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Reflection and self-efficacy for clinical skills.

Jade Lene Yong1, Gwyndaf Roberts2

  • 1Newcastle University Medicine Malaysia (NUMed), Johor, Malaysia.

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Summary
This summary is machine-generated.

Engaging with reflection impacts medical students' clinical skill self-efficacy, but the effect varies based on individual attitudes. Educators should guide reflection to enhance its benefits for student self-efficacy.

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Area of Science:

  • Medical Education
  • Psychology of Learning
  • Clinical Skills Development

Background:

  • Clinical skills are core to medical education, introduced early in preclinical years.
  • Student self-efficacy, belief in one's ability, is crucial for mastering clinical skills.
  • The impact of reflection on self-efficacy in medical students is not well-understood.

Purpose of the Study:

  • To investigate the relationship between preclinical medical students' engagement with reflection and their self-efficacy for clinical skills.
  • To explore how reflection influences self-efficacy through qualitative analysis.

Main Methods:

  • A mixed-methods approach using validated questionnaires for 273 preclinical medical students.
  • Quantitative analysis involved hierarchical multiple linear regression.
  • Qualitative data from 13 students via semi-structured interviews and focus groups, analyzed thematically.

Main Results:

  • Statistical analysis revealed no significant direct effect of reflection engagement on clinical skill self-efficacy.
  • Thematic analysis indicated students perceived reflection positively influenced self-efficacy through performance evaluation, skill understanding, mindset transformation, and emotional connection.

Conclusions:

  • Reflection's impact on self-efficacy can be positive or negative, contingent on students' attitudes toward reflective practice.
  • Effective enhancement of self-efficacy requires considering personal factors like mindset alongside reflection.
  • Medical educators play a vital role in facilitating reflection to maximize its benefits for student self-efficacy.