Community Care, Unnan City Hospital, 699-1221 96-1 Iida, Daito-cho, Unnan 699-1221, Japan.
Department of Community Medicine Management, Faculty of Medicine, Shimane University, 89-1 Enya cho, Izumo 693-8501, Japan.
Int J Environ Res Public Health. 2022 Apr 23;19(9):5137. doi: 10.3390/ijerph19095137.
Reflection in medical education is vital for students' development as professionals. The lack of medical educators in rural family medicine can impinge on the effective reflection of residents' learning. Hence, based on qualitative research, we proposed a framework regarding reflection in rural family medicine education, indicating when, where, and how reflection is performed and progresses. The contents of reflection include clinical issues regarding knowledge and skills, professionalism in clinical decisions, and work-life balance. The settings of reflection include conference rooms, clinical wards, residents' desks, and hospital hallways. The timing of educational reflection includes during and after patient examination and discussion with various professionals, before finishing work, and during "doorknob" times (right before going back home). Rural medical teachers need competence as clinicians and medical educators to promote learning in medical residents and sustain rural medical care. Furthermore, medical teachers must communicate and collaborate with medical residents and nurses for educational reflection to take place in rural family medicine education, especially regarding professionalism. In rural family medicine education, reflection can be performed in various clinical situations through collaboration with learners and various medical professionals, aiding the enrichment of residents' learning and sustainability of rural medical care.
医学教育中的反思对于学生的专业发展至关重要。农村家庭医学中缺乏医学教育者可能会影响住院医师学习的有效反思。因此，我们基于定性研究，提出了一个农村家庭医学教育中反思的框架，指出了反思发生的时间、地点和方式以及进展情况。反思的内容包括知识和技能方面的临床问题、临床决策中的专业精神以及工作与生活的平衡。反思的场景包括会议室、临床病房、住院医师办公桌和医院走廊。教育反思的时间包括在检查和与各种专业人员讨论患者之后、在完成工作之前以及在“门把手”时间（回家前）。农村医学教师需要具备临床医生和医学教育者的能力，以促进医学住院医师的学习并维持农村医疗保健。此外，医学教师必须与医学住院医师和护士进行沟通和协作，以便在农村家庭医学教育中进行教育反思，特别是在专业精神方面。在农村家庭医学教育中，通过与学习者和各种医学专业人员的合作，可以在各种临床情况下进行反思，有助于丰富住院医师的学习和维持农村医疗保健的可持续性。
