Factors confounding the assessment of reflection: a critical review

被引:92
作者
Koole, Sebastiaan [1 ]
Dornan, Tim [2 ]
Aper, Leen [1 ]
Scherpbier, Albert [3 ]
Valcke, Martin [4 ]
Cohen-Schotanus, Janke [5 ,6 ]
Derese, Anselme [1 ]
机构
[1] Univ Ghent, Fac Med & Hlth Sci, Ctr Educ Dev, B-9000 Ghent, Belgium
[2] Maastricht Univ, Fac Hlth Med & Life Sci, Dept Educ Dev & Res, Maastricht, Netherlands
[3] Maastricht Univ, Fac Hlth Med & Life Sci, Inst Med Educ, Maastricht, Netherlands
[4] Univ Ghent, Fac Psychol & Educ Sci, Dept Educ Studies, B-9000 Ghent, Belgium
[5] Univ Groningen, Fac Med Sci, Ctr Res & Innovat Med Educ, Groningen, Netherlands
[6] Univ Med Ctr Groningen, NL-9713 AV Groningen, Netherlands
来源
BMC MEDICAL EDUCATION | 2011年 / 11卷
关键词
MEDICAL-STUDENTS; SELF-ASSESSMENT; EDUCATION; HEALTH; ACHIEVEMENT; EXPERIENCES; MOTIVATION; RESIDENTS; MODEL; SCALE;
D O I
10.1186/1472-6920-11-104
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
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.
引用
收藏
页数:9
相关论文
共 59 条
[1]   Learning based on patient case reviews: an interview study [J].
Andersen, Rikke Sand ;
Hansen, Rikke Pilegaard ;
Sondergaard, Jens ;
Bro, Flemming .
BMC MEDICAL EDUCATION, 2008, 8 (1)
[2]  
[Anonymous], 2009, TOMORROWS DOCTORS
[3]   Second-year medical students' motivational beliefs, emotions, and achievement [J].
Artino, Anthony R. ;
La Rochelle, Jeffery S. ;
Durning, Steven J. .
MEDICAL EDUCATION, 2010, 44 (12) :1203-1212
[4]   REFLECTION - A REVIEW OF THE LITERATURE [J].
ATKINS, S ;
MURPHY, K .
JOURNAL OF ADVANCED NURSING, 1993, 18 (08) :1188-1192
[5]  
Aukes LC, 2008, THESIS U GRONLINGEN
[6]   The development of a scale to measure personal reflection in medical practice and education [J].
Aukes, Leo C. ;
Geertsma, Jelle ;
Cohen-Schotanus, Janke ;
Zwierstra, Rein P. ;
Slaets, Joris P. J. .
MEDICAL TEACHER, 2007, 29 (2-3) :177-182
[7]   Assessing student reflection in medical practice. The development of an observer-rated instrument: reliability, validity and initial experiences [J].
Boenink, AD ;
Oderwald, AK ;
de Jonge, P ;
van Tilburg, W ;
Smal, JA .
MEDICAL EDUCATION, 2004, 38 (04) :368-377
[8]  
Bourner T., 2003, Education + Training, V45, P267, DOI 10.1108/00400910310484321
[9]   Development of reflective judgement in the pre-doctoral dental clinical curriculum [J].
Boyd, L. D. .
EUROPEAN JOURNAL OF DENTAL EDUCATION, 2008, 12 (03) :149-158
[10]   What's important to you?: The use of narratives to promote self-reflection and to understand the experiences of medical residents [J].
Brady, DW ;
Corbie-Smith, G ;
Branch, WT .
ANNALS OF INTERNAL MEDICINE, 2002, 137 (03) :220-223