Literature DB >> 22204704

Factors confounding the assessment of reflection: a critical review.

Sebastiaan Koole1, Tim Dornan, Leen Aper, Albert Scherpbier, Martin Valcke, Janke Cohen-Schotanus, Anselme Derese.   

Abstract

BACKGROUND: Reflection on experience is an increasingly critical part of professional development and lifelong learning. There is, however, continuing uncertainty about how best to put principle into practice, particularly as regards assessment. This article explores those uncertainties in order to find practical ways of assessing reflection. DISCUSSION: We critically review four problems: 1. Inconsistent definitions of reflection; 2. Lack of standards to determine (in)adequate reflection; 3. Factors that complicate assessment; 4. Internal and external contextual factors affecting the assessment of reflection.
SUMMARY: To address the problem of inconsistency, we identified processes that were common to a number of widely quoted theories and synthesised a model, which yielded six indicators that could be used in assessment instruments. We arrived at the conclusion that, until further progress has been made in defining standards, assessment must depend on developing and communicating local consensus between stakeholders (students, practitioners, teachers, supervisors, curriculum developers) about what is expected in exercises and formal tests. Major factors that complicate assessment are the subjective nature of reflection's content and the dependency on descriptions by persons being assessed about their reflection process, without any objective means of verification. To counter these validity threats, we suggest that assessment should focus on generic process skills rather than the subjective content of reflection and where possible to consider objective information about the triggering situation to verify described reflections. Finally, internal and external contextual factors such as motivation, instruction, character of assessment (formative or summative) and the ability of individual learning environments to stimulate reflection should be considered.

Entities:  

Mesh:

Year:  2011        PMID: 22204704      PMCID: PMC3268719          DOI: 10.1186/1472-6920-11-104

Source DB:  PubMed          Journal:  BMC Med Educ        ISSN: 1472-6920            Impact factor:   2.463


  42 in total

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3.  Appraising and assessing reflection in students' writing on a structured worksheet.

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4.  The structure of reflective practice in medicine.

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5.  Reflections on reflection.

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Journal:  Nurse Educ Today       Date:  2004-12-25       Impact factor: 3.442

6.  Conditions for successful reflective use of portfolios in undergraduate medical education.

Authors:  Erik W Driessen; Jan van Tartwijk; Karlijn Overeem; Jan D Vermunt; Cees P M van der Vleuten
Journal:  Med Educ       Date:  2005-12       Impact factor: 6.251

7.  Portfolio as a tool to stimulate teachers' reflections.

Authors:  Dineke E H Tigelaar; Diana H J M Dolmans; Willem S de Grave; Ineke H A P Wolfhagen; Cees P M van der Vleuten
Journal:  Med Teach       Date:  2006-05       Impact factor: 3.650

8.  The development of a scale to measure personal reflection in medical practice and education.

Authors:  Leo C Aukes; Jelle Geertsma; Janke Cohen-Schotanus; Rein P Zwierstra; Joris P J Slaets
Journal:  Med Teach       Date:  2007-03       Impact factor: 3.650

9.  How medical students demonstrate their professionalism when reflecting on experience.

Authors:  Amanda Howe; Ann Barrett; Sam Leinster
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10.  Assessing student reflection in medical practice. The development of an observer-rated instrument: reliability, validity and initial experiences.

Authors:  A D Boenink; A K Oderwald; P De Jonge; W Van Tilburg; J A Smal
Journal:  Med Educ       Date:  2004-04       Impact factor: 6.251

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  18 in total

1.  "Personal mission statement": An analysis of medical students' and general practitioners' reflections on personal beliefs, values and goals in life.

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2.  Teaching and Assessing Reflecting Skills among Undergraduate Medical Students Experiencing Research.

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3.  Recognizing Reflection: Computer-Assisted Analysis of First Year Medical Students' Reflective Writing.

Authors:  Caitlin D Hanlon; Emily M Frosch; Robert B Shochet; Simon J Buckingham Shum; Andrew Gibson; Harry R Goldberg
Journal:  Med Sci Educ       Date:  2020-10-27

4.  Facilitators and Barriers of Reflective Learning in Postgraduate Medical Education: A Narrative Review.

Authors:  C Gathu
Journal:  J Med Educ Curric Dev       Date:  2022-05-03

5.  Student Pharmacists' Use of Patient-Centered Communication Skills During an Introductory Pharmacy Practice Experience.

Authors:  Benjamin Teeter; Rachel Stafford; Nalin Payakachat; Jessica Reid; Kaci Thiessen; Amy Franks; Catherine O'Brien
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6.  Using video-cases to assess student reflection: development and validation of an instrument.

Authors:  Sebastiaan Koole; Tim Dornan; Leen Aper; Bram De Wever; Albert Scherpbier; Martin Valcke; Janke Cohen-Schotanus; Anselme Derese
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7.  Toward 'seeing' critically: a Bayesian analysis of the impacts of a critical pedagogy.

Authors:  Stella L Ng; Jeff Crukley; Ryan Brydges; Victoria Boyd; Adam Gavarkovs; Emilia Kangasjarvi; Sarah Wright; Kulamakan Kulasegaram; Farah Friesen; Nicole N Woods
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8.  The national portfolio for postgraduate family medicine training in South Africa: a descriptive study of acceptability, educational impact, and usefulness for assessment.

Authors:  Louis Jenkins; Bob Mash; Anselme Derese
Journal:  BMC Med Educ       Date:  2013-07-25       Impact factor: 2.463

9.  The national portfolio of learning for postgraduate family medicine training in South Africa: experiences of registrars and supervisors in clinical practice.

Authors:  Louis Jenkins; Bob Mash; Anselme Derese
Journal:  BMC Med Educ       Date:  2013-11-08       Impact factor: 2.463

10.  Does reflection have an effect upon case-solving abilities of undergraduate medical students?

Authors:  Sebastiaan Koole; Tim Dornan; Leen Aper; Albert Scherpbier; Martin Valcke; Janke Cohen-Schotanus; Anselme Derese
Journal:  BMC Med Educ       Date:  2012-08-13       Impact factor: 2.463

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