Examination of depth of written reflective practice for speech-language therapy students; the impact of time and clinical competency

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ABSTRACT Written reflective practice (WRP) is a teaching and learning activity utilized in clinical programmes. Identifying depth of WRP aims to provide an overall rating of students’ written reflective abilities. Engaging in reflective activities has been proposed to have a positive relationship with clinical competency. Aims: 1. To examine the impact of time on depth of WRP for SLT students across and within each year group of the SLT clinical programme. 2. To determine whether a relationship exists between depth of WRP and clinical competency of SLT students. Methods: Participants were 77 undergraduate SLT students (first, second or final professional year) in the clinical programme. Participants wrote reflections as part of their clinical education experiences. Depth of WRP was measured utilizing a modification of Plack et al.’s [2005. A method for assessing reflective journal writing. Journal of Allied Health, 34(4), 199–208] coding schema. This was completed at four time points across the academic year for each professional year. Level of clinical competency was assessed using the Competency Assessment in Speech Pathology (COMPASS®) at the end of both semesters. Results: There was a statistically significant association between time and development of depth of WRP for students in their final professional year (β = .66 (.30), z = 2.22, p < .05). There was no association between depth of WRP and level of clinical competency. Conclusion: A one-off judgement of WRP depth may be useful for supporting overall judgements of RP ability and provide observable behaviours for competency assessments. This research contributes to the evidence base examining how WRP is assessed and utilized in clinical programmes.