| Fostering and evaluating reflective capacity in medical education: developing the REFLECT rubric for assessing reflective writing. | |
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MedLine Citation:
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PMID: 22104060 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Reflective writing (RW) curriculum initiatives to promote reflective capacity are proliferating within medical education. The authors developed a new evaluative tool that can be effectively applied to assess students' reflective levels and assist with the process of providing individualized written feedback to guide reflective capacity promotion. METHOD: Following a comprehensive search and analysis of the literature, the authors developed an analytic rubric through repeated iterative cycles of development, including empiric testing and determination of interrater reliability, reevaluation and refinement, and redesign. Rubric iterations were applied in successive development phases to Warren Alpert Medical School of Brown University students' 2009 and 2010 RW narratives with determination of intraclass correlations (ICCs). RESULTS: The final rubric, the Reflection Evaluation for Learners' Enhanced Competencies Tool (REFLECT), consisted of four reflective capacity levels ranging from habitual action to critical reflection, with focused criteria for each level. The rubric also evaluated RW for transformative reflection and learning and confirmatory learning. ICC ranged from 0.376 to 0.748 for datasets and rater combinations and was 0.632 for the final REFLECT iteration analysis. CONCLUSIONS: The REFLECT is a rigorously developed, theory-informed analytic rubric, demonstrating adequate interrater reliability, face validity, feasibility, and acceptability. The REFLECT rubric is a reflective analysis innovation supporting development of a reflective clinician via formative assessment and enhanced crafting of faculty feedback to reflective narratives. |
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Authors:
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Hedy S Wald; Jeffrey M Borkan; Julie Scott Taylor; David Anthony; Shmuel P Reis |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 87 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2011-12-28 Completed Date: 2012-02-24 Revised Date: 2012-04-04 |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 41-50 Citation Subset: AIM; IM |
Affiliation:
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Warren Alpert Medical School of Brown University, Providence, Rhode Island 02860, USA. hedy_wald@brown.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel Clinical Competence Curriculum Education, Medical, Undergraduate / methods* Educational Measurement* Feedback Humans Rhode Island Thinking Writing* |
| Comments/Corrections | |
Comment In:
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Acad Med. 2012 Jan;87(1):5-7
[PMID:
22201631
]
Acad Med. 2012 Jan;87(1):8-10 [PMID: 22201632 ] |
Erratum In:
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Acad Med. 2012 Mar;87(3):355 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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