Pengembangan Model Pembelajaran Reflektif Untuk Program Studi Profesi Dokter: Enam Langkah Pembelajaran Reflektif Klinik

Eti Poncorini Pamungkasari(1*), Amitya Kumara(2), Armis Armis(3), Ova Emilia(4)

(1) Fakultas Kedokteran Universitas Sebelas Maret, Surakarta – INDONESIA
(2) Fakultas Psikologi Universitas Gadjah Mada, Yogyakarta – INDONESIA
(3) Fakultas Psikologi Universitas Gadjah Mada, Yogyakarta – INDONESIA
(4) Fakultas Psikologi Universitas Gadjah Mada, Yogyakarta – INDONESIA
(*) Corresponding Author


Background: Reflection is one of important skills to be possessed by medical professional, which should be developed while studying at medical faculty. In clinical stage of medical education in many medical schools in Indonesia, a reflection-learning model has not developed yet. This often make clinical teacher confuse, how to facilitate the reflection learning correctly.

Methods: We developed the reflection-learning model for clinical stage of medical education. The model development was started with a blueprint and a model’s draft development, which referred by reflection learning theory. The next step was a clinical teacher panel discussion and in-depth interviews of medical education experts. After these process, a reflective clinical learning model were developed and six clinical teachers were involved in the models’ trial. They adopted the model in their learning sessions. In-depth interviews were used to explore clinical teachers’ experience when they implemented the model.

Result: a six-step clinical reflection learning model developed, consists of (1) case selection, (2) case presentation, (3) self-evaluation, (4) peers’ feedback, (5) teachers’ feedback and (6) reflection writing. The implementation problem is that students and lectureres have not been accustomed to reflective learning and lecturers’ limitation of time.

Conclusion: This study shows that the six steps clinical reflection learning model could be used as an alternative learning method of reflection learning. However, in practice, both clinical teachers and students should have sufficient understanding about the model, and clinical teacher should provide sufficient time in the learning process.



Reflection learning, six steps clinical reflection learning model, clinical learning method

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1. Muir, F. The understanding and experience of students, tutors and educators regarding reflection in medical education: a qualitative study. International Journal of Medical Education. 2012; 1:61-7.

2. Mann K, Gordon J, Macleod A. Reflection and reflective practice in health professions education: A systematic review. Adv Health Sci Educ Theory Pract. 2007; 14:595–621.

3. Mendez, L, Neufeld, J. Clinical Reasoning. What Is It and Why Should I Care? CAOT Publication ACE: Canada; 2003.

4. Sandars, J. The use of reflection in medical education: AMEE Guide No. 44. Medical Teacher. 2009; 31: 685–95 5. Packman, M. Thematic Foreword: Reflective Practices: The Legacy of Donald Schon. Cybernetics & Human Knowing. 2000; 7(2-3): 5-8.

6. Brockbank, A, McGill, I. Facilitating Reflective Learning in Higher Education. Second Edition. Mc-Graw Hill: London; 2007.

7. Greenwood, H. The Role of Reflection in Single and Double Loop Learning. Journal of Advanced Nursing. 1998; Vol 27: 1048–53.

8. Farrel, TSC. Reflecting on Reflective Practice: (Re)Visiting Dewey and Schon. TESOL Journal. 2012; 3(1): 7-16.

9. Bernard, AW, Gorgas, D, Greenberfer, S, Jacques, A, Khandelwal, S. The Use of Reflection in Emergency Medicine Education. ACADEMIC EMERGENCY MEDICINE. 2012; 19 (8).

10. Ramani, S, Leinster, S. AMEE Guide no. 34: Teaching in The Clinical Environment. Medical Teacher. 2008; 30: 347–64.

11. Bansal, RK. Enhancing Education and Practice, Need for Strengthening of Internship (Rotatory Housemanship) Training in India. Education for Health. 2004; 17 (3): 332-8.

12. Tsai, T, Lin, C, Harasym PH, Violato, C. Students’ Perception on Medical Professionalism: the Psychometric Perspective. Medical Teacher. 2007;29 (2-3).

13. Hays, R. Teaching and Learning in Clinical Setting. London: Radcliffe Publishing Ltd; 2005.

14. Tan, SM, Ladyshewsky, RK, Gardner, P. Using Blogging to Promote Clinical Reasoning and Metacognition in Undergraduate Physiotherapy Fieldwork Programs. Australasian Journal of Educational Technology. 2010; 26(3): 355-68.

15. Sandi-Urena, GS. Design and Validation of a Multimethod Assessment of Metacognition and Study of the Effectiveness of Metacognitive Intervention [Dissertasion]. Clemson University; 2008.

16. Aronson, L. Twelve Tips for Teaching Reflection at All Levels of Medical Education. Medical Teacher. 2010; 1-6.

17. Irby, DM, Wilkerson, L. Teaching Rounds. Teaching When Time is Limited. BMJ. 2008; 336: 384-7.

18. Pinnock, R, Shulruf, B, Hawken, SJ, Henning, MA, Jones, R. Students’ and Teachers’ Perception of the Clinical Learning Environtment in Year 4 and 5 at the University of Auckland. NZMJ. 2011; 124 (1334): 63-70.

19. Neher, JO, Gordon, KC, Meyer, B, Stephen, N. A Five-steps of “Microskills” Model of Clinical Teaching. J Am Board Fam Pract. 1992; 5: 419-24.

20. Yu, T, Wilson, NC, Singh, PP, Lemanu, DP, Hawken, SJ, Hill, AG. Medical Students-as-Teachers: Systematic Review of Peer Assisted Teaching During Medical School. Advances in Medical Education and Practice. 2011; 2:157–72.

21. Branch, WT, Paranjape, A. Feedback and Reflection: Teaching Methods for Clinical Settings.Academic Medicine. 2002; 77(12): 1185-8.

22. Chowdhury, RR, Kalu, G. Learning to Give Feedback in Medical Education. The Obstetrician & Gynaecologist. 2004; 6:243–7.

23. Ramani, S, Krackov, SK. Twelve Tips for Giving Feedback Effectively in the Clinical Environment. Medical Teacher. 2012; 34: 787-91.

24. Henning, M, Krägeloh, C, Hawken, C, Zhao, Y, Doherty, I. Quality of Life and Motivation to Learn: A Study of Medical Students. Issues in Educational Research. 2010; 20(3): 244-56.

25. Spencer, J. Learning and Teaching in The Clinical Environment. BMJ. 2003;326: 591-4.


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