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Reflecting on Reflections: Enhancement of Medical Education Curriculum With Structured Field Notes and Guided Feedback
Academic Medicine, 06/25/09

Wald HS et al. - The promotion of reflective capacity within the teaching of clinical skills and professionalism is posited as fostering the development of competent health practitioners. An innovative approach combines structured reflective writing by medical students and individualized faculty feedback to those students to augment instruction on reflective practice. A course for preclinical students at the Warren Alpert Medical School of Brown University, entitled Doctoring, combined reflective writing assignments (field notes) with instruction in clinical skills and professionalism and early clinical exposure in a small-group format...Qualitative analyses of students' evaluations yielded four themes of beneficial contributions to their learning experience: promoting deeper and more purposeful reflection, the value of (interdisciplinary) feedback, the enhancement of group process, and personal and professional development. Evaluation of the innovation was the fifth theme; some limitations are described, and suggestions for improvement are provided. Issues of the quality of the educational paradigm, generalizability, and sustainability are addressed.

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