REFLECTION TO GUIDE MEDICAL STUDENTS’ SELFINTROSPECTION AND DEVELOPMENT: A QUALITATIVE REPORT

https://doi.org/10.22146/jpki.47540

Imelda Ritunga(1*), Etha Rambung(2)

(1) Ciputra University
(2) Department of Biomedic, Faculty of Medicine, Ciputra University, Surabaya – INDONESIA
(*) Corresponding Author

Abstract


Background: Reflection is needed by the doctor in interpreting his experience, realizing its limitations so that it will be lifelong learning. In medical learning, self reflection can motivate students to realize their limitations and learn better. The purpose of this study is to explore the experiences of students in reflection learning. Methods: the research method uses a qualitative type with the research subjects being 15 first-year medical students. Reflection is taught at the beginning of education and is practiced in innovation design courses by providing weekly writing self-reflection assignments. The experience of writing self reflection was explored through group interviews (FGD) and in-depth interviews. Open questions are given to students, the results of interviews are verbatim and coding. This study has obtained ethical clearance.

Results: the results of the study were divided into 5 themes: perception, self-awareness, future improvement, rules, and other. Participants expressed pleasure in self-reflection, useful for self-reflection, and future improvement. Future improvements vary from no change to the change in perspective and even change in action, which is more disciplined. Rules for a minimum number of words in self-reflection assignments are things are not fun to participants and can make writing blindly. The frequency of writing self-reflection carried out every week is felt to burden the participants. Other draw on participants' statements regarding activities to write reflections that are felt to be useful as part of learning as a writer.

Conclusion: learners' perceptions of reflection learning are fun and useful, but students complain about the rules for reflection assignments so design reflection should relevant and contextual.

 

 


Keywords


reflection, self reflection, written reflection, critical reflection.

Full Text:

PDF


References

  1. Frenk J, Chen L, Bhutta ZA, Cohen J, et al. Health Professionals for a New Century: Transforming Education to Strenghten Health System in an Independent World. www.thelancet.com. 2010. DOI:10.1016/S0140-6736(10)61854-5
  2. KKI. Standar Kompetensi Dokter Indonesia. Jakarta: KKI; 2012.
  3. Boud D, Keogh R, Walker D. Reflection: Turning experience into learning. London, England: Routledge; 1985.
  4. Menard L, Ratnapaland S. Reflection in Medicine Model and Application. Canada: Canadian Family Physician; 2013.
  5. Kember D (Eds). Reflective teaching and learning in the health professions: Action research in professional education. New Jersey: John Wiley & Sons; 2008.
  6. 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. 2010;84(7):830-7.
  7. Ryan M. Improving reflective writing in higher education: A social semiotic perspective. Teaching in Higher Education. 2010;16 (1):99‐111.
  8. Uygur J, Stuart E, DE Paor M, Wallace E, Duffy S, O’Shea M, Smith S, Pawlikowska T. A Best evidence in Medical Education Systematic review to determine the most effective teaching methods that develop reflection in medical students: BEME Guide No. 51. Medical Teacher. 2019:1-14. https://doi.org/10.1080/0142159X.2018.1505037
  9. Koole S, et al. Factor cofounding the assessment of reflection: a critical review. BMC Medical Education. 2011;11(104).
  10. Zainuddin M, et al. Melejitkan Soft Skills Peserta didik. Edisi 4. Surabaya: Airlangga University Press; 2014.
  11. Baxter P, Jack S. Qualitative Case Study Methodology: Study Design and Implementation for Novice Researchers. The Qualitative Report. 2008;13(4): 544-59. Retrieved from https://nsuworks.nova.edu/tqr/vol13/iss4/2
  12. Creswell JE. Research Design Qualitative, Quantitative, and Mixed Methods Approaches. Los Angeles: SAGE Publication; 2014, pp. 225-52.
  13. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systemic review. Adv in Health Sci Edu. 2009;14:595-621.
  14. Bolton G. Reflective practice: Writing and professional development. Los Angeles: Sage Publications; 2010
  15. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Medical Teacher. 2009; 31(8):685-95.
  16. McLeod GA, Barr J, Welch A. Best Practice for Teaching and Learning Strategies to Facilitate Student Reflection in Pre-Registration Health Professional Education: An Integrative Review. Creative Education. 2015;6:440-54.
  17. Dyment JE, O'Connel. The Quality of Reflection in Student Journals: A Review of Limiting and Enabling Factors. Innovation High Education. 2010;35:233-44.
  18. Wald HS, Borkan JM, Taylor JS, Antony D, Reis SP. Fostering and evaluating reflective capacity in medical education: Developing the REFLECT rubric for assessing reflective writing. Academic Medicine. 2012;87(1):41-50.
  19. Sobral DT. An appraisal of medical students’ reflection-in-learning. Med Educ. 2001;34(3):182-7.



DOI: https://doi.org/10.22146/jpki.47540

Article Metrics

Abstract views : 3424 | views : 3150

Refbacks

  • There are currently no refbacks.


Copyright (c) 2020 Imelda Ritunga, Etha Rambung

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Pendidikan Kedokteran Indonesia (The Indonesian Journal of Medical Education) indexed by: