[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
For Reviewers::
Registration::
Contact us::
Site Facilities::
::
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
Registered in

AWT IMAGE

AWT IMAGE

..
Open Access Policy
..
:: Volume 9, Issue 2 (2017) ::
RME 2017, 9(2): 24-13 Back to browse issues page
Reflection in Medical Education: a Review of Concepts, Models, Principles and Methods of Teaching Reflection in Medical Education
M Rahimi, F Haghani *
Department of Medical Education, Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran , haghani@edc.mui.ac.ir
Abstract:   (8172 Views)
Introduction: Reflection is regarded as an integral and essential component of teaching and learning in health professions. Reflection is a controllable process and various educational strategies can be used to create and reinforce Reflection. Reflection makes rote learning become a deep and meaningful learning. Applying models and structured strategies of reflection contributes to reinforcement and creation of reflective thinking in clinical practices. This study was conducted with the aim of reviewing the concepts of reflection, reflection models and strategies and methods of teaching and creating reflection in medical education.
Methods: In this study, databases such as Science Direct, Ovid, PubMed, Sid and Magiran and Google Scholar search engine were searched using keywords such as: reflection; reflection teaching; reflection and medical education; reflection and clinical education. English papers published during (2000 to 2016) and Persian papers during (2006 to 2016) were retrieved. Finally 68 articles were obtained. After a two-step review, 32 articles were identified as relevant to the objectives of the study and were used in compiling the study.
Results: Reflection has been accepted as an important learning and teaching tool in higher education. Methods such as storytelling, group discussion, flash cards, portfolio and strategies including giving feedback and providing the proper conditions for written reflection can contribute to creation and reinforcement of reflection.
Conclusion: Teaching and reinforcing reflection in the learners is considered as educational requirements of health professions. The relations which exist among the ability of learners to reflect, critical thinking, problem solving, self-assessment, integration, theoretical and practical learnings, self-regulated learning as well lifelong learning have turned reflection into one of the essential components of training medical professions; Therefore, it is necessary to use various teaching methods to reinforcement and teaching of reflection.
 
Keywords: reflection, Reflective Thinking, teaching method, Metacognition
Full-Text [PDF 304 kb]   (4232 Downloads)    
Type of Study: review Article | Subject: Teaching Method
References
1. Ekelin M, Kvist LJ, Persson EK. Midwifery competence: Content in midwifery students׳ daily written reflections on clinical practice. Midwifery 2016; 32:7-13. [DOI:10.1016/j.midw.2015.10.004]
2. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Advances in health sciences education 2009; 14 (4): 595. [DOI:10.1007/s10459-007-9090-2]
3. Nguyen QD, Fernandez N, Karsenti T, Charlin B. What is reflection? A conceptual analysis of major definitions and a proposal of a five‐component model. Medical education 2014; 48 (12): 1176-89. [DOI:10.1111/medu.12583]
4. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Medical teacher 2009; 31(8):685-95. [DOI:10.1080/01421590903050374]
5. Ménard L, Ratnapalan S. Reflection in medicine. Canadian Family Physician 2013; 59 (1): 105-7.
6. Aronson L. Twelve tips for teaching reflection at all levels of medical education. Medical teacher 2011; 33 (3): 200-5. [DOI:10.3109/0142159X.2010.507714]
7. Wald HS, Davis SW, Reis SP, Monroe AD, Borkan JM. Reflecting on reflections: Enhancement of medical education curriculum with structured field notes and guided feedback. Academic Medicine 2009; 84 (7): 830-7. [DOI:10.1097/ACM.0b013e3181a8592f]
8. Adamson E, Dewar B. Compassionate Care: Student nurses' learning through reflection and the use of story. Nurse education in practice 2015; 15 (3):155-61. [DOI:10.1016/j.nepr.2014.08.002]
9. Quinton S, Smallbone T. Feeding forward: using feedback to promote student reflection and learning–a teaching model. Innovations in Education and Teaching International. 2010; 47 (1): 125-35. [DOI:10.1080/14703290903525911]
10. Person EK, Kvist LJ, Ekelin M. Analysis of midwifery students' written reflections to evaluate progression in learning during clinical practice at birthing units. Nurse education in practice 2015; 15 (2): 134-40. [DOI:10.1016/j.nepr.2015.01.010]
11. Grant AJ, Vermunt JD, Kinnersley P, Houston H. Exploring students' perceptions on the use of significant event analysis, as part of a portfolio assessment process in general practice, as a tool for learning how to use reflection in learning. BMC Medical Education 2007; 7 (1): 5. [DOI:10.1186/1472-6920-7-5]
12. Badri R.Fathi Azar Hosseini Nasab D. Moghadam M. The effect of reflection in action on critical thinking student-teachers in Tabriz Teacher training centers. Studies of Education and Psychology, Ferdowsi University of Mashhad 2010; 11 (1).189-210.
13. Moon JA. A handbook of reflective and experiential learning: Theory and practice. Psychology Press; 2004.
14. 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. Medical education 2012; 46 (8): 807-14. [DOI:10.1111/j.1365-2923.2012.04299.x]
15. Mamede S, Schmidt HG. The structure of reflective practice in medicine. Medical education 2004; 38 (12): 1302-8. [DOI:10.1111/j.1365-2929.2004.01917.x]
16. Muir F, Scott M, McConville K, Watson K, Behbehani K, Sukkar F. Taking the learning beyond the individual: how reflection informs change in practice. International journal of medical education 2014; 5:24. [DOI:10.5116/ijme.52ec.d21f]
17. Stronge JH. Evaluating teaching: A guide to current thinking and best practice. Corwin Press; 2005.
18. Plack MM, Greenberg L. The reflective practitioner: reaching for excellence in practice. Pediatrics 2005; 116 (6): 1546-52. [DOI:10.1542/peds.2005-0209]
19. Gray DE. Facilitating management learning developing critical reflection through reflective tools. Management learning 2007; 38 (5): 495-517. [DOI:10.1177/1350507607083204]
20. Koening JM, Zorn CR. Using storytelling as an approach to teaching and learning with diverse students. Journal of Nursing Education 2002; 41 (9): 393-9.
21. Lockyer J, Gondocz ST, Thivierge RL. Knowledge translation: the role and place of practice reflection. Journal of Continuing Education in the Health Professions 2004; 24 (1): 50-6. [DOI:10.1002/chp.1340240108]
22. Sobral DT. An appraisal of medical students' reflection-in-learning. MEDICAL EDUCATION-OXFORD- 2000; 34 (3): 182-7. [DOI:10.1046/j.1365-2923.2000.00473.x]
23. Plack MM, Driscoll M, Marquez M, Cuppernull L, Maring J, Greenberg L. Assessing reflective writing on a pediatric clerkship by using a modified Bloom's taxonomy. Ambulatory Pediatrics 2007; 7 (4): 285-91. [DOI:10.1016/j.ambp.2007.04.006]
24. Sobral DT. Medical students' mindset for reflective learning: A revalidation study of the reflection-in-learning scale. Advances in Health Sciences Education 2005; 10 (4): 303-14. [DOI:10.1007/s10459-005-8239-0]
25. Driessen EW, Van Tartwijk J, Overeem K, Vermunt JD, Van Der Vleuten CP. Conditions for successful reflective use of portfolios in undergraduate medical education. Medical education 2005; 39 (12): 1230-5. [DOI:10.1111/j.1365-2929.2005.02337.x]
26. Bolton G. Reflective practice: Writing and professional development. Sage publications; 2010.
27. Wanda D, Fowler C, Wilson V. Using flash cards to engage Indonesian nursing students in reflection on their practice. Nurse education today 2016; 38: 132-7. [DOI:10.1016/j.nedt.2015.11.029]
28. Seymour P, Watt M. The Professional Competencies Toolkit: teaching reflection with flash cards. Medical education 2015; 49 (5): 518-. [DOI:10.1111/medu.12718]
29. Schmidmaier R, Ebersbach R, Schiller M, Hege I, Holzer M, Fischer MR. Using electronic flashcards to promote learning in medical students: retesting versus restudying. Medical education 2011; 45 (11): 1101-10. [DOI:10.1111/j.1365-2923.2011.04043.x]
30. Bulman C, Lathlean J, Gobbi M. The process of teaching and learning about reflection: research insights from professional nurse education. Studies in Higher Education 2014; 39 (7): 1219-36. [DOI:10.1080/03075079.2013.777413]
31. Rahimi M, Ehsanpour S, Haghani F. The role of feedback in clinical education: Principles, strategies, and models. J Med Edu Dev 2016; 10 (4): 264-77.
32. Dehghani Z, Moattari M, Abaszadeh A, Bahreini M. The effect of reflection on clinical journalism on critical thinking skills of nursing students in Shiraz medical university. Nursing Collage of Shiraz University of Medical Sciences 2011 ;( 2): 17-23.
33. Abedini Z. Jafar Begloo E. Raeisi M. Dadkhah Tehrani T. Effectiveness of Reflection in Clinical Education: Nursing Students' Perspective. Iran Journal of Nursing (IJN) 2011; 24 (71): 74-82.
34. Dehghani Z, Moattari M, Abaszadeh A, Bahreini M. Effective reflection on clinical competency of nursing students. Journal of the Iranian Institute for Health Sciences Research 2013; 1 (12): 63-70.
35. Sandars J, Murray C. Digital storytelling for reflection in undergraduate medical education: a pilot study. Education for primary care 2009; 20 (6): 441-4. [DOI:10.1080/14739879.2009.11493832]
36. Lau AK, Chuk KC, Wei So WK. Reflective practice in clinical teaching. Nursing & health sciences 2002; 4 (4): 201-8. [DOI:10.1046/j.1442-2018.2002.00121.x]
Send email to the article author



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rahimi M, Haghani F. Reflection in Medical Education: a Review of Concepts, Models, Principles and Methods of Teaching Reflection in Medical Education. RME 2017; 9 (2) :24-13
URL: http://rme.gums.ac.ir/article-1-499-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 9, Issue 2 (2017) Back to browse issues page
پژوهش در آموزش علوم پزشکی Research in Medical Education