Enhancing Depth of Reflection of Family Medicine Residents: Results of an Intervention
The ability to reflect in professional practice is the cornerstone of self-directed learning. Reflective practice in medicine is an important teaching-learning modality for improving decision-making and clinical reasoning. It is a strategy for self-regulation of clinical and academic performance....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Liaquat National Hospital and Medical College
2021-06-01
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| Series: | Liaquat National Journal of Primary Care |
| Subjects: | |
| Online Access: | https://journals.lnh.edu.pk/lnjpc/pdf/36789573-c2a4-472c-8440-b8e41d83d215.pdf |
| Summary: | The ability to reflect in professional practice is the cornerstone of self-directed learning. Reflective practice in medicine is an important
teaching-learning modality for improving decision-making and clinical reasoning. It is a strategy for self-regulation of clinical and
academic performance. This study was undertaken with the aim of improving the reflective ability skills of family medicine residents
through the introduction of reflective practice at Aga Khan University. This was a case study using a pre-post design. A questionnaire
was administered to assess the baseline level of reflection in family medicine residents, followed by a workshop on reflective practice
to orient residents about the process and levels of reflection. Residents were asked to document reflective logs on a blog, feedback
was provided. Post-intervention data were collected by re-administration of the questionnaire to assess the change in the reflective
level. Pre-post questionnaire data were analysed for comparisons using the Wilcoxin Sign Rank test on SPSS version 19. Out of 15
eligible residents, a total of 13 residents were available during the study period. In a pre-intervention questionnaire, reflective levels
across the domains indicated that residents used reflection 50% of the time which increased post-intervention to more than 80% of the
time. The degree of pre-post difference was lowest in the ‘Habitual Action Domain’ and largest in the domains of ‘Reflection’ and
‘Critical Reflection’ (4.1-4.8 and 3.8-4.5). Reflective practice is an effective strategy to develop residents as reflective thinkers by
increasing their depth of reflection. Facilitation of their reflection through feedback enhances their ability to reflect. |
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| ISSN: | 2707-3521 2708-9134 |