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Related Experiment Videos

"Tweet"-format reflective writing: A hidden needs assessment?

Jeremy A Dressler1, Beth A Ryder1, Kristina Monteiro2

  • 1Department of Surgery, Warren Alpert School of Medicine, Brown University, APC 4th Floor, 593 Eddy Street, Providence, RI, 02903, United States.

American Journal of Surgery
|October 11, 2018
PubMed
Summary

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Short reflective writing during surgical clerkships effectively captures student experiences and provides actionable feedback. This method can serve as a valuable needs assessment tool for medical education.

Area of Science:

  • Medical Education
  • Professional Development
  • Reflective Practice

Background:

  • Medical student reflection is crucial for professional growth.
  • Short-form writing may enhance reflection and identify key experiences.
  • Investigating reflective writing as a clerkship needs assessment tool.

Purpose of the Study:

  • To assess the utility of tweet-format reflections for needs assessment during a surgical clerkship.
  • To compare the feedback quality from reflective writing versus standardized evaluations.

Main Methods:

  • Medical students submitted tweet-format reflections during their surgical clerkship.
  • Reflections and standardized evaluations were analyzed using modified grounded theory.
  • Content, valence, and reflection levels were coded; feedback was compared between methods.
Keywords:
Curricular improvementMedical student educationReflective writingSurgery clerkship

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Main Results:

  • 62% of 286 reflections were reflective, focusing on patient interaction (53%) and educational experience (38%).
  • Reflections highlighted experiences with critically ill or dying patients more than evaluations.
  • Reflective writing provided more actionable feedback than traditional evaluations.

Conclusions:

  • Reflective writing offers real-time insights into impactful clerkship events, especially concerning critically ill patients.
  • The focus on critical illness suggests a need for end-of-life care discussions.
  • Reflective writing serves as a valuable, actionable needs assessment tool in medical education.