2024, Number 2
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Aten Fam 2024; 31 (2)
Levels of Reflection in Teachers and Family Medicine Residents: A Qualitative Study
Hernández-Torres I, Pons-Álvarez ON, Romero-Henríquez LF
Language: Spanish
References: 24
Page: 108-114
PDF size: 198.52 Kb.
ABSTRACT
Objective: to analyze the levels of reflection
according to Mezirow’s model
in a group of teachers and residents
in the Family Medicine specialty in
Mexico.
Methods: a qualitative study
was conducted using a Word format
questionnaire to collect sociodemographic
data, and critical incidents
related to teacher-student communication
problems. The participants’ level of
reflection was analyzed based on these
incidents.
Results: the study classified
192 events related to critical incidents,
and the participants’ reflection levels
were determined. 104 events (81.88%)
described by teachers, and 45 events
(69.23%) by residents were categorized
in the first level of analysis, corresponding
to non-reflective. 21 events (16.53%)
by teachers, and 18 events (27.69%) by
residents were situated in the second
level: reflective, while 2 events (1.57%)
by teachers, and 2 events (3.07%) by residents
were classified as critical reflection.
Conclusion: according to Mezirow’s
model, the level of reflection in most
participants did not lead to changes to
favor behavioral modification. These
findings suggest the need for additional
strategies to promote critical reflection
and facilitate attitudinal change in educational
contexts.
REFERENCES
Bhardwaj A. Medical Professionalism in the Provisionof Clinical Care in Healthcare Organizations.JHL. 2022;14:183–9.
Forouzadeh M, Kiani M, Bazmi S. Professionalismand its role in the formation of medical professionalidentity. Med J Islam Repub Iran. 2018;765–768.
Reed DA, Mueller PS, Hafferty FW, BrennanMD. Contemporary issues in medical professionalismchallenges and opportunities. Minn Med.2013;96(11):44–7.
Escorcia-Reyes JR, López-Ortiz G. Altruismo,empatía y profesionalismo médico. Med Int Méx.2021;37(6):1069-1074.
Gathu C. Facilitators and Barriers of ReflectiveLearning in Postgraduate Medical Education:A Narrative Review. Journal of Medi-cal Education and Curricular Development.2022;9:238212052210961.
Schei E, Fuks A, Boudreau JD. Reflection in medicaleducation: intellectual humility, discovery,and know-how. Med Health Care and Philos.2019;22(2):167–178.
Ní Mhurchú M, Cantillon P. Reflective practice inmedicine: The hidden curriculum challenge. TheClinical Teacher. 2023;e13682.
Hernández-Torres I, Pons-Álvarez ON, López-OrtizG. Importancia de la comunicación profesoralumnoen medicina: un abordaje necesario. MedInt Méx. 2023;39(4):675-680.
López-Ortiz G. Comunicación con el paciente:una acción necesaria en la medicina familiar. AtenciónFamiliar. 2022;30(1):1–2.
Mezirow J. Transformative Dimensions of AdultLearning. San Francisco: Jossey-Bass; 1991.
Machost H, Stains M. Reflective Practices in Education:A Primer for Practitioners. CBE Life SciEduc. 2023;22(2):es2.
Schön DA. The Reflective Practitioner. Routledge;2017.
Montgomery A, Doulougeri K, PanagopoulouE. Do critical incidents lead to critical reflectionamong medical students? Health Psychology andBehavioral Medicine. 2021;9(1):206–219.
Chirico A, Pizzolante M, Kitson A, Gianotti E,Riecke BE, Gaggioli A. Defining TransformativeExperiences: A Conceptual Analysis. FrontPsychol. 2022;13:790300.
Vipler B, Snyder B, McCall-Hosenfeld J, HaidetP, Peyrot M, Stuckey H. Transformative learningof medical trainees during the COVID-19pandemic: A mixed methods study. PLoS ONE.2022;17(9):e0274683.
Froneman K, Du Plessis E, Van Graan AC. A conceptanalysis of facilitating presence through guidedreflection for transformative learning in nursingeducation. Nursing Open. 2023;10(5):2920–2933.
Choi H, Jang S. Mediating effect of reflection types:feedback on reflection-for-action and studentperception of patient-centredness. Medical EducationOnline. 2022;27(1):2127166.
Schaepkens SPC, Veen M, De La Croix A. Isreflection like soap? a critical narrative umbrellareview of approaches to reflection in medicaleducation research. Adv in Health Sci Educ.2022;27(2):537–51.
The World Medical Association-Declaración deHelsinki de la AMM – Principios éticos para lasinvestigaciones médicas en seres humanos [Internet].[citado 13 de noviembre de 2023]. Disponibleen: https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principioseticos-para-las-investigaciones-medicas-en-sereshumanos/
Reglamento de la Ley General de Salud en Materiade Investigacion para la Salud [Internet]. [citado13 de noviembre de 2023]. Disponible en: https://www.diputados.gob.mx/LeyesBiblio/regley/Reg_LGS_MIS.pdf
Vipler B, Knehans A, Rausa D, Haidet P, McCall-Hosenfeld J. Transformative Learning in GraduateMedical Education: A Scoping Review. Journal ofGraduate Medical Education. 2021;13(6):801–814.
Taylor EW. An update of transformative learningtheory: a critical review of the empirical research(1999–2005). International Journal of LifelongEducation. 2007;26(2):173–191.
Van Schalkwyk SC, Hafler J, Brewer TF, MaleyMA, Margolis C, McNamee L, et al. Transformativelearning as pedagogy for the health professions:a scoping review. Medical Education.2019;53(6):547–558.
Vipler B, Green M, McCall-Hosenfeld J, Haidet P,Tisdell E. A Graphic Transformation: A QualitativeStudy of Transformative Learning in MedicalTrainees during COVID-19 Using Comics as DataPresentation. Teaching and Learning in Medicine.2023;35(3):287-302.