You are using an outdated browser. Please upgrade your browser to improve your experience.
Become a Fellow
ACP offers a number of resources to help members make sense of the MOC requirements and earn points.
Understanding MOC Requirements
Earn MOC points
The most comprehensive meeting in Internal Medicine.
April 11-13, 2019
Internal Medicine Meeting 2019
Prepare for the Certification and Maintenance of Certification (MOC)
Exam with an ACP review course.
Board Certification Review Courses
MOC Exam Prep Courses
Treating a patient? Researching a topic? Get answers now.
Visit AnnalsLearn More
Visit MKSAP 17 Learn More
Visit DynaMed Plus
Ensure payment and avoid policy violations. Plus, new resources to help you navigate the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Access helpful forms developed by a variety of sources for patient charts, logs, information sheets, office signs, and use by practice administration.
ACP advocates on behalf on internists and their patients on a number of timely issues. Learn about where ACP stands on the following areas:
© Copyright 2018 American College of Physicians. All Rights Reserved. 190 North Independence Mall West, Philadelphia, PA 19106-1572
Toll Free: (800) 523.1546 · Local: (215) 351.2400
Learners should not experience disconnects between what is taught and what is practiced by faculty
Philadelphia, February 27, 2018 –The formal curriculum of medical education must be reinforced and enhanced by the hidden curriculum conveyed in medical schools, residency programs, hospitals, clinics, and team rooms, the American College of Physicians (ACP) recommends in a new position paper published today in Annals of Internal Medicine.
Hidden curricula are cultural lessons learned that are not explicitly intended. Formal curricula are coursework and classroom lessons sanctioned by an institution.
“Medical education -- both in the classroom and at the bedside – must be consistent with medical ethics and professionalism,” said Dr. Jack Ende, MD, MACP, president, ACP. “Learners should not experience disconnects between what they are taught about ethics and professional behavior and what they see demonstrated by faculty and others.”
Seeing a primary care physician visit her hospital patient in the evening after clinic is a positive example of a hidden curriculum. Making disparaging comments about a patient who has frequent admissions is a negative example. Disrespect can also occur between clinicians, such as disparaging comments by academic physicians about nonacademic physicians or about a specialty.
ACP’s paper, “Hidden Curricula, Ethics, and Professionalism: Optimizing Clinical Learning Environments in Becoming and Being a Physician,” includes three position statements calling for the hidden curriculum to become a positive curriculum that aligns with the formal curriculum in which faculty and senior clinicians model empathy, encourage reflection and discussion of positive and negative behaviors in the training environment, and promote learner and clinician wellness.
The paper says the learning environment should foster respect, inquiry, and honesty and empower every individual, including learners, to raise concerns about ethics, professionalism, and care delivery. It is essential that teamwork and respect for colleagues be both taught and demonstrated.
The paper also encourages leaders to create and sustain a strong ethical culture by encouraging discussion of ethical concerns, making values in everyday decision-making explicit and embodying expectations of professionalism in which patient well-being is a core value.
For each position statement, ACP identifies challenges, opportunities, and strategies to identify and address discrepancies between values and actions to help align positive hidden curricula with formal curricula.
About the American College of Physicians
The American College of Physicians is the largest medical specialty organization in the United States with members in more than 145 countries worldwide. ACP membership includes 152,000 internal medicine physicians (internists), related subspecialists, and medical students. Internal medicine physicians are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. Follow ACP on Twitter and Facebook.
# # #