the Chronic Pain Wellness Center in the Phoenix Veterans Affairs Health Care System. As pain management practitioners and educators collectively leverage the hidden curriculum to provide care in the SPB model, we will not only positively transform our individual practices but also pain management as a whole.
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spelling pubmed-103171942023-07-04 Flipping the hidden curriculum to transform pain education and culture Mardian, Aram S. Villarroel, Lisa Quist, Heidi E. Chang, Lynn E. Mintert, Jeffrey S. Su, Tiffany N. Dhanjal-Reddy, Amrita Hanson, Eric R. Front Pain Res (Lausanne) Pain Research Though long-sought, transformation of pain management practice and culture has yet to be realized. We propose both a likely cause—entrenchment in a biomedical model of care that is observed and then replicated by trainees—and a solution: deliberately leveraging the hidden curriculum to instead implement a sociopsychobiological (SPB) model of care. We make use of Implicit Bias Recognition and Management, a tool that helps teams to first recognize and “surface” whatever is implicit and to subsequently intervene to change whatever is found to be lacking. We describe how a practice might use iterations of recognition and intervention to move from a biomedical to a SPB model by providing examples from the Chronic Pain Wellness Center in the Phoenix Veterans Affairs Health Care System. As pain management practitioners and educators collectively leverage the hidden curriculum to provide care in the SPB model, we will not only positively transform our individual practices but also pain management as a whole. Frontiers Media S.A. 2023-06-19 /pmc/articles/PMC10317194/ /pubmed/37404692 http://dx.doi.org/10.3389/fpain.2023.1197374 Text en © 2023 Mardian, Villarroel, Quist, Chang, Mintert, Su, Dhanjal-Reddy and Hanson. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pain Research
Mardian, Aram S.
Villarroel, Lisa
Quist, Heidi E.
Chang, Lynn E.
Mintert, Jeffrey S.
Su, Tiffany N.
Dhanjal-Reddy, Amrita
Hanson, Eric R.
Flipping the hidden curriculum to transform pain education and culture
title Flipping the hidden curriculum to transform pain education and culture
title_full Flipping the hidden curriculum to transform pain education and culture
title_fullStr Flipping the hidden curriculum to transform pain education and culture
title_full_unstemmed Flipping the hidden curriculum to transform pain education and culture
title_short Flipping the hidden curriculum to transform pain education and culture
title_sort flipping the hidden curriculum to transform pain education and culture
topic Pain Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10317194/
https://www.ncbi.nlm.nih.gov/pubmed/37404692
http://dx.doi.org/10.3389/fpain.2023.1197374
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