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Reflection is a key element in learning from experience, but the impact of most programmes of reflection on daily practice remains unclear. We investigated students’ perceptions of adding a daily written reflection assignment to a clinical rotation.
Third-year medical students on a single two-week rotation completed daily reflections analyzing their performance. Programme evaluation used a 33-question anonymized survey. Quantitative data were summarized and qualitative responses coded for recurring themes.
Twenty-six students completed the survey (90 % response rate). Eighty-five percent of students felt that the daily reflections had a positive impact on their learning from clinical experience. Seventy-seven percent of students reported that the programme changed their awareness of their thoughts and actions, and 80 % felt that it improved their recall of experiences. A greater sense of mindfulness and focus on self-improvement were major themes that emerge from students’ descriptions of the role of daily reflections in their learning.
Overall, daily reflections demonstrated a positive learning influence. This exploratory study suggests students may benefit from more frequent, short reflections as opposed to more typically spaced reflective assignments.
Dornan T, Boshuizen H, King N, Scherpbier A. Experience-based learning: a model linking the processes and outcomes of medical students’ workplace learning. Med Educ. 2007;41:84–91. CrossRef
Kolb DA, Boyatzis RE, Mainemelis C. Experiential learning theory: previous research and new directions. In: Sternberg RJ, Zhang LF, editors. Perspectives on cognitive, learning, and thinking styles. Mahwah: Lawrence Erlbaum; 2000. pp. 227–48.
Miettinen R. The concept of experiential learning and John Dewey’s theory of reflective thought and action. Intern J Lifelong Educ. 2000;19:54–72. CrossRef
Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv Health Sci Educ. 2009;14:595–621. CrossRef
Ng SL, Kinsella EA, Friesen F, Hodges B. Reclaiming the theoretical orientation to reflection in medical education research: A critical narrative review. Med Educ. 2015;49:461–75. CrossRef
Schön D. The reflective practitioner. New York: Basic Books; 1983.
Schön D. Educating the reflective practitioner. San Francisco: Jossey-Bass; 1987.
Moulton CE, Regehr G, Mylopoulos M, MacRae HM. Slowing down when you should: a new model of expert judgment. Acad Med. 2007;82:S109–S116. CrossRef
Eva KW, Regehr G. Exploring the divergence between self-assessment and self-monitoring. Adv Health Sci Educ. 2011;16:311–29. CrossRef
Zimmerman BJ, Schunk DH. Self-regulated learning and performance. In: Zimmerman BJ, Schunk DH, editors. Handbook of Self-Regulation of Learning and Performance. New York: Routledge; 2011. pp. 1–12.
Artino AR, Cleary TJ, Dong T, Hemmer PA, Durning SJ. Exploring clinical reasoning in novices: a self-regulated learning microanalytic assessment approach. Med Educ. 2014;48:280–91. CrossRef
Larsen DP, Butler AC, Roediger HL. Test-enhanced learning in medical education. Med Educ. 2008;42:959–66. CrossRef
Larsen DP, Butler AC. Test-enhanced learning. In: Walsh K, editor. Oxford textbook of medical education. Oxford: Oxford University Press; 2013. pp. 443–52.
Persson EK, Kvist LJ, Ekelin M. Analysis of midwifery students’ written reflections to evaluate progression in learning during clinical practice at birthing units. Nurse Educ Pract. 2015;15:134–40. CrossRef
Hsieh H‑F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15:1277–88. CrossRef
Mishra J, Gazzaley A. Closed-loop cognition: the next frontier arrives. Trends Cogn Sci. 2015;19:242–3. CrossRef
Goff LM, Roediger HL III. Imagination inflation for action events: repeated imaginings lead to illusory recollections. Mem Cognit. 1998;26:20–33. CrossRef
Lockspeiser TM, Li ST, Burke AE, et al. In pursuit of meaningful use of learning goals in residency: a qualitative study of pediatric residents. Acad Med. 2016;91:839–46. CrossRef
Tolsgaard MG, Arendrup H, Pedersen P, Ringsted C. Feasibility of self-directed learning in clerkships. Med Teach. 2013;35:e1409–e1415. CrossRef
Aronson L, Niehaus B, Hill-Sakurai L, Lai C, O’Sullivan PS. A comparison of two methods of teaching reflective ability in Year 3 medical students. Med Educ. 2012;46:807–14. CrossRef
- Using reflection to influence practice: student perceptions of daily reflection in clinical education
Douglas P. Larsen
Daniel A. London
Amanda R. Emke
- Bohn Stafleu van Loghum