West Midlands Deanery, UK.
Med Teach. 2013;35(1):71-3. doi: 10.3109/0142159X.2012.732246. Epub 2012 Oct 26.
Some specialties in the U.K. use structured templates in electronic (e) Portfolios to encourage reflective practice. This study looked at completion of an 11-field template by U.K. Paediatric specialty trainees.
A reflective ePortfolio log from all paediatric specialty trainees in one large U.K. deanery was assessed by two medical educators. The consultant supervisors' opinion of the trainee's standard of reflective practice and outcome of annual review of competence progression was noted.
If the 115 trainees, 10 had no reflective logs and 105 had reflective logs ranging in number from 1 to -18 (mean of 5). The structured template was poorly completed by trainees especially sections on what could be done differently and outcomes for the trainee, parents and others. Discrepancy between the evidence of reflection in ePortfolio and trainers assessment of reflective practice was noted.
An 11-field structured template for reflective practice was not completed well. We suggest four fields as a maximum so as to enable trainees to reflect and note their personal key learning points. There needs to be an emphasis on quality rather than quantity of ePortfolio reflective logs, both in number and length of log aiming for 1-2 well completed reflections per post.
英国的一些专业在电子（e）档案中使用结构化模板来鼓励反思实践。本研究考察了英国儿科专业受训者完成 11 个领域模板的情况。
两位医学教育家评估了来自英国一个大型教务区的所有儿科专业受训者的电子反思档案日志。记录了顾问主管对受训者反思实践标准的意见，以及年度能力进展审查的结果。
115 名受训者中，有 10 名没有反思日志，105 名有反思日志，数量从 1 到-18（平均 5）。受训者对结构化模板的完成情况很差，特别是关于可以采取哪些不同措施以及对受训者、家长和其他人的结果的部分。电子档案中的反思证据与培训师对反思实践的评估之间存在差异。
反思实践的 11 个领域结构化模板完成情况不佳。我们建议最多四个领域，以便受训者能够反思并记录他们的个人关键学习点。需要强调电子档案反思日志的质量而不是数量，无论是在日志的数量还是长度上，每个帖子都要完成 1-2 个精心完成的反思。
