The GMC requires us to reflect on our practice, but what exactly is reflection and how do you do it?
Appraisal for revalidation: a guide to the process (Academy of Medical Royal Colleges, July 2014) says,
"Reflection is a common theme running through the supporting information and the appraisal discussion.
This should not be a complex or time-consuming process, and essentially involves
Improving feedback and reflection (Academy of Medical Royal Colleges, May 2017) describes reflection as a cyclical process.
It also explains how feedback from, and calibration by the trainer [appraiser?] is important and how they enhance the learning derived from reflection.
"Without feedback, reflection amounts only to teaching oneself." (see pages 7 & 8).
Appraisal – reflecting, learning and becoming EVEN better (Amjad Khan et al) is an easy-to-read document which explains how appraisal, and reflection in particular, can help each of us improve our practice.
This briefing (NHSE, 15 02 2018) is a letter to provide clarification over the use of written reflective practice in appraisals.
This follows recent (December 2017) high profile discussion of this topic following the tragic death of a young boy, Jack Adcock, and the subsequent legal proceedings against Dr Bawa-Garba.
See also Will a reflection be used against me in court? and email from GMC chairman (Prof. Stephenson, 02 02 2018).
Dr Bawa-Garba wins appeal against GMC (BBC, August 2018) and will be restored to the medical register after her suspension has expired.
The three "whats" of reflection
-I read an article
-I went on a course
-The guidelines have changed
-Never prescribe X with Y
-I'll audit patients taking X and Y
-I'll update my colleagues at our next meeting
Templates for reflective learning
Audit or data collection
Complaint report or No complaints declaration
Detailed reflective template (unknown source, 2017)
Lecture, seminar, conference or course
Patient survey (2018)
Significant Event Analysis: Generic Template July 2015
Quality improvement project