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Implementing a Curricular Model for Structured Reflection in a Neurology Clinical Clerkship.

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  • 1Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.

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|September 11, 2025
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Summary
This summary is machine-generated.

Medical students often reflect on social issues like bias and health inequities during clinical training. Structured writing exercises enhance their understanding of equitable care and professional growth.

Keywords:
clerkshipsclinical curriculummedical studentneurologyself-reflection

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Area of Science:

  • Medical Education
  • Qualitative Research
  • Sociology of Health

Background:

  • Medical students encounter social, ethical, and systemic challenges during clinical rotations.
  • Formal reflection opportunities are often lacking for these experiences.
  • Structured reflective writing can foster critical thinking, empathy, and professional identity.

Purpose of the Study:

  • To analyze the content and depth of medical student reflections on social aspects of care during a neurology clerkship.
  • To evaluate the educational impact of a mandatory reflective writing assignment.

Main Methods:

  • Retrospective qualitative analysis of 46 reflective logs from third-year medical students.
  • Logs focused on bias, social determinants of health, healthcare inequities, system challenges, and quality improvement.
  • Analysis included themes, emotional tone, professional development insights, and faculty feedback.

Main Results:

  • Most logs (77.3%) addressed bias (gender, race); students also noted communication barriers and health inequities.
  • Key emotional tones included frustration (69.6%) and empathy (21.7%).
  • Reflections frequently demonstrated professional identity development (55%) and ethical reasoning (47.5%); faculty responses were supportive.

Conclusions:

  • Medical students actively reflect on complex social issues encountered in clinical settings.
  • Structured reflection provides insights into evolving perceptions of equitable care and promotes professional growth.
  • Integrating reflective writing into curricula can improve students' ability to address bias and inequity.