Document Type : Original Article

Authors

Department of Public Health Dentistry, Government Dental College, Hyderabad, Telangana, India

Abstract

INTRODUCTION: Self‑directed learning is a vital principle promoted in health profession’s education,
particularly with the increasing use of online learning methods. Likewise, reflection has been
recognized as an indispensable and formidable concept for learning which plays a positive role in
fostering students’ self‑reflection, critical thinking, and development of professional values and skill.
Hence, the present study was undertaken to identify the effect of reflective thinking on academic
performance among undergraduate dental students.
MATERIALS AND METHODS: Reflective thinking was assessed among 2nd‑, 3rd‑, and 4th‑year
undergraduate dental students and interns of a dental college and hospital in Hyderabad. Reflection
questionnaire assessed habitual action, understanding, reflection, and critical reflection on a 5‑point
Likert scale. The percentage of marks obtained in the last university examinations was considered for
academic performance. The completed questionnaires were analyzed using the Statistical Package
for the Social Sciences software (SPSS version 20). P < 0.05 was considered statistically significant.
RESULTS: A total sample of 263 individuals comprising 188 (71.5%) females and 75 (28.5%) males
participated in the study. Our findings showed that the four scales of reflective thinking, such as habitual
action (P = 0.0001*), understanding (P = 0.02*), reflection (P = 0.02*), and critical reflection (P = 0.01*),
showed statistically significant difference based on the year of study. However, no difference based
on gender was noted. Reflection (17.2 ± 2.41) and critical reflection (16.3 ± 2.77) mean scores were
highest among 4th years. Higher understanding (17.83 ± 1.78) and reflection (17.33 ± 2.01) mean
scores were observed among students who attained more than 75% in their academic performance.
CONCLUSION: Thus, the present study emphasizes the role of reflective thinking and its significance
in academic learning process.

Keywords

1. Carr SE, Johnson PH. Does self reflection and insight correlate
with academic performance in medical students? BMC Med Educ
2013;13:113.
2. Tricio J, Woolford M, Escudier M. Dental students’ reflective
habits: Is there a relation with their academic achievements? Eur
J Dent Educ 2015;19:113‑21.
3. Jonas‑Dwyer DR, Abbott PV, Boyd N. First reflections: Third‑year
dentistry students’ introduction to reflective practice. Eur J Dent
Educ 2013;17:e64‑9.
4. Layl L. A comparison of students’ reflective thinking across
different years in a problem‑ based learning environment. Instr
Sci 2011;39:171‑88.
5. Lew MD, Schmidt HG. Self‑reflection and academic performance:
Is there a relationship? Adv Health Sci Educ Theory Pract
2011;16:529‑45.
6. Burnett E, Phillips G, Ker JS. From theory to practice in learning
about healthcare associated infections: Reliable assessment
of final year medical students’ ability to reflect. Med Teach
2008;30:e157‑60.
7. Kember D, Leung DY, Jones A, Loke AY, Mckay J, Sinclair K, et al.
Development of a questionnaire to measure the level of reflective
thinking. Assess Eval High Educ 2000;25:381‑95.
8. Jayanthi SV, BalakrishnanS, ChingAL, Latiff NA, NasirudeenAM.
Factors contributing to academic performance of students in a
tertiary institution in Singaore. Am J Educ Res 2014;2:752‑8.
9. Mann K, Gordon J, MacLeod A. Reflection and reflective practice
in health professions education: A systematic review. Adv Health
Sci Educ Theory Pract 2009;14:595‑621.
10. Sobral DT. Medical students’ mindset for reflective learning:
A revalidation study of the reflection‑in‑learning scale. Adv
Health Sci Educ Theory Pract 2005;10:303‑14.
11. Ashley FA, Gibson B, Daly B, Lygo Baker S, Newton JT.
Undergraduate and postgraduate dental student’s ‘reflection on
learning’: A qualitative study. Eur J Dent Educ 2006;10:10-19.
12. Vivekananda‑Schmidt P, Marshall M, Stark P, McKendree J,
Sandars J, Smithson S. Lessons from medical students’ perceptions
of learning reflective skills: A multi‑institutional study. Med Teach
2011;33:846‑50.
13. Sobral DT. Medical students’ reflection in learning in relation
to approaches to study and academic achievement. Med Teach
2001;23:508‑13.
14. Wald HS, Reis SP. Beyond the margins: Reflective writing and
development of reflective capacity in medical education. J Gen
Intern Med 2010;25:746‑9.
15. Rasyid MA, Budiarto MT, Lukito A. Junior high school students’
reflective thinking on fraction problem solving: In case of gender
differences. J Phys Conf Ser 2018;94:1‑6.
16. Lakshminarayan N, Potdar S, Reddy SG. Relationship between
procrastination and academic performance among a group
of undergraduate dental students in India. J Dent Educ
2013;77:524‑8.
17. Tricio JA, Woolford MJ, Escudier MP. Fostering dental students’
academic achievements and reflection skills through clinical peer
assessment and feedback. J Dent Educ 2016;80:914‑23.
18. Chelliah KK, Arumugam Z. Does reflective practice enhance
clinical competency in medical imaging undergraduates? Soc
Behav Sci 2012;60:73‑7.
19. Ottenberg AL, Pasalic D, Bui GT, Pawlina W. An analysis of
reflective writing early in the medical curriculum: The relationship
between reflective capacity and academic achievement. Med
Teach 2016;38:724‑9.
20. Omar SH, Al‑Kathiri FA, Al‑Ajmi SA. Level of reflective practice
amongst Saudi female postgraduate students at KSU. Engl Lang
Lit Stud 2017;7:28‑42.
21. Ambrose LJ, Ker JS. Levels of reflective thinking and patient
safety: An investigation of the mechanisms that impact on student
learning in a single cohort over a 5 year curriculum. Adv Health
Sci Educ Theory Pract 2014;19:297‑310.
22. Ghanizadeh A. The interplay between reflective thinking, critical
thinking, self‑monitoring, and academic achievement in higher
education. High Educ 2017;74:101‑14.