The Relationship between Reflection and Academic Achievement of Medical Students of Isfahan University of Medical Sciences

Document Type : Original Article (s)

Authors

1 Associate Professor, Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran

2 Medical Student, Isfahan University of Medical Sciences, Isfahan, Iran

3 Assistant Professor, Medical Education Research Center, Department of Medical Education, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Reflection is a critical skill for learning from experience that leads to improved insight and performance. The purpose of this study was to investigate the relationship between reflection and academic achievement.
Methods: In the year 2022, a study was conducted on medical students using proportional stratified random sampling from each section. Proportional stratified random sampling was done from each section. The tool used was a reflective questionnaire, the content validity and reliability ratios of the questionnaire were calculated as 0.75 and 0.75, respectively.The data collected was analyzed using statistical, descriptive, and analytical methods such as frequency, mean, standard deviation, Pearson’s correlation, and linear regression.
Findings: 301 questionnaires were collected, of which 54.5% were women and 87.4% were single. The mean and standard deviation of the total GPA of the samples was (16.57 ± 1.31), the course GPA (16.76 ± 1.28) and the total reflection score (64.67 ± 7.32). There was a small significant relationship between the score of the reflection before the action and the grade point average during the internship (P = 0.05, r = 0.19) and the score of the reflection after the action and the grade point average during the internship (P = 0.01, r = 0.25). In the linear regression of grade point average, reflection, and age, the model was significant in the internship, which explains 6% of the variance of the grade point average of the reflection grade (P = 0.04, R Square = 0.06).
Conclusion: The results showed that in the clinical stage, students' reflection had a significant relationship with their academic progress, and it is necessary for educational planners to pay special attention to holding reflection skill development courses in internships.

Highlights

Omid Athar: Google Scholar, PubMed 

Fariba Jokar: Google Scholar, PubMed 

Keywords

Main Subjects


  1. Dehghani Z, Moattari M, Abaszadeh A, Bahreini M. The effect of reflection on clinical journalism on critical thinking skills of nursing students in Shiraz Medical University [in Persian]. Interdiscip J Virtual Learn Med Sci 2010; 1(2): 17-23.
  2. Dewey J. How we think. Boston, Mass: D.C. Heath & Company; 1993.
  3. Badri R, Fathi Azar E, Hosseini Nasab D, Moghadam M. The effect of reflection in action on critical thinking student-teachers in Tabriz Teacher training centers [in Persian]. Stud EducPsychol 2010; 11(1): 189-210.
  4. Sandars J. The use of reflection in medical education: AMEE Guide No. 44. Med Teach 2009; 31(8): 685-95.
  5. Nguyen QD, Fernandez N, Karsenti T, Charlin B. What is reflection? A conceptual analysis of major definitions and a proposal of a five-component model. Med Educ 2014; 48(12): 1176-89.
  6. Rahimi M, Haghani F. Reflection in medical education: a review of concepts, models, principles, and methods of teaching reflection in medical education [in Persian]. RME 2017; 9(2): 24-13.
  7. Aronson L. Twelve tips for teaching reflection at all levels of medical education. Med Teach 2011; 33(3): 200-5.
  8. Zimmerman BJ. Becoming a self-regulated learner: An overview. Theory into practice 2002; 41(2): 64-70.
  9. Ménard L, Ratnapalan S. Teaching moment: reflection in medicine: models and application. Can Fam Physician 2013; 59(1): 105-7, e57-9.
  10. Persson EK, Kvist LJ, Ekelin M. Analysis of midwifery students' written reflections to evaluate progression in learning during clinical practice at birthing units. Nurse Educ Pract 2015; 15(2): 134-40.
  11. Fenigstein A, Scheier MF, Buss AH. Public and private self-consciousness: Assessment and theory.
    J Consult Clin Psychol 1975; 43(4): 522.
  12. Grant A M, Franklin J, Langford P. The self-reflection and insight scale: A new measure of private self-
    Soc Behav Pers 2007; 30(8): 821-35.
  13. Aukes LC, Geertsma J, Cohen-Schotanus J, Zwierstra RP, Slaets JP. The development of a scale to measure personal reflection in medical practice and education. Med Teach 2007; 29(2-3): 177-82.
  14. Hamedfar H, Gaffari R, Ranjbar F. Designing and psychometrics of reflection self-assessment instrument for medical sciences students [in Persian]. [Thesis]. Tabriz, ran: Tabriz University of Medical Sciences; 2018.
  15. Khodaie E, Habibi M, Jamali E, Baghi R, Kholghi H. Identification of effective factors on predicting students’ academic progress based on educational data obtained from secondary education and national entrance exam [in Persian]. Educ Measurement Evaluat Studies 2017; 7(19): 7-39.
  16. Jahangard H, Lesani M, Motahhari H. Prediction of educational achievement based on learning styles mediated by academic Self-efficacy: a case study on the students of Medical Professionals in Kerman University of Medical Sciences, Iran [in Persian]. Strides in Develop Med Educ 2017; 14(1): 1-10
  17. Kolb DA. Experiential learning; experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hal; 1984
  18. Veine S, Kalvig M, Haugland N, Christian T, Bredesen T. Reflection as a core student learning activity in higher education - Insights from nearly two decades of academic development. Intern J Academic Develop 2020; 25(2): 147-61.
  19. Kazemipoor M, Hakimian R. Evaluation of reflection level in the field of educational findings among dental students at Shahid Sadoughi University of Medical Science in 2017-2018 [in Persian]. J Med Edu Dev 2018; 13(3): 229-37.
  20. Sanaeinasab H, Rashidi Jahan H, Saffari M. Influential factors on academic achievement of university students [in Persian]. Educ Strategy Med Sci 2013; 5(4): 243-49.