Clinical reflective practice

M R C O G PA R T 2 · S O S P O C K E T C A R D · K N O W L E D G E A R E A 2 – T E A C H I N G A N D R E S E A R C H

Clinical Reflective Practice Roberts R, Kumar B. Clinical reflective practice. TOG 2020;22:75–82. doi:10.1111/tog.12625

3 4 2 COMPONENTS OF SELF-REGULATED LEARNING STAGES, KOLB'S EXPERIENTIAL CYCLE SCHÖN'S REFLECTION TYPES (IN/ON-ACTION)

DO N' T-M IS S FA C TS

  1. Self-regulated learning = Cognition + Metacognition + Motivation

  2. Schön: reflection-in-action (during) vs reflection-on-action (after); technical rationality vs professional artistry

  3. Kolb’s 4-stage cycle: concrete experience → reflective observation → abstract conceptualisation → active experimentation – all 4 stages needed

  4. Mann: iterative vs vertical dimensions of reflection models

  5. Rolfe & Freshwater supervision skills: listening/responding, reflexive, observing, transparency, feedback, sensitivity to social context

  6. Reflective notes can be required by a court of law – focus notes on learning, not full factual case detail (Bawa-Garba case)

  7. GMC duty of candour: nothing in reflective notes that patient is not already aware of

  8. Reflection is not intuitive for all doctors – it is a learnable skill (Sizer et al.)

KEY MODELS AT A GLANCE

Gibbs: feelings → evaluation → analysis → action plan Kolb: experience → reflection → conceptualisation → experimentation

Fish & de Cossart: context, values, knowledge, technical process, judgement, holistic relationship

ABBREVIATION KEY

GMC — General Medical Council IOL — induction of labour

RCOG — Royal College of Obstetricians and Gynaecologists BMI — body mass index

CTG — cardiotocogram/cardiotocography SMART — specific, measurable, achievable, realistic, time-bound

Source: The Obstetrician & Gynaecologist (TOG), RCOG journal — Roberts R, Kumar B. Clinical reflective practice. TOG 2020;22:75–82. doi:10.1111/tog.12625

Clinically reviewed by NHS obstetricians and gynaecologists

MRCOG AI is an independent educational tool. It is not affiliated with, endorsed by, or connected to the Royal College of Obstetricians and Gynaecologists (RCOG).

Included with a Pass Package

Start free