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. 2024 Nov 13;15(5):113–124. doi: 10.36834/cmej.78841

Table 2.

Summary of identified hidden curriculum assessment tools

Name of Tool Original Authors Target Demographic Development Method Domains Contents
Communication, Curriculum, and Culture (C3) Instrument Haidet, Kelly, and Chou
200543
Medical Students North America Literature review, group consensus using modified Delphi technique, focus groups with target group and psychometrician
  • Role modeling

  • Student experience

  • Course characteristics

  • Support for patient centered behaviours

  • Student perception of patient centeredness

29 items scored on either a 5- or 7-point Likert scale
Both positive and negative items
Implicit Curriculum Survey (ICS) Grady et al.
201140
Social Work Students North America Literature review and group consensus
  • Field placement

  • Academics

  • Community

  • Diversity

  • Faculty advising

  • Support services

67 quantitative items scored on a 5-point Likert scale, along with 15 qualitative items
Neutral items
N/A Billings et al.
20114
Internal Medicine Resident Physicians North America Partially used pre-existing Maslach Burnout Inventory, as well as literature review and focus groups
  • Burnout

  • Cynicism

  • Hidden curriculum

20 items scored on a 5-point Likert scale
Negative items only
Hidden Informal Curriculum Assessment Tool (HICAT) McGurgan, Carmody, and Tregonning
2015
Medical Students
Australia
Unknown (original publication not available) N/A 20 items scored on a 5-point Likert scale
10 positive and 10 negative items
N/A Smith and Castanelli
201544
Anesthesia Resident Physicians
Australia
Literature review, pilot with convenience group of trainees, focus group with academic physicians
  • Social atmosphere

  • Supervision

  • Workplace-based learning

  • Formal teaching

38 items scored on a 5-point Likert scale
Neutral items
Limited English Proficiency-Hidden Curriculum (LEP-HC) Green et al.
201847
Medical Students
North America
Based on thematic analysis conducted from prior semi-structured interviews
  • Role modeling

  • Structural factors

  • Learning environment

  • Organizational culture

23 items scored on a 5-point Likert scale
Vienna Hidden Curriculum (VHC) Ludwig et al.
201848
Medical Students
Europe
Literature review
  • Teaching and learning

  • Professionalism and communication

  • Hierarchy and integration

  • Social spheres and dignity/appreciation

40 items scored on a non-dichotomous ordinal scale ranging from -3 to +3
Neutral items
N/A Kaldjian et al.
201949
Medical Students, Resident Physicians, Faculty Physicians
North America
Content analysis on initial pilot survey using closed- and open-ended questions N/A 27 items scored on a 5-point Likert scale
Neutral items
Hidden Curriculum Evaluation Scale in Nursing Education (HCES-N) Akçakoca and Orgun
202145
Nursing Students
Asia
Literature review, group consensus between faculty members, pilot study with students
  • School atmosphere

  • Professional acquisitions

  • Student-teacher-school interaction

43 items scored on a 5-point Likert scale
Both positive and negative items