Journal of Education and Health Promotion

Evaluation of medical student program with the use of a reflective portfolio: A qualitative study

Document Type : Original Article

Authors

. Arpit Bakulash Patel
. Sachi Vinodkumar Shah
Abstract
BACKGROUND: The concept of reflective practice is at the center of professional practice, allowing
a bridge between theory and practice and learning from our own experiences in an ongoing process.
Understanding what learners need such as regular observation of work, more responsibility, and
technical and problem‑solving with answers allows the teacher to help learners to progress to
independence in pursing their own learning needs. Therefore, it is important that medical educators
continually reflect and evaluate teaching ability to meet learners’ needs and provide evidence to
support it.
MATERIALS AND METHODS: A prospective, qualitative study was carried out using a combination
of questionnaires and observed assessments. The study participants consisted of twenty final‑year
medical students from King’s College London and took place at a hospital education center in the
UK, April 2019. Two educational sessions were delivered by a doctor to the study group and a video
recording was conducted. The educator completed a reflective portfolio using feedback questionnaires,
peer observation forms, and observation of the video recording, and the results were analyzed using
a video critique tool.
RESULTS: Twenty learner feedback forms were completed, and a peer observation form was
completed. This allowed a critical analysis of educator performance, reflection, and improvement.
This was further solidified by in‑depth analysis and critique of teaching session playback video.
DISCUSSION: This study evaluates a medical student teaching program using a reflective portfolio.
This study confirms the effectiveness of using a reflective portfolio to enhance the teaching experience.
Video analysis can be self‑critical, however this study shows how it is useful to review human
experience first‑hand, and identifying any specific techniques that create a positive or negative
change can enable educators to improve as time progresses.

Keywords

Assessment
health care
medical education
quality improvement
reflection
  1. Kauffman D, Mann K. Teaching and learning in medical
    education: How theory can inform practice. In: Swanwick T,
    editor. Understanding Medical Education Evidence, Theory and
    Practice. 2nd ed. Chichester: John Wiley & Sons Ltd; 2014.
    2. Schon D. The Reflective Practitioner: How Professionals Think.
    London: Temple Smith; 1983.
    3. Harden RM and Crosby JR. The good teacher is more than a
    lecturer: The twelve roles of the teacher. An extended summary
    of AMEE Medical Education. Med Teach2000;22:334‑47.
    4. Ullian JA, Bland CJ and Simpson DE. An alternative approach to
    designing the role of the clinical teacher. Acad Med 1994;69:832‑8.
    5. Parsell G, Bligh J. Interprofessional learning. Postgrad Med J
    1998;74:89‑95.
    6. Sandars J. The use of reflection in medical education: AMEE Guide
    No. 44. Med Teach 2009;31:685‑95.
    7. Kolb DA. Experiential Learning: Experience as a Source of
    Learning and Development. Chicago: Prentice Hall, Eaglewood
    Williams Cliffs; 1984.
    8. PellegrinoA, GerberB. Teacher reflection through video‑recording
    analysis. Ga Educ Res 2012;9:1.
    9. Mcmullan M, Endacott R, Gray MA. Portfolios and assessment of
    competence: A review of the literature. J Adv Nurs 2003;41:283‑94.
    10. Jia G, Xiao C. Research on five stakeholders & five relationships
    of higher engineering education in China. IJMECS 2009;1:60‑68
    11. Spencer J. Learning and teaching in the clinical environment. In:
    Cantillon P, Wood D, editors. ABC of Learning and Teaching in
    Medicine. 2nd ed. Chichester: Blackwell Publishing Ltd; 2010.
    12. Hertz B, van Woerkum C and Kerkhof P. Why do scholars use
    PowerPoint the way they Do? Bus Prof Commun Q 2015;78:273‑91.
    13. Knowles MS. The Adult Learner: A Neglected Species. 4th ed.
    Houston, Texas: Gulf Publishing; 1990.
    14. Rogers CR. Freedom to Learn. Columbus, OH: Merrill; 1969.
    15. Munyoro G. An evaluation of the effectiveness of handouts in
    enhancing teaching and learning in higher education. Africa Dev
    Resour Res Inst 2014;5:1‑19.
    16. Nazar H, Nazar M, Rothwell C, Portlock J, Chaytor A, Husband A.
    Teaching safe prescribing to medical students: Perspectives in the
    UK. Adv Med Educ Pract 2015;6:279‑95.
    17. Biggs J. What the student does: Teaching for enhanced learning.
    High Educ Res Dev 1998;8:57‑75.
    18. Marton F, SaljoR. On qualitative differences in learning: I‑outcome
    and process. Br J Educ Psychol 1976;46:4‑11.
    19. Cantillon P. Teaching Large Groups. In: Cantillon P, Wood D,
    editors. ABC of Learning and Teaching in Medicine. 2nd ed.
    Chichester: Blackwell Publishing Ltd; 2010.
  2. 20. Kirkpatrick DL. Techniques for evaluating training programs.
    J Am Soc Train Dev 1959;11:1‑13.
    21. Lovato C, Wall D. Programme evaluation: Improving practice,
    influencing policy and decision‑making. In: Swanwick T, editor.
    Understanding Medical Education Evidence, Theory and Practice.
    2nd ed. Chichester: John Wiley & Sons Ltd; 2014.
    22. Stufflebeam DL. The CIPP Model for Program Evaluation. In:
    Madaus FF, Scriven M, Stufflebeam DL, editors. Evaluation
    Models: Viewpoints on Educational and Human Services
    Evaluation. Norwell: Kluwer; 1983.
    23. Bell M. Supported reflective practice: A programme of peer
    observation and feedback for academic teaching development.
    Int J Acad Dev 2001;6:29‑39.
    24. THE UNIVERSITY OF NOTTINGHAM. Professional
    Development, Peer Observation: The Lecturer’s form – form 1,
    Observer’s Feedback – form 2 and Reflection & Discussion – form
    3. 2017. Available from: http://www.nottingham.
    ac.uk/professionaldevelopment/learningandteaching/
    peerobservation/forms.aspx.Accessed: 20/09/2020
    25. Magin D. Rewarding good teaching: A matter of demonstrated
    proficiency or documented achievement? Int J Acad Dev
    1998;3:24‑135.
    26. Siddiqui ZS, Jonas‑Dwyer DR. Twelve tips for supervising
    research students. Med Teach 2012;34:530‑3.
    27. FletcherJA. Peer observation of teaching: A practical tool in higher
    education. J Facult Dev 2018;32(1):51‑64
    28. Shortland S. Feedback within peer observation: Continuing
    professional development and unexpected consequences. Innov
    Educ Teach Int 2010;47:295‑304.
    29. Daryazadeh S, Yamani N, Adibi P. A modified tool for “reflective
    practice” in medical education: Adaptation of the REFLECT rubric
    in Persian. J Educ Health Promot 2020;9:24.
    30. Tripp T, Rich P. The influence of video analysis on the process of
    teacher change. Teach Teach Educ 2010;28:728‑39.
    31. Loka SR, Doshi D, Kulkarni S, Baldava P, Adepu S. Effect
    of reflective thinking on academic performance among
    undergraduate dental students. J Educ Health Promot 2019;8:184.
    32. Challis M. AMEE Medical Education Guide No. 19: Personal
    learning plans. Med Teach 2000;22(3):225‑236
Journal of Education and Health Promotion
Volume 11, Issue 6
July 2021
Pages 1-11

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