DOI QR코드

DOI QR Code

Analysis of Students' Reflective Journals on Medical Communication Role Plays

의료면담 역할극 사례의 학습자 성찰일지 분석

  • Kim, Young Jon (Department of Medical Education, Wonkwang University School of Medicine) ;
  • Lee, Seung Hyun (Department of Pediatrics, Wonkwang University School of Medicine) ;
  • Yoo, Hyo Hyun (Department of Medical Education, Chonbuk National University School of Medicine)
  • 김영전 (원광대학교 의과대학 의학교육학교실) ;
  • 이승현 (원광대학교 의과대학 소아청소년과) ;
  • 유효현 (전북대학교 의과대학 의학교육학교실)
  • Received : 2017.06.26
  • Accepted : 2017.10.17
  • Published : 2017.10.31

Abstract

This study explores the phenomenon of learner reflection in writing. Sixty-nine reflection logs were submitted by students after medical interview role plays. Using thematic analysis methodology, the following three steps were carried out: (1) the entire contents of the logs were analyzed and coded, (2) the coded contents were reclassified and categorized into higher themes, and (3) all reflection logs were re-analyzed to derive the frequency according to their classifications. The learners' reflection contents were classified into 'preparation,' 'experience,' and 'future plan.' The levels of reflection were 'simple information and appreciation,' 'acquisition and application of knowledge,' and 'analysis and criticism.' The types of reflection were identified only at the level of 'analysis and criticism' and could be classified into 'relativization,' 'objectification,' and 'internalization.' Students' reflection levels were highest in the levels of 'acquisition and application of knowledge' (49.3%), and 'analysis and criticism' (37.7%). A total of 14.5% of the students showed 'internalization.' In order to enable internalized reflection at a critical level, instructional strategies to induce and promote reflection are needed.

Keywords

References

  1. Shapiro J, Kasman D, Shafer A. Words and wards: a model of reflective writing and its uses in medical education. J Med Humanit. 2006;27(4):231-44. https://doi.org/10.1007/s10912-006-9020-y
  2. Song P, Stewart R. Reflective writing in medical education. Med Teach. 2012;34(11):955-6. https://doi.org/10.3109/0142159X.2012.716552
  3. 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. Acad Med. 2009;84(7):830-7. https://doi.org/10.1097/ACM.0b013e3181a8592f
  4. Wald HS, Reis SP. Beyond the margins: reflective writing and development of reflective capacity in medical education. J Gen Intern Med. 2010; 25(7):746-9. https://doi.org/10.1007/s11606-010-1347-4
  5. Hwang SY, Jang KS. Perception about problem-based learning in reflective journals among undergraduate nursing students. Taehan Kanho Hakhoe Chi. 2005;35(1):65-76.
  6. Chae SJ, Shin JS, Eun HC, Lee YS. A study on the use of reflective journals in problem based learning. Korean J Med Educ. 2002;14(2): 157-64. https://doi.org/10.3946/kjme.2002.14.2.157
  7. Chretien K, Goldman E, Faselis C. The reflective writing class blog: using technology to promote reflection and professional development. J Gen Intern Med. 2008;23(12):2066-70. https://doi.org/10.1007/s11606-008-0796-5
  8. Gordon J. Assessing students' personal and professional development using portfolios and interviews. Med Educ. 2003;37(4):335-40. https://doi.org/10.1046/j.1365-2923.2003.01475.x
  9. Pee B, Woodman T, Fry H, Davenport ES. Appraising and assessing reflection in students' writing on a structured worksheet. Med Educ. 2002;36(6):575-85. https://doi.org/10.1046/j.1365-2923.2002.01227.x
  10. Chang S, Park I, Kee C. An analysis of reflection level in terms of the reflection style and the grades in PBL (problem-based learning) of medical school: focused on critical reflection. J Educ Technol. 2010;26(1):145-84. https://doi.org/10.17232/KSET.26.1.145
  11. Mezirow J. Fostering critical reflection in adulthood: a guide to transformative and emancipatory learning. San Francisco (CA): Jossey-Bass; 1990.
  12. Harris M. Scaffolding reflective journal writing - negotiating power, play and position. Nurse Educ Today. 2008;28(3):314-26. https://doi.org/10.1016/j.nedt.2007.06.006
  13. Smith J. Critical perspectives on educational leadership. London: The Falmer Press; 1989.

Cited by

  1. A case study on evaluation of team-based learning effectiveness in clinical dental hygiene vol.43, pp.1, 2019, https://doi.org/10.11149/jkaoh.2019.43.1.33
  2. 경험학습이론의 의학교육에의 적용 vol.22, pp.2, 2017, https://doi.org/10.17496/kmer.2020.22.2.93