Written reflective practice in appraisals (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.

​The Medical Director for NHS England (South South West), Dr Caroline Gamlin issued an email "Key messages arising from the High Court" (NHSE SSW, 13 02 2018) containing Confidentiality of reflections for appraisal guidance (NHSE SSW, 13 02 2018).

​13th August 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 folk at the Academy of Medical Royal Colleges​ have published a paper with the snappy title, "Improving feedback and reflection to improve learning A practical guide for trainees and trainers".

It is clearly aimed at doctors who are in training posts and their trainers, but the pages on "Guidance on reflection" (p.7) and "Guidance on feedback" (p8) are well worth a read.

Insights include,

• reflection is a cyclical process
• feedback from the trainer [appraiser?] is important
• calibration by the trainer [appraiser?] is important
• "Without feedback, reflection amounts only to teaching oneself." 

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