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Review
. 2011 Dec 28:11:104.
doi: 10.1186/1472-6920-11-104.

Factors confounding the assessment of reflection: a critical review

Affiliations
Review

Factors confounding the assessment of reflection: a critical review

Sebastiaan Koole et al. BMC Med Educ. .

Abstract

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.

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Figures

Figure 1
Figure 1
Model of common elements describing the reflection process.

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References

    1. Collins J. Education Techniques for Lifelong Learning Lifelong Learning in the 21st Century and Beyond. Radiographics. 2009;29(2):613–622. doi: 10.1148/rg.292085179. - DOI - PubMed
    1. Andersen RS, Hansen RP, Sondergaard J, Bro F. Learning based on patient case reviews: an interview study. BMC Medical Education. 2008;8:43. doi: 10.1186/1472-6920-8-43. - DOI - PMC - PubMed
    1. Plack MM, Greenberg L. The Reflective Practitioner: Reaching for Excellence in Practice. Pediatrics. 2005;116(6):1546–1552. doi: 10.1542/peds.2005-0209. - DOI - PubMed
    1. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Medical Teacher. 2009;31(8):685–695. doi: 10.1080/01421590903050374. - DOI - PubMed
    1. Li STT, Paterniti DA, Co JPT, West DC. Successful Self-Directed Lifelong Learning in Medicine: A Conceptual Model Derived From Qualitative Analysis of a National Survey of Pediatric Residents. Academic Medicine. 2010;85(7):1229–1236. doi: 10.1097/ACM.0b013e3181e1931c. - DOI - PubMed

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