Curtis Pamela, Taylor Gordon, Riley Ruth, Pelly Tom, Harris Michael
a Department for Health , University of Bath , Bath , UK.
b Health Education South West, School of Primary Care , Deanery House , Bristol , UK.
Educ Prim Care. 2017 May;28(3):141-149. doi: 10.1080/14739879.2016.1277168. Epub 2017 Jan 12.
In the UK, evidence of written reflection is part of licensing and revalidation for general practitioners (GPs). However, there is little evidence of specific benefits compared to other forms of reflective practice.
To seek GPs' and general practice (GP) trainees' views on the role of written reflection in learning and assessment.
An online survey of 1005 GPs and GP trainees (GPTs) in the UK.
An anonymous questionnaire containing 38 attitudinal items was administered. Descriptive statistics were used to analyse Likert scale responses, thematic analysis for free-text responses.
In total 544 GPs and 461 GPTs completed the survey, with 842 (83.8%) agreeing they find verbal reflection with a colleague more useful than written reflection. Three quarters disagreed that written reflection is a way of identifying poorly performing GPs. Over 70% of respondents stated that summative, written reflection is a time-consuming, box-ticking exercise which distracts from other learning. They question its validity as part of assessment and state that its use may contribute to current difficulties with recruitment and retention to GP.
For many GPs, written reflection is an onerous process rather than beneficial to their learning, indicating its continued use in assessment needs to be critically examined.
在英国，书面反思的证据是全科医生（GP）执照颁发和重新认证的一部分。然而，与其他形式的反思性实践相比，几乎没有证据表明其具有特定益处。
了解全科医生和全科医学（GP）实习生对书面反思在学习和评估中的作用的看法。
对英国1005名全科医生和GP实习生进行在线调查。
发放一份包含38个态度项目的匿名问卷。使用描述性统计分析李克特量表回答，使用主题分析分析自由文本回答。
共有544名全科医生和461名GP实习生完成了调查，842人（83.8%）同意他们发现与同事进行口头反思比书面反思更有用。四分之三的人不同意书面反思是识别表现不佳的全科医生的一种方式。超过70%的受访者表示，总结性书面反思是一项耗时的、走过场的练习，会分散对其他学习的注意力。他们质疑其作为评估一部分的有效性，并表示其使用可能导致目前全科医生招聘和留用方面的困难。
对于许多全科医生来说，书面反思是一个繁重的过程，而不是对他们的学习有益，这表明需要严格审视其在评估中的持续使用。
