A systematic scoping review of group reflection in medical education.

Autor: Phua GLG; Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 11, Singapore, Singapore.; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.; Lien Centre for Palliative Care, Duke-NUS Medical School, National University of Singapore, Singapore, Singapore.; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore., Owyong JLJ; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.; School of Humanities and Behavioural Sciences, Singapore University of Social Sciences, 463 Clementi Road, Singapore, Singapore., Leong ITY; Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 11, Singapore, Singapore.; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore., Goh S; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.; KK Women's and Children Hospital, 100 Bukit Timah Rd, Singapore, 169854, Singapore., Somasundaram N; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.; Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore., Poon EYL; Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore., Chowdhury AR; Division of Geriatric Medicine, Singapore General Hospital, Singapore, Singapore., Ong SYK; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.; Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore., Lim C; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.; Medical Social Services, Singapore General Hospital, 16 College Road, Block 3 Level 1, Singapore, 169854, Singapore., Murugam V; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore., Ong EK; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore.; Assisi Hospice, 832 Thomson Rd, Singapore, Singapore.; Office of Medical Humanities, SingHealth Medicine Academic Clinical Programme, 31 Third Hospital Ave, Singapore, 168753, Singapore., Mason S; Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, Cancer Research Centre, University of Liverpool, 200 London Rd, Liverpool, L3 9TA, UK., Hill R; Health Data Science, University of Liverpool, Whelan Building, The Quadrangle, Brownlow Hill, Liverpool, UK., Krishna LKR; Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower Block, Level 11, Singapore, Singapore. lalit.radha-krishna@liverpool.ac.uk.; Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore. lalit.radha-krishna@liverpool.ac.uk.; Division of Cancer Education, National Cancer Centre Singapore, Singapore, Singapore. lalit.radha-krishna@liverpool.ac.uk.; Duke-NUS Medical School, 8 College Road, Singapore, 169857, Singapore. lalit.radha-krishna@liverpool.ac.uk.; Palliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, Cancer Research Centre, University of Liverpool, 200 London Rd, Liverpool, L3 9TA, UK. lalit.radha-krishna@liverpool.ac.uk.; PalC, The Palliative Care Centre for Excellence in Research and Education, PalC c/o Dover Park Hospice, Singapore, Singapore. lalit.radha-krishna@liverpool.ac.uk.; Centre for Biomedical Ethics, National University of Singapore, Singapore, Singapore. lalit.radha-krishna@liverpool.ac.uk.
Jazyk: angličtina
Zdroj: BMC medical education [BMC Med Educ] 2024 Apr 10; Vol. 24 (1), pp. 398. Date of Electronic Publication: 2024 Apr 10.
DOI: 10.1186/s12909-024-05203-w
Abstrakt: Background: Reviewing experiences and recognizing the impact of personal and professional views and emotions upon conduct shapes a physician's professional and personal development, molding their professional identity formation (PIF). Poor appreciation on the role of reflection, shortages in trained tutors and inadequate 'protected time' for reflections in packed medical curricula has hindered its integration into medical education. Group reflection could be a viable alternative to individual reflections; however, this nascent practice requires further study.
Methods: A Systematic Evidence Based Approach guided Systematic Scoping Review (SSR in SEBA) was adopted to guide and structure a review of group reflections in medical education. Independent searches of articles published between 1st January 2000 and 30th June 2022 in bibliographic and grey literature databases were carried out. Included articles were analysed separately using thematic and content analysis, and combined into categories and themes. The themes/categories created were compared with the tabulated summaries of included articles to create domains that framed the synthesis of the discussion.
Results: 1141 abstracts were reviewed, 193 full-text articles were appraised and 66 articles were included and the domains identified were theories; indications; types; structure; and benefits and challenges of group reflections.
Conclusions: Scaffolded by current approaches to individual reflections and theories and inculcated with nuanced adaptations from other medical practices, this SSR in SEBA suggests that structured group reflections may fill current gaps in training. However, design and assessment of the evidence-based structuring of group reflections proposed here must be the focus of future study.
(© 2024. The Author(s).)
Databáze: MEDLINE
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