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Stimulating Reflective practice

In your personal, professional, and academic life. Stimulating Reflective practice. Current environment. Reflection is recognized as a valuable and necessary component of medical practice – now incorporated into competencies Increasing presence of reflection in top medical journals

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Stimulating Reflective practice

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  1. In your personal, professional, and academic life Stimulating Reflective practice

  2. Current environment • Reflection is recognized as a valuable and necessary component of medical practice – now incorporated into competencies • Increasing presence of reflection in top medical journals • Academic Medicine, Medical Education, Medical Teacher • BMJ • JAMA • CMAJ • Wide-ranging educational and assessment uptakeacross UK, USA, Canada • Emergence of Reflection and Portfolio’sas learning strategies • AMEE guidelines for use in medical education • UME and PGE uptake of NM and RW in numerous schools • Non-Medical Expert OSCE stations at Royal College • Multiple supporting grant sources – NIH, CHIR, AMS

  3. 3 domains for reflection • Doctor as expert • Clinical reflection • Doctor as scholar • Scientific reflection • Doctor as person • Personal reflection

  4. Where does reflection occur?

  5. Simulation: Reflection in action Reflection on action

  6. Narrative Medicine uses stories to bridge the gap between patients and providers, teaching that how care is delivered (the process) is just as important as what care is delivered (the content).

  7. “To know what patients endure at the hands of illness and therefore to be of clinical help requires that doctors enter the worlds of their patients, if only imaginatively, and to see and interpret those worlds from the patients point of view”

  8. PublicEngagement Via collaboration with Public Humanities, Western University, SSMD, LHSC and the NMI

  9. Continuing Medical Education • NM-Working Group • CPD Workshops Spring/Fall • Office of Patient Experience at LHSC

  10. NM-Working GroupFriends and Neighbors Dr Sandra Fisman Dr Sandra Northcott Dr Gary Tithecott Dr Chris Watling DrJatinderTakhar DrDon Farquhar Dr Faisal Rehman Dr Irina Sanatani Dr Brian Taylor Dr Kathy Roth Dr George Kim Dr Tom Freeman Dr Shiraz Malik Dr Tanya Thornton Dr Rich Cherry Dr Pat Morley-Forster Dr Geoff Bellingham Plus: Dentistry Nursing Ethics Midwifery

  11. Postgraduate Medical Education • Transferrable NM-based PGE competency curriculum • Getting the word out – departmental/city-wide/POS academic half-days and sessions • Non-medical Expert OSCE – PGY-4 • Coordination with Dept Surgery

  12. Undergraduate Medical Education • Portfolio course (Yr 1&2) and module (Yr 3) • Hippo Club • “Students come here and they are very excited about medicine. They want to help the sick patient, and medicine is the tool that makes that possible. That’s why they are here. But medical schools don’t teach you about the patient, they teach you about the disease.” • Dr. Nancy Angoff • Dean of Students, Yale Medical School

  13. Reflective Exercise

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