内科实习中的反思性写作：内科实习主任的全国调查。

Reflective writing in the internal medicine clerkship: a national survey of clerkship directors in internal medicine.

机构信息

Medical Service, VA Medical Center, Washington, DC, USA.

出版信息

Teach Learn Med. 2012;24(1):42-8. doi: 10.1080/10401334.2012.641486.

DOI:10.1080/10401334.2012.641486

PMID:22250935

Abstract

BACKGROUND AND PURPOSE

Reflective writing programs have been implemented at many medical schools, but it is unclear to what extent and how they are structured.

METHODS

We surveyed the 107 Clerkship Directors of Internal Medicine member institutions on use of reflective writing assignments during the internal medicine clerkship.

RESULTS

Eighty-six of 107 (80%) institutional members completed the survey. Thirty-five percent reported having a reflective writing assignment, 48% did not, and 6% did not but were considering starting one within the next 2 years. Of the 30 assignments, most were partially structured (60%), involved small-group discussion (57%), and provided individual student feedback (73%). A minority (30%) contributed to the students' grade. Respondents believed assignments contributed to students' learning in multiple domains, most often Professionalism (97%) and Communication (77%).

CONCLUSIONS

Although reflective writing programs were common, variability existed in their structure. Further research is needed to determine how best to implement them.

摘要

背景与目的

许多医学院都实施了反思性写作项目，但尚不清楚它们的实施范围和结构如何。

方法

我们对内科实习内科住院医师指导主任的 107 个成员机构进行了调查，了解他们在内科实习期间使用反思性写作作业的情况。

结果

107 个成员机构中有 86 个完成了调查。35%的机构报告有反思性写作作业，48%的机构没有，6%的机构没有，但计划在未来 2 年内开始实施。在 30 项作业中，大多数为部分结构化（60%），涉及小组讨论（57%），并提供学生个人反馈（73%）。少数（30%）作业与学生成绩挂钩。受访者认为作业有助于学生在多个领域的学习，最常见的是专业精神（97%）和沟通（77%）。