Abstract
This article was migrated. The article was not marked as recommended. Purpose Transformative learning (TL) concepts are gaining prominence in medical education, specifically for global health components. Pre-elective essays are mandatory for final year medical students at a large UK medical school. This study considered what TL concepts were demonstrated in these essays.MethodA 10% sample of essays were anonymised and analysed for components of transformative learning. The components include disorienting expereince, emotional response, critical reflection, perspective change and commitment to further action.Results A sample was selected (N=40). The essays were coherent, 10% (4 out of 40) demonstrated 3 or more components of transformative learning with 1 essay demonstrating all components. There was evidence that students had transformative experiences.Critical reflection is the most demonstrated component (30%), followed by commitment to future action (8 of 40 essays - 20%), disorienting experience (7 of 40 essays - 17.5%), and emotional response and perspective change (both 3 of 40 essays - 7.5%).ConclusionSome students demonstrated that transformative learning had taken place, linked their elective placements and global health learning outcomes. Introducing transformative learning skills and attitudes prior to the elective, may facilitate deeper transformative learning during the elective itself, but future research is required to explore this.
Highlights
With an increasingly globalised and interdependent world it is only appropriate that we prepare medical students for them to address the health needs of the 21st century (Frenk et al, 2010)
Critical reflection is the most demonstrated component (30%), followed by commitment to future action (8 of 40 essays – 20%), disorienting experience (7 of 40 essays – 17.5%), and emotional response and perspective change
Some students demonstrated that transformative learning had taken place, linked their elective placements and global health learning outcomes
Summary
The essays were coherent, 10% (4 out of 40) demonstrated 3 or more components of transformative learning with 1 essay demonstrating all components. There was evidence that students had transformative experiences. Critical reflection is the most demonstrated component (30%), followed by commitment to future action (8 of 40 essays – 20%), disorienting experience (7 of 40 essays – 17.5%), and emotional response and perspective change (both 3 of 40 essays – 7.5%)
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