Episode 33: Are the Origins of Stand up Racist? / The ‘Hidden Curriculum’ in Medicine

Doctor Vs Comedian

Today, Asif asks Ali about the controversial origins of stand up comedy (1:05). Ali explains that stand up comedy evolved from vaudeville and that vaudeville itself evolved from minstrel shows. With respect to minstrel shows, Ali specifically references Thomas Dartmouth Rice's blatantly racist song-and-dance number, "Jump Jim Crow". He also discusses how the Irish were surprisingly often complicit in performing in blackface. Ali then discusses the long term ramifications of the fact that stand up grew out of these racist shows. Then, Ali asks Asif about the ‘Hidden Curriculum’ in medicine (25:57). Asif contrasts the ‘Hidden Curriculum’ with both the formal and the ‘Informal Curriculum’ (on the job training). He then provides several examples of the ‘Hidden Curriculum’ in medical education. Then, Asif concludes by discussing ways to address the ‘Hidden Curriculum’. BONUS: Joe Everyman appears for the first time on the podcast!

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Show Notes:

• Probing Question: What are the roots of stand-up comedy?: https://news.psu.edu/story/141330/2008/09/12/research/probing-question-what-are-roots-stand-comedy
• Beyond curriculum reform: confronting medicine's hidden curriculum: https://pubmed.ncbi.nlm.nih.gov/9580717/
• Trash talk and childish pranks: Canadian study sheds light on the hidden culture of medicine: https://nationalpost.com/news/canada/trash-talk-and-childish-pranks-canadian-study-sheds-light-on-the-hidden-culture-of-medicine
• Opinion: Getting the diagnosis right isn't enough: https://edmontonjournal.com/news/national/opinion-getting-the-diagnosis-right-isnt-enough
• Observations of the hidden curriculum on a paediatrics tertiary care clinical teaching unit: https://pubmed.ncbi.nlm.nih.gov/30374218/
• The hidden and informal curriculum across the continuum of training: A cross-sectional qualitative study: https://www.tandfonline.com/doi/abs/10.3109/0142159X.2015.1073241?journalCode=imte20
• "What Do They Want Me To Say?" The hidden curriculum at work in the medical school selection process: a qualitative study: https://link.springer.com/article/10.1186/1472-6920-12-17
• Debiasing the hidden curriculum- Academic equality among medical specialties: https://www.cfp.ca/content/57/1/e26.short
• Longitudinal training models for entrusting students with independent patient care?: A systematic review: https://onlinelibrary.wiley.com/doi/full/10.1111/medu.14607
• Professional identity formation within longitudinal integrated clerkships: A scoping review: https://onlinelibrary.wiley.com/doi/abs/10.1111/medu.14461