Enhancing Reflective Practice Using Prompts in Online Submission of Case Reports (OSCAR): An Exploratory Study Among
William MacAskill1,2, Hannah Woodall1,2, Claire Dorothea Nicholls3
1Griffith University Rural Clinical School, Toowoomba, Australia.
Perspectives on Medical Education
|December 30, 2024
Summary
Reflective writing prompts integrated into case report assessments enhanced medical students' awareness of rural social determinants of health. While not promoting higher-order thinking, this intervention broadened students' understanding of rural patient care contexts.
Area of Science:
- Medical Education
- Reflective Practice
- Social Determinants of Health
Background:
- Medical students require reflective practice for self-insight and improved practice.
- Integrating reflection into busy curricula presents a significant challenge.
- Existing assessment methods may not adequately foster deep reflective capacity.
Purpose of the Study:
- To investigate the impact of embedded reflective writing prompts (RWP) within an Online Submission of Case Reports (OSCAR) assessment.
- To determine if RWP can develop medical students' reflective capacity.
- To assess if RWP increases student exposure to rural social determinants of health.
Main Methods:
- Ontological realism and interpretivist stance framed the study.
- Thematic analysis of focus group transcripts (27 students, 10 educators).
- Deductive analysis of 52 written OSCAR reflections.
Main Results:
- Inductive analysis yielded themes: Scaffolded Learning, Affording Diverse Responses, Maximising Learning Opportunities.
- Deductive analysis revealed 87% of students demonstrated lower-order thinking in reflections.
- Reflective writing prompts increased the breadth of rural social determinants of health topics discussed.
Conclusions:
- Participants valued the impact of reflective writing prompts on student learning.
- Reflective writing prompts successfully broadened students' understanding of rural social determinants of health.
- The intervention enhanced medical students' knowledge of the impact of rural contexts on patient care.
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