Current state of reflective learning in anaesthesiology residents: a call for ‘reflection-on-action’ training in Singapore
| Autor: | Ban Leong Sng, R.W.L. Goy, John Song En Lee, F. Ithnin |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
Singapore
Medical education Reflection in action business.industry Reflective practice education Internship and Residency Cognition General Medicine Focus group Experiential learning Anesthesiology Humans Learning Medicine Female Original Article Clinical Competence Child business Postgraduate training Competence (human resources) Qualitative research |
| Zdroj: | Singapore Med J |
| ISSN: | 2737-5935 0037-5675 |
| DOI: | 10.11622/smedj.2020167 |
| Popis: | INTRODUCTION Reflective learning is the cognitive process whereby information from new experiences is integrated into existing knowledge structures and mental models. In our complex healthcare system, reflective learning (specifically ‘reflection on action’) is important for postgraduate learners. We observed that our anaesthesiology residents were not building on their competence through deliberate experiential and reflective practice. This qualitative study explored the current state and challenges of reflective learning in anaesthesia training in Singapore. METHODS This study was conducted at KK Women’s and Children’s Hospital, Singapore, from 1 January 2018 to 31 October 2018. A semi-structured interview format was used in focus groups. Information collection continued until data saturation was reached. The interviews were coded and analysed, and themes were identified. Seven focus group interviews involving 19 participants were conducted. RESULTS Reflective learning was found to be poor. It was of concern that the stimuli for reflection and reflective learning emerged from medical errors, critical incidents and poor patient outcomes. Challenges identified were: (a) lack of an experiential learning framework; (b) need for reflective training; (c) quality of experiential triggers; (d) clinical pressures; and (e) poor learner articulation and feedback. We described some strategies to frame, teach and stimulate reflective learning. CONCLUSION This study described the state and challenges of reflective learning in anaesthesia training. We advocate the implementation of reflective training strategies in postgraduate training programmes in Singapore. Research is warranted to integrate patient feedback and outcomes into reflective practice. |
| Databáze: | OpenAIRE |
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