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What do General Practitioners think of written reflection? A focus group study
Pamela Curtis1, Sarita Gorolay2, Anthony Curtis3
1a Department for Health , University of Bath , Bath , UK.
Summary
Written reflection for General Practitioners (GPs) and GP Specialist Trainees (GPSTs) elicits diverse opinions, with some finding it valuable and others viewing it as a superficial requirement impacting clinical time.
Area of Science:
- Medical Education
- Professional Development
- Clinical Practice
Background:
- Written reflection is a mandatory assessment component for General Practitioners (GPs) and GP Specialist Trainees (GPSTs).
- It is intended to enhance learning and demonstrate ongoing professional development.
- The educational efficacy and clinician acceptance of mandatory written reflection remain under-researched.
Purpose of the Study:
- To investigate the perspectives of GPs and GPSTs regarding written reflection.
- To understand views on its use within the Membership of the Royal College of General Practitioners (MRCGP) and NHS appraisal processes.
Main Methods:
- Qualitative study employing focus group discussions.
- Involved 11 GPs and 14 GPSTs from the South of England.
- Thematic analysis was applied to coded transcripts.
Main Results:
- Participant views on written reflection were varied.
- Some found it beneficial for specific learning styles, while others perceived it as a perfunctory 'tick-box' activity.
- Concerns were raised about its utility for quality improvement and potential negative impacts on clinical duties, learning, and personal time.
Conclusions:
- Written reflection generates strong, polarized responses among clinicians.
- Further research is necessary to quantify the prevalence of these sentiments.
- Evidence is needed to inform decisions regarding the role of written reflection in medical education and assessment.
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