Does reflection have an effect upon case-solving abilities of undergraduate medical students?

作者：Koole Sebastiaan^*; Dornan Tim; Aper Leen; Scherpbier Albert; Valcke Martin; Cohen Schotanus Janke; Derese Anselme

来源：BMC Medical Education, 2012, 12: 75.

DOI：10.1186/1472-6920-12-75

Background: Reflection on professional experience is increasingly accepted as a critical attribute for health care practice; however, evidence that it has a positive impact on performance remains scarce. This study investigated whether, after allowing for the effects of knowledge and consultation skills, reflection had an independent effect on students%26apos; ability to solve problem cases. %26lt;br%26gt;Methods: Data was collected from 362 undergraduate medical students at Ghent University solving video cases and reflected on the experience of doing so. For knowledge and consultation skills results on a progress test and a course teaching consultation skills were used respectively. Stepwise multiple linear regression analysis was used to test the relationship between the quality of case-solving (dependent variable) and reflection skills, knowledge, and consultation skills (dependent variables). %26lt;br%26gt;Results: Only students with data on all variables available (n = 270) were included for analysis. The model was significant (Anova F(3,269) = 11.00, p %26lt; 0.001, adjusted R square 0.10) with all variables significantly contributing. %26lt;br%26gt;Conclusion: Medical students%26apos; reflection had a small but significant effect on case-solving, which supports reflection as an attribute for performance. These findings suggest that it would be worthwhile testing the effect of reflection skills training on clinical competence.

• 出版日期2012-8-13
• 单位河北医科大学