A Reflective Learning Framework to Evaluate CME Effects on Practice Reflection

Autor/inn/en	Leung, Kit H.; Pluye, Pierre; Grad, Roland; Weston, Cynthia
Titel	A Reflective Learning Framework to Evaluate CME Effects on Practice Reflection
Quelle	In: Journal of Continuing Education in the Health Professions, 30 (2010) 2, S.78-88 (11 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0894-1912
DOI	10.1002/chp.20063
Schlagwörter	Medical Education; Physicians; Learning Processes; Reflective Teaching; Competence; Evaluation; Cognitive Processes; Case Studies; Learning Activities; Competency Based Education; Professional Development; Electronic Learning; Models; Educational Psychology + Suchen Sie Ihr Suchwort? Medizinische Ausbildung; Physician; Doctor; Arzt; Learning process; Lernprozess; Kompetenz; Evaluierung; Cognitive process; Kognitiver Prozess; Case study; Fallstudie; Case Study; Lernaktivität; Education; Competence; Competency; Competency-based education; Unterricht; Kompetenzorientierte Methode; Analogiemodell; Erziehungspsychologie; Pädagogische Psychologie
Abstract	Introduction: The importance of reflective practice is recognized by the adoption of a reflective learning model in continuing medical education (CME), but little is known about how to evaluate reflective learning in CME. Reflective learning seldom is defined in terms of specific cognitive processes or observable performances. Competency-based evaluation rarely is used for evaluating CME effects. To bridge this gap, reflective learning was defined operationally in a reflective learning framework (RLF). The operationalization supports observations, documentation, and evaluation of reflective learning performances in CME, and in clinical practice. In this study, the RLF was refined and validated as physician performance was evaluated in a CME e-learning activity. Methods: Qualitative multiple-case study wherein 473 practicing family physicians commented on research-based synopses after reading and rating them as an on-line CME learning activity. These comments formed 2029 cases from which cognitive tasks were extracted as defined by the RLF with the use of a thematic analysis. Frequencies of cognitive tasks were compared in a cross-case analysis. Results: Four RLF cognitive processes and 12 tasks were supported. Reflective learning was defined as 4 interrelated cognitive processes: Interpretation, Validation, Generalization, and Change, which were specified by 3 observable cognitive tasks, respectively. These 12 tasks and related characteristics were described in an RLF codebook for future use. Discussion: Reflective learning performances of family physicians were evaluated. The RLF and its codebook can be used for integrating reflective learning into CME curricula and for developing competency-based assessment. Future research on potential uses of the RLF should involve participation of CME stakeholders. (Contains 2 tables, 2 figures and 3 exhibits.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10