CRITICAL REFLECTION AND FEEDBACK FOR MEDICAL STUDENTS: A COMPARATIVE STUDY

https://doi.org/10.22146/jpki.35556

Imelda Ritunga(1*), Gandes Retno Rahayu(2), Yoyo Suhoyo(3)

(1) Magister Pendidikan Kedokteran, Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(2) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(3) Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta - INDONESIA
(*) Corresponding Author

Abstract


Background: The physician who reflects critically will interpret the experience, aware of its limitations, and will become life long learner. When implementing reflection learning in medical education, it is necessary to assess the ability of learners to help improve the ability of reflection. The objective of the research is to know the students 'reflection ability by giving feedback and different of reflection ability between intervention group and control group.

Method: Research using pre and post control group design. The subjects of the study were 62 students medical students of Faculty of Medicine UGM year II who had collected narrative reflection to Gamel (n = 176 students) and willing to participate, divided into 2 groups with simple random sampling. Intervention of treatment group are giving feedback based on the result of narrative reflection from Gamel followed by narrative reflection assignment. The subjects' narrative reflection was assessed using the REFLECT rubric, and analyzed by Wilcoxon and Mann-Whitney tests.

Results: The results showed that students' pre and post test reflection ability is in the reflection stage. Giving feedback once does not increase the ability from  reflection stage to the critical reflection stage. This result may be due to several things: critical reflection does not occur without significant / dramatic experience that shifts perspective resulting in transformative learning, feedback is given regularly, lack of trustworhty to instructors who are not university lecturers. Another result of a decrease in the ability of reflection in general after 6 months indicates the need to do reflection activity / assignment in each semester to maintain and improve the ability of reflection.

Conclusion: Increased reflection ability from reflection stage to critical reflection stage does not occur with single feedback. If reflection is not done regularly, it can cause a decrease in reflection ability.


Keywords


Reflection ability, Narrative reflection, Critical reflection, feedback

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References

  1. Wald HS, Borkan, JM, Taylor JS, Anthony 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.
  2. Koole S, Dornan T, Aper L, Weber B, Scherpbier A, Valcke M, Cohen-Schotanus J, Derese A. Factor confounding the assessment of reflection: a critical review. BMC Medical Education. 2011;11:104.
  3. Bolton G. Reflective practice: Writing and professional development. Sage publications. Los Angeles. 2010.
  4. Kember D, editor. Reflective teaching and learning in the health professions: Action research in professional education. John Wiley & Sons, New Jersey. 2008.
  5. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Advances in health sciences education. 2009; 14(4):595-621.
  6. Konsil Kedokteran Indonesia. Standar Kompetensi Dokter Indonesia. Jakarta. 2012.
  7. Shute VJ. Focus on Formative Feedback. Review of Educational Research. 2008; 78(1):153-89.
  8. Chretien K, Goldman E, Faselis C. The reflective writing class blog: using technology to promote reflection and professional development. Journal of general internal medicine. 2008; 23(12):2066-2070.
  9. Creswell  JW. Research Design. Qualitative, Quantitative, and Mixed Methods Approaches, Fourth Edition. Sage Publication. Los Angeles. 2014.
  10. Murti B. Validitas dan reliabilitas pengukuran dalam Matrikulasi Program studi Doktoral. Fakultas Kedokteran Universitas Negeri Solo. 2011.
  11. Gagne RM, Briggs LJ, Wager WW.Principle of Instructional Design. Harcout Brace Jovanovich College Publisher. Orlando. 1992.  

  12. Field A. Discovering statistic using IBM SPSS statistic. Fourth Edition. Sage. Los Angeles. 2013.
  13. Sugiyono, D. Metode Penelitian Kuantitatif dan Kualitatif dan R&D. Penerbit Alfabeta. Bandung. 2011
  14. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Medical teacher. 2009; 31(8):685-695.
  15. Sandars J, Murray C, Pellow W. Twelve tips for using digital storytelling to promote reflective learning by medical students. Medical teacher. 2008;30(8):774-749.
  16. Quinton S, Smallbone T. A feeding forward: using feedback to promote student reflection and learning a teaching model. Innovation Education and teaching International. 2010;47(1):125-135.
  17. Paget T. Reflective practice and clinical outcomes: Practitioners' view on how reflective practice has influenced their clinical practice. Journal of clinical nursing. 2001;10(2):204-214.
  18. Murdoch-Eaton D, Sargeant J. Maturational differences in undergraduate medical studens' perception about feedback. Medical education. 2012;46:711-721.
  19. Ramani S, Krackov SK. Twelve tips for giving feedback effectively  in the clinical environment. Medical teacher. 2012;34:787-791.
  20. O'Connel TS, Dyment JE. REflection on using journals in higher education: A focus group discussion with faculty. Assessment and evaluation in higher education. 2006;31(6):671-691.
  21. Fukude L, Bruce J. Journaling: a quasi eksperimental study of student nurses' reflective learning ability. 2003. Curationis diunduh dari http://curationis.org.za/index.php/curationis/article/viewFile/783/720 pada tanggal 2 juni 2017 di Yogyakarta.
  22. Aronson L. Twelve tips for teaching reflection at all levels of medical education. Medical teacher. 2011;33(3):200-205.
  23. O'Connel TS, Dyment JE. The quality of reflection in student journals: a review of limiting and enabling factors. Innovation High Education. 2010;35:233-244.
  24. O'Connel TS, Dyment JE. Journal writing is something we have to learn on our own. The result of focus group discussion with recreation students. A journal of leasure studies and recreation education. 2003.;18(1):23-8.
  25. Fisher K. Demiystifying critical reflection: Defining criteria for assessment. Higher education research and development. 2003;22(3):313-25.
  26. Schaub-de Jong MA, Schonrock-Adema J, Dekker H, Venkerk M, Cohen-Schotanus J. Development of student rating scale to evaluate teacher competencies for facilitating reflective learning. Medical education. 2011;45(2):155-165.
  27. Grant A, Kinnersley P, Metcalf E, Pill R, Houston H. Students' views of reflective learning techniques: an efficacy study at a  medical school. Medical Education. 2006;40(4):379-388.



DOI: https://doi.org/10.22146/jpki.35556

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