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A novel near-peer reflective writing workshop.

Kayleigh Herrick-Reynolds1, Lorenzo R Sewanan2, Daniel J Zheng3

  • 1Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, MD.

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Summary

Near-peer facilitated reflective writing workshops (RWW) in medical training created a safe space for students to discuss challenges. This novel approach was well-received and improved self-awareness and camaraderie.

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Area of Science:

  • Medical Education
  • Clinical Psychology
  • Professional Development

Background:

  • Clinical training exposes medical students to complex ethical and emotional challenges.
  • Reflection is crucial for developing self-awareness and personal belief systems.
  • Students may hesitate in mandatory reflection sessions, fearing repercussions.

Purpose of the Study:

  • To evaluate the effectiveness of a near-peer-facilitated reflective writing workshop (RWW) in a mandatory clinical curriculum.
  • To assess student perceptions of RWW regarding comfort, safety, and impact on coping mechanisms.
  • To explore the benefits of near-peer facilitation compared to faculty facilitation.

Main Methods:

  • A quarterly near-peer-facilitated reflective writing workshop (RWW) was implemented.
  • Qualitative feedback forms were analyzed using an iterative, inductive consensus process.
  • An end-of-year web-based survey was used to test hypotheses generated from feedback.

Main Results:

  • The RWW was viewed favorably, with 62% willing to attend if optional.
  • Students felt more comfortable discussing difficult topics with near-peers than faculty.
  • The workshop fostered a safe space, camaraderie, and normalized challenging experiences.

Conclusions:

  • Near-peer-facilitated RWW is a novel, well-received intervention for developing reflective practice in medical students.
  • The structured workshop is generalizable and easily implementable within mandatory curricula.
  • This approach helps students cope with the challenges of clinical medicine and humanizes the experience.