Assessing commitment to reflection: perceptions of medical students

Authors

DOI:

https://doi.org/10.36834/cmej.74265

Abstract

Background: While developing reflection skills is considered important by educators, the assessment of these skills is often associated with unintended negative consequences. In the context of a mandatory longitudinal course that aims to promote the development of reflection on professional identity, we assessed students’ commitment to reflection. This study explores students’ perception of this assessment by their mentor.

Methods: We conducted a qualitative descriptive study using semi-structured interviews with twenty-one 1st and six 2nd year medical students. Thematic analysis was informed by Braun and Clarke’s six-step approach.

Results: We identified four main themes: 1- assessment as a motivator, 2- consequences on authenticity, 3- perception of inherent subjectivity, and 4 - relationship with the mentor.

Conclusions: In the context of assessing reflection skills in future physicians, we observed that students –when assessed on the process of reflection– experienced high motivation but were ambivalent on the question of authenticity. The subjectivity of the assessment as well as the relationship with their mentor also raises questions. Nevertheless, this assessment approach for reflective skills appears to be promising in terms of limiting the negative consequences of assessment.

Metrics

Metrics Loading ...

Author Biographies

Joanie Poirier, Sherbrooke University

PhD student in psychology, Department of psychology, Faculty of letters and human sciences, Université de Sherbrooke, Sherbrooke, Québec.

Kathleen Ouellet, Sherbrooke University

research coordinator, Centre de pédagogie et des sciences de la santé, Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Québec.

Valérie Désilets, Sherbrooke University

Associate Professor, Department of Pediatrics, Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Québec

Ann Graillon, Sherbrooke University

Associate Professor, Department of Pediatrics, Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Québec

Marianne Xhignesse, Sherbrooke University

full professor, Department of Family and Emergency Medicine, Faculty of medicine and health sciences, Université de Sherbrooke, Sherbrooke, Québec.

Christina St-Onge, Sherbrooke University

full professor, Department of Medicine, Faculty of medicine and health sciences, Université de Sherbrooke and holds the Paul Grand’Maison de la Société des médecins de l’Université de Sherbrooke research chair in medical education, Sherbrooke, Québec

References

Chaffey L, de Leeuw E, Finnigan G. Facilitating students’ reflective practice in a medical course: literature review. Educ Health. 2012;25(3):198. https://doi.org/10.4103/1357-6283.109787 DOI: https://doi.org/10.4103/1357-6283.109787

Quinn FM. Reflection and reflective practice. In: Davies C, Finlay L, Bullman A, editors. Changing Practice in Health and Social Care. London, UK: SAGE Publications Ltd; 2000. p. 81-90.

Harlen W, Deakin Crick R. Testing and motivation for learning. Assess Educ Princ Policy Pract. 2003;10(2):169-207. https://doi.org/10.1080/0969594032000121270 DOI: https://doi.org/10.1080/0969594032000121270

Hargreaves J. So how do you feel about that? Assessing reflective practice. Nurse Educ Today. 2004;24(3):196-201. https://doi.org/10.1016/j.nedt.2003.11.008 DOI: https://doi.org/10.1016/j.nedt.2003.11.008

Grant A, Kinnersley P, Metcalf E, Pill R, Houston H. Students’ views of reflective learning techniques: an efficacy study at a UK medical school. Med Educ. 2006;40(4):379-388. https://doi.org/10.1111/j.1365-2929.2006.02415.x DOI: https://doi.org/10.1111/j.1365-2929.2006.02415.x

Trede F, Smith M. Teaching reflective practice in practice settings: students’ perceptions of their clinical educators. Teach High Educ. 2012;17(5):615-627. https://doi.org/10.1080/13562517.2012.658558 DOI: https://doi.org/10.1080/13562517.2012.658558

Bulman C, Schutz S. Reflective Practice in Nursing. 4th ed. Oxford, UK: John Wiley & Sons; 2013.

Messick S. Standards of validity and the validity of standards in performance assessment. Educ Meas Issues Pract. 1995;14(4):5-8. https://doi.org/10.1111/j.1745-3992.1995.tb00881.x DOI: https://doi.org/10.1111/j.1745-3992.1995.tb00881.x

9American Educational Research Association., American Psychological Association., National Council on Measurement in Education., Joint Committee on Standards for Educational and Psychological Testing (U.S.). Standards for Educational and Psychological Testing. Washington, DC: American Educational Research Association; 2014.

Kolb D. Experiential learning: experience as the source of learning and development. Vol 1. Prentice-Hall; 1984.

Désilets V, Graillon A, Ouellet K, Xhignesse M, St-Onge C. Reflecting on professional identity in undergraduate medical education: implementation of a novel longitudinal course. Perspect Med Educ. 2021. https://doi.org/10.1007/s40037-021-00649-w DOI: https://doi.org/10.1007/S40037-021-00649-W

Varpio L, Martimianakis MA, Mylopoulos M. Qualitative research methodologies: embracing methodological borrowing, shifting and importing. In: Cleland J, Durning SJ, eds. Res Med Educ. Wiley Online Library; 2015. p. 245-256. Available from: https://doi.org/10.1002/9781118838983.ch21 DOI: https://doi.org/10.1002/9781118838983.ch21

Sandelowski M. What’s in a name? Qualitative description revisited. Res Nurs Health. 2010;33(1):77-84. https://doi.org/10.1002/nur.20362 DOI: https://doi.org/10.1002/nur.20362

Dedoose Version 8.2. Web application for managing, analyzing, and presenting qualitative and mixed method research data [Internet]. Los Angeles, CA: SocioCultural Research Consultants, LLC; 2018. Available from: www.dedoose.com

Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa

de la Croix A, Veen M. The reflective zombie: Problematizing the conceptual framework of reflection in medical education. Perspect Med Educ. 2018;7(6):394-400. https://doi.org/10.1007/s40037-018-0479-9 DOI: https://doi.org/10.1007/S40037-018-0479-9

Fragkos KC. Reflective practice in healthcare education: an umbrella review. Educ Sci. 2016;6(3):27. https://doi.org/10.3390/educsci6030027 DOI: https://doi.org/10.3390/educsci6030027

Law S. Using narratives to trigger reflection. Clin Teach. 2011;8(3):147-150. https://doi.org/10.1111/j.1743-498X.2011.00446.x DOI: https://doi.org/10.1111/j.1743-498X.2011.00446.x

Chambers S, Brosnan C, Hassell A. Introducing medical students to reflective practice. Educ Prim Care. 2011;22(2):100-105. https://doi.org/10.1080/14739879.2011.11493975 DOI: https://doi.org/10.1080/14739879.2011.11493975

Schaub‐de Jong MA, Schönrock‐Adema J, Dekker H, Verkerk M, Cohen‐Schotanus J. Development of a student rating scale to evaluate teachers’ competencies for facilitating reflective learning. Med Educ. 2011;45(2):155-165. https://doi.org/10.1111/j.1365-2923.2010.03774.x DOI: https://doi.org/10.1111/j.1365-2923.2010.03774.x

Downloads

Published

2023-08-08

How to Cite

1.
Poirier J, Ouellet K, Désilets V, Graillon A, Xhignesse M, St-Onge C. Assessing commitment to reflection: perceptions of medical students. Can. Med. Ed. J [Internet]. 2023 Aug. 8 [cited 2024 Nov. 21];14(4):105-11. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/74265

Issue

Section

Brief Reports

Most read articles by the same author(s)