Reflective Statements Research Articles

Co-creating with students to promote science of learning in higher education: An international pioneer collaborative effort for asynchronous teaching

Recent insights from Science of Learning (SoL) are informing instruction, training, and curriculum. Here, we present a project on promoting SoL-related content through co-creating online asynchronous learning resources. By building a 7-person cross-institution team, we strategically harnessed (1) student-faculty partnerships as a mechanism to promote training and professional development, (2) co-creation as a model to curricula development, (3) blended asynchronous learning as a modality for content delivery, and (4) internationalization as a strategy to embrace globalization. This co-creation of curricula project included three stages—literature review, design and production, and evaluation. The project evaluation deployed a mixed methods approach with 6 student evaluators across both participating institutions, who explored the effectiveness of the learning resources. In addition, student partners contributed reflective statements on their co-creation experience. This paper reports on the procedural pipeline to co-creation and the project evaluation, as well as on new insights emerging for curriculum development. We conclude that project's co-created learning resources may enhance effectiveness of instructional design and students’ learning experience. Further, we demonstrate that student partners acquire new knowledge and research, design and delivery skills, futureproofing their academic progression.

Effectiveness of informal digital learning of English on EFL learners’ vocabulary knowledge: a mixed-methods investigation

This mixed-methods study examined the association between informal digital learning of English (IDLE) and English as a Foreign Language (EFL) learners’ vocabulary knowledge (VK). A total of 365 EFL learners, including 172 males and 193 females, participated in the quantitative part, while 24 EFL learners (12 males and 12 females) participated in the qualitative part. The participants completed the Informal Digital Learning of English Scale (IDLES), an English vocabulary test, and wrote a reflective statement. Pearson correlation analysis, multiple regression analysis, and thematic coding analysis were employed to analyze the collected data. The findings revealed a significant positive correlation between IDLE and the EFL learners’ VK. Additionally, the results indicated that the EFL learners’ VK was influenced by all dimensions of IDLES, including IDLE-enhanced benefits, IDLE practices, others and support, authentic L2 experience, resource and cognition, and frequency and device. Moreover, four overarching themes emerged from the qualitative findings: having authentic learning experiences, receiving support from others, benefiting from quantity and diversity, and being motivated and confident. The findings evidenced that IDLE is an effective way of enhancing EFL learners’ VK as it can provide them with exposure to authentic and diverse English learning resources and activities beyond traditional classrooms.

Using the consolidated Framework for Implementation Research to integrate innovation recipients’ perspectives into the implementation of a digital version of the spinal cord injury health maintenance tool: a qualitative analysis

BackgroundDespite advances in managing secondary health complications after spinal cord injury (SCI), challenges remain in developing targeted community health strategies. In response, the SCI Health Maintenance Tool (SCI-HMT) was developed between 2018 and 2023 in NSW, Australia to support people with SCI and their general practitioners (GPs) to promote better community self-management. Successful implementation of innovations such as the SCI-HMT are determined by a range of contextual factors, including the perspectives of the innovation recipients for whom the innovation is intended to benefit, who are rarely included in the implementation process. During the digitizing of the booklet version of the SCI-HMT into a website and App, we used the Consolidated Framework for Implementation Research (CFIR) as a tool to guide collection and analysis of qualitative data from a range of innovation recipients to promote equity and to inform actionable findings designed to improve the implementation of the SCI-HMT.MethodsData from twenty-three innovation recipients in the development phase of the SCI-HMT were coded to the five CFIR domains to inform a semi-structured interview guide. This interview guide was used to prospectively explore the barriers and facilitators to planned implementation of the digital SCI-HMT with six health professionals and four people with SCI. A team including researchers and innovation recipients then interpreted these data to produce a reflective statement matched to each domain. Each reflective statement prefaced an actionable finding, defined as alterations that can be made to a program to improve its adoption into practice.ResultsFive reflective statements synthesizing all participant data and linked to an actionable finding to improve the implementation plan were created. Using the CFIR to guide our research emphasized how partnership is the key theme connecting all implementation facilitators, for example ensuring that the tone, scope, content and presentation of the SCI-HMT balanced the needs of innovation recipients alongside the provision of evidence-based clinical information.ConclusionsUnderstanding recipient perspectives is an essential contextual factor to consider when developing implementation strategies for healthcare innovations. The revised CFIR provided an effective, systematic method to understand, integrate and value recipient perspectives in the development of an implementation strategy for the SCI-HMT.Trial registrationN/A.

‘Opening up’ Corpus Linguistics

Despite a multitude of empirical studies pointing to the benefits of integrating corpora in second language (L2) teaching and learning, corpus use in the pre-tertiary L2 classroom remains the exception rather than the norm. This much-discussed research-practice gap can be attributed to the limited physical, intellectual and social accessibility of both corpus research and corpus resources. To address this issue, I explore the potential of Open Education in a course aimed at imparting corpus literacy to pre-service EFL teachers. I present the design of a course focused on the collaborative creation of a new Open Educational Resource (OER): a guide to creating corpus-informed teaching materials. The present study evaluates the effectiveness of three iterations of this course in enhancing the physical, intellectual, and social accessibility of corpus linguistics for L2 education. Analyses of pre- and post-course surveys, students’ OER chapter submissions, and reflection statements show that the semester-long course successfully developed participants’ technical and pedagogical corpus literacy. The findings suggest that the adoption of OER-enabled pedagogy in an initial teacher education course can make a positive contribution to bridging the corpus research-teaching gap.

A (TRANS)formative approach to gender‐inclusive science education

AbstractThe teaching of science in K‐12 schools has long been criticized as a process that propagates oppression for students who do not conform to entrenched norms of gender, sex, and sexuality. Academic standards, curriculum, and textbooks are rife with rhetoric that reinforces any deviation from cisheterosexuality as aberrant, unusual, or abnormal. However, these often‐over‐simplified conceptions discount the historic social and scientific intricacies of gender and sexual diversity as well as students' own lived experiences. While there have been advancements in LGBTQ+ and gender‐inclusive science education reform, these movements have been stymied by a lack of cohesive guidelines for pedagogy and practice, particularly for trans, nonbinary, and gender‐creative youth. Situated within trans‐created conceptual frameworks for critical education, this study explored the pedagogical practices of 10 transgender science teachers with the purpose of learning from their experiences creating gender inclusive curriculum. From the data (in‐depth interviews, instructional materials samples, and reflective teaching statements) emerged the TRANS (Trans and Research‐informed Approaches for Nonbinary and gender‐inclusive Science education) Framework for gender inclusive science education pedagogy. This framework is anchored in three domains for teaching science through a trans‐informed lens:interrogating and accessing power, resisting essentialism, and embracing experiential knowledge and personal epistemologies. The findings of this study contribute to our growing understanding of gender‐inclusive science learning environments. Importantly, this study amplified the experiential knowledge of teachers whose voices are critically absent from research surrounding gender and LGBTQ+‐inclusive science education practice. Moreover, the framework derived from teachers' experiences can be used to guide educators in making their science classrooms safer and more gender inclusive.

EFL teachers’ perceptions of emotional literacy: A phenomenological investigation in Iran

The importance of emotional literacy (EL) in education is widely acknowledged, but the English as a foreign language (EFL) context has not been extensively investigated regarding how EFL teachers perceive their EL. To address this gap, this study adopted a phenomenological research design to explore EFL teachers' perceptions of EL in the Iranian EFL context. A purposive sampling technique was used to select 22 EFL teachers at secondary high schools in Borujerd City, including 14 males and 8 females. The required data were collected through reflective statements, classroom observations, and post-class discussions. The study's findings generated two overarching themes regarding the essence of EL: individual aspects (e.g., being motivated, being self-regulated, and being emotionally aware) and social aspects (e.g., being empathetic and being socially skilled). The results suggest that EL should be incorporated into pre-service and in-service teacher training programs to promote their teaching efficacy.

Effective debriefings in the clinical setting: a pilot study to test the impact of an evidence based debriefing app on anesthesia care providers' performance.

Debriefing enhances team learning, performance, and patient safety. Despite its benefits, it's underused. To address this, we developed an evidence-based debriefing app. This pilot study, conducted at a Swiss hospital, evaluated team performance during two anesthesia inductions using the Team Performance Scale (TPS). Following the first induction, teams engaged with the Zurich Debriefing App, with debriefing sessions meticulously recorded for subsequent evaluation. To mitigate bias, raters underwent comprehensive TPS training. The debriefings were analyzed through the DE-CODE framework. We utilized paired t-tests to examine performance improvements and linear regressions to assess the impact of reflective statements on performance, moderated by psychological safety. Team performance significantly improved from the first to the second induction (t (9) = -2.512, p = 0.033). Senior physicians' (n = 8) reflective statements predicted post-assessment TPS scores (R 2 = 0.732, p = 0.061), while consultants (n = 7) and nurse anesthetists (n = 10) did not. Interaction analysis revealed no moderation effects, but a main effect indicated the significance of senior physicians' reflective statements. This pilot study confirms the efficacy of the evidence-based debriefing app in enhancing anesthesia team performance. Senior physicians' reflective statements positively influenced performance; however, no moderation effects were observed. The study highlights the potential of debriefing apps to streamline and enhance team debriefing processes, with significant implications for improving clinical practice and patient safety. Further research is needed to validate these findings on a larger scale and optimize the integration of debriefing into routine clinical practice.

Higher-order CBT skills: are there differences in meta-competence between trainee and experienced therapists?

Abstract Meta-competencies govern the application of more basic therapeutic competencies and allow CBT therapists to know when and why particular skills are needed. Meta-competencies are particularly important when responding to the needs of complex or atypical clinical cases. We explore CBT meta-competencies through therapist reflections on complex clinical scenarios and judgements about CBT skills. Three groups of therapists were compared in their responses to four complex clinical scenarios: trainees, recently qualified and experienced therapists. Participants reflected on how they would respond in each scenario and made ratings of the importance of different skills. There was a highly significant difference between trainees and experienced therapists in the number of reflective statements made, but no differences in the number of anticipated actions. There were no group differences in judgements about CBT skills. Reflective capacity is a meta-competency and higher-order skill that CBT therapists continue to develop several years post-qualification. Further studies are needed to replicate this finding and understand its impact on clinical practice. Key learning aims (1) To learn about CBT meta-competencies when considering clinical complexity. (2) To learn how to test meta-competencies in groups of therapists with differing levels of experience. (3) To identify which meta-competencies are prioritised in clinically complex scenarios. (4) To support the development of the scale which measures meta-competencies in therapists.

Influencing patient behaviors in coordinated care based on behavioral patterns.

Healthcare providers on primary healthcare teams have to know how to effectively encourage patients to change their health behavior to achieve therapeutic goals. When influencing patients’ lifestyle and health behaviors, patient’s perspective should be at the heart of the discussion so that lifestyle promotion services support better outcomes and experiences. Understanding behavioral patterns and psychological background of implementing change, can help healthcare professionals in delivering interventions with higher success rate. In fact, thanks to enhanced patient engagement, theory-based interventions tend to be more effective in changing behaviors compared to non-theory based interventions. In coordinated care, lifestyle promotion can consist of screening, lifestyle advice and referral to another healthcare professional.
 The aim of the study was to evaluate the importance of behavioral patterns in influencing the patient’s attitudes and health behaviors.
 Changing habits in the context of health promotion could be accomplished by influencing patients’ perception. This could be achieved by TRA (Theory of Reasoned Action) and HBM (Health Belief Model) models by convincing the public of susceptibility to a particular disease, disseminating knowledge about effective prevention methods and generating persuasion, support, admiration or recognition in society after positive behaviors such as smoking cessation or regular physical activity.
 A more effective technique is cognitive behavioral technique based on the theory of learning. These techniques rely on the assumption that behavior and cognition must be considered together if they are to be effective in causing change. Our thoughts, feelings and behaviors are often connected in cause and effect sequences. Therefore, in order to understand the causes of, for example, self-destructive behaviors, attention should be paid not only to the behavior itself, but also to the cognitive processes related to it.
 Successful behavioral interventions must be based on changing the approach of medical personnel to the interpersonal process with the patient. This approach should be patient - centered and collaborative. It is therefore important to establish a relationship that shows genuine interest in the patient. Medical staff should assess the importance that the patient attributes to their health and the treatment process, and thus also their willingness and motivation to comply with the recommendations. Mere provision of information will not guarantee a change in their behavior. Effective ways to reduce patient’s resistance include emphasizing their personal choice and control, making sure the patient is ready for treatment, convincing the patient of the importance of the treatment process and involving the patient in the decision-making process. Medical staff should use active listening techniques (use of open-ended questions, clarifications, reflective statements and summary statements), should encourage patients to express their concerns and should be able to weigh the pros and cons of different therapeutic approaches.

Developing, Implementing, and Evaluating the Effectiveness of a Sleep Health Educational Module for Pharmacy Students

ObjectivePharmacists need sleep health knowledge and management skills to deliver evidence-based treatments to patients with sleep disorders/disturbances. This study aimed to develop, implement, and evaluate a pedagogically informed, interactive sleep health educational module for pharmacy students. MethodsAn educational module utilizing a flipped classroom approach, with an interactive lecture, student self-reflection of sleep patterns, case discussions, and pharmacist-patient role-play scenarios, was designed and implemented. A questionnaire assessing pre/post-module changes in knowledge about and attitudes toward sleep health as well as post-module learning satisfaction, was administered to all participating second-year pharmacy students at an Australian university. ResultsMean total knowledge scores for participating students (n = 125, 70.4% female) improved significantly, from a baseline of 11.1 ± 3.8 to 17.1 ± 3.5 post-module (range: 0–25). Attitudes toward sleep health were moderately high at baseline (28.8 ± 3.2) and improved marginally post-module (29.4 ± 3.8) (range: 10–50); however, this increase was insignificant. Participants expressed high satisfaction with the module through subjective feedback, and post-module reflective statements indicated plans for changing sleep behaviors. ConclusionThe results of this study have shown that a targeted educational module for pharmacy students improved sleep health knowledge. It appeared that positive attitudes toward sleep health were not significantly increased which may reflect a ceiling effect. Future modules should focus on attitudinal aspects of positive sleep health to enhance pharmacists’ skills in providing clinically related sleep health care to patients with sleep disturbance.

Can a mock medication-taking learning activity enable pharmacy students to experience the range of barriers and facilitators to medication adherence? An analysis informed by the Theoretical Domains Framework and COM-B model

BackgroundPharmacy professionals are well-placed to provide medication adherence support to patients. The Capability, Opportunity, Motivation-Behaviour (COMB) and Theoretical Domains Framework (TDF) are two complementary models previously applied to medication-taking behaviour. Understanding the patient-specific barriers and facilitators to adherence using psychological frameworks from the early stages of pharmacy education enables the design and delivery of effective interventions. ObjectivesTo examine whether a novel ‘mock medicine’ learning activity enabled students to experience the range of barriers and facilitators to medication adherence using the COM-B and TDF. MethodsA mock medicine activity was conducted with students at pharmacy schools in three universities in the UK, Norway, and Australia over one week. Percentage adherence was calculated for five dosing regimens; theoretical framework analysis was applied to map reflective statements from student logs to COM-B and TDF. ResultsA total of 349 students (52.6%) returned completed logs, with high overall mean adherence (83.5%, range 0–100%). Analysis of the 277 (79.4%) students who provided reflective statements included barriers and facilitators that mapped onto one (9%), two (29%) or all three (62%) of the COM-B components and all fourteen TDF domains (overall mean = 4.04; Uni 1 = 3.72; Uni 2 = 4.50; Uni 3 = 4.38; range 1–8). Most frequently mapped domains were ‘Environmental context and resources’ (n = 199; 72%), ‘Skills’ (n = 186; 67%), ‘Memory, attention and decision-making’ (184; 66%) and ‘Beliefs about capabilities’ (n = 175; 63%). ConclusionsThis is the first study to utilise both COM-B and TDF to analyse a proxy measure of medication adherence in pharmacy education. Data mapping demonstrated that students experienced similar issues to patients when prescribed a short course of medication. Importantly, all the factors influencing medication-taking reported by students were captured by these two psychological frameworks. Future educational strategies will involve students in the mapping exercise to gain hands-on experience of using these psychological constructs in practice.

A Pediatric Resident Advocacy in Complex Care Curriculum.

Children and youth with special health care needs (CYSHCN) are a special, vulnerable population. Children with medical complexity (CMC) represent a smaller, medically fragile sliver (6%) of the US child population. Several professional pediatric entities direct (or require) pediatric educators to instruct residents in advocacy for all children, explicitly including CYSHCN/CMC populations. While many existing curricula address pediatric advocacy education, a gap remains in curricula specifically designed to aid learners in advocacy of CYSHCN/CMC. Using Kolb's experiential learning cycle as a framework, we designed and delivered a comprehensive outpatient complex care curriculum, including several didactic video lectures (total: 60:04 minutes, median: 6:25 minutes) and experiential site visits devoted to advocacy topics for CMC, as one portion of a 4-week elective complex care rotation. Residents completed pre- and posttests of knowledge and pre- and postsurveys to self-assess attitudes, comfort, and behavior; viewed didactic video lectures; and engaged in experiential site visits. Reflective statements captured attitudes regarding advocacy for CMC. Between July 2016 and June 2020, 47 trainees completed the rotation; data were available for 30 trainees. Residents demonstrated a statistically significant improvement in knowledge (p < .001), as well as improved attitudes, diversity sensitivity, and comfort in advocating for CMC postrotation. Qualitative comments showed overwhelmingly positive learner reaction. This curriculum, which can be offered as a stand-alone resource or a supplement to a comprehensive complex care curriculum, incorporates didactic and experiential teaching methods and addresses a significant competency in advocacy education.

Online practicum preparation for enhancing preservice teachers' reflection depths: a quasi-experimental approach

Building preservice teachers' capacities with in-depth reflections on their acquired knowledge and practicum practice has become indispensable in teacher education programs' current field experience requirements. Lengthy training programs with blended learning have successfully promoted reflection in preservice teachers. However, it is unclear whether preservice teachers could benefit from a short self-access online training program (SSOTP) in promoting their reflection depths, especially when facing challenging situations such as COVID-19. Using a teaching and assessing reflective learning model, we examined reflection depth among Chinese preservice teachers in a quasi-experimental research approach. This study showed the effectiveness of an SSOTP in stimulating preservice teachers' reflection depth. The training sequence and different topics also significantly affected preservice teachers in generating reflections. The results suggested that establishing an SSOTP with systematic stimulations could enhance preservice teachers' reflection depths and help them achieve quality teaching during the teacher preparation stage. While preservice teachers generated many reflective statements, their reflection depths were relatively shallow. This study provides evidence to enhance different levels of reflection depth in future SSOTPs.

TEACHING AND ASSESSING INDEPENDENT LISTENING IN AN ONLINE COURSE FOR TRANSLATION MAJORS

The article presents methods of teaching and assessment of philology students’ independent listening in online instruction which has gained increased significance in the pandemic and post-pandemic times. Independent listening is understood as listening to aural/video texts outside the classroom aligned with the curriculum. Basic principles applied in teaching independent listening include giving learners enough freedom for self-regulation, i.e., choosing a text and time for listening, self-evaluating results, and developing strategies for further learning with a teacher’s support for scaffolding learning. The current research is based on the findings of the preliminary study which provided information about the 2nd year students’ interests in topics and types of listening texts, the length of aural and video texts and frequency of independent listening sessions per week as well as the learning platforms they are familiar with. Built on these data, methods of teaching and assessment of independent listening were developed, with their effectiveness examined in this study. The intervention, conducted by the researchers, integrated traditional stages of teaching listening with a listening log used as a tool for guiding students’ reflection and self-evaluation. Logs/journals/portfolios belong to alternative assessments, which are still innovative and under-researched in language pedagogy, although reflecting the much-welcomed shift from assessment of learning towards assessment for learning. The data obtained through listening logs were corroborated with the results of pre-and post-tests and the employment of another qualitative research tool – reflective Can-do statements. The findings prove that a listening log is efficiently integrated into the processes of teaching as well as self- and teacher assessment.

"You did a great job building that!" Links between parent-child prosocial talk and spatial language.

We investigated the extent to which parents' prosocial talk and negations relate to the quantity and diversity of parents' spatial language production. We also examined similar associations among children. Participants included 51 children of ages 4-7 years and their parents recruited from South Florida. Most of the dyads included mothers and were Hispanic and bilingual. Dyads constructed a Lego house for 10 min. Sessions were transcribed and coded for instances of parent prosocial talk (praises, reflective statements, and behavior descriptions), child general positive statements (all positive contributions to the interaction), and parent and child negations (criticisms, corrections, and disapprovals) using the Dyadic Parent-Child Interaction Coding System. Transcripts were also coded for quantity and diversity of spatial language including shape terms (e.g., square), dimensional adjectives (e.g., little), orientations (e.g., turn), locations (e.g., middle), and spatial features/properties (e.g., edge). Parents' prosocial language, but not negations, were significantly associated with the quantity and diversity of parents' spatial language. Children's general positive statements were significantly associated with children's spatial language quantity. Exploratory data analyses also revealed significant associations between parent-child talk about shapes, dimensions, and spatial features and properties. Findings suggest that variability in parent-child prosocial and spatial talk during collaborative spatial play relates to aspects of their own-and each other's-spatial language production. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Effect of a Coaching Intervention to Improve Cardiologist Communication

Communication between cardiologists and patients can significantly affect patient comprehension, adherence, and satisfaction. To our knowledge, a coaching intervention to improve cardiologist communication has not been tested. To evaluate the effect of a communication coaching intervention to teach evidence-based communication skills to cardiologists. This 2-arm randomized clinical trial was performed at outpatient cardiology clinics at an academic medical center and affiliated community clinics, and from February 2019 through March 2020 recruited 40 cardiologists and audio recorded 161 patients in the preintervention phase and 240 in the postintervention phase. Data analysis was performed from March 2022 to January 2023. Half of the cardiologists were randomized to receive a coaching intervention that involved three 1:1 sessions, 2 of which included feedback on their audio-recorded encounters. Communication coaches taught 5 skills derived from motivational interviewing: (1) sitting down and making eye contact with all in the room, (2) open-ended questions, (3) reflective statements, (4) empathic statements, and (5) "What questions do you have?" Coders unaware of study arm coded these behaviors in the preintervention and postintervention audio-recorded encounters (objective communication). Patients completed a survey after the visit to report perceptions of communication quality (subjective communication). Analysis included 40 cardiologists (mean [SD] age, 47 [9] years; 7 female and 33 male) and 240 patients in the postintervention phase (mean [SD] age, 58 [15] years; 122 female, 118 male). When controlling for preintervention behaviors, cardiologists in the intervention vs control arm were more likely to make empathic statements (intervention: 52 of 117 [44%] vs control: 31 of 113 [27%]; P = .05); to ask, "What questions do you have?" (26 of 117 [22%] vs 6 of 113 [5%]; P = .002); and to respond with empathy when patients expressed negative emotions (mean ratio of empathic responses to empathic opportunities, 0.50 vs 0.20; P = .004). These effects did not vary based on patient or cardiologist race or sex. We found no arm differences for open-ended questions or reflective statements and were unable to assess differences in patient ratings due to ceiling effects. In this randomized clinical trial, a communication coaching intervention improved 2 key communication behaviors: expressing empathy and eliciting questions. Empathic communication is a harder-level skill that may improve the patient experience and information comprehension. Future work should explore how best to assess the effect of communication coaching on patient perceptions of care and clinical outcomes and determine its effectiveness in larger, more diverse samples of cardiologists. ClinicalTrials.gov Identifier: NCT03464110.

Staying in bounds: A framework for setting workplace boundaries to promote physician wellness.

Staying in bounds: A framework for setting workplace boundaries to promote physician wellness.

Mixed methods analysis of reflective statements of residents following the developmental-behavioral pediatric rotation

Background: Reflection is important in the professional practice of medicine, and analyses of trainees’ reflection papers have been utilized to evaluate training outcomes. This study was to determine the degree of reflection of residents completing the developmental-behavioral pediatrics (DBP) rotation, which provides a high degree of interprofessional and family-centered experiences. We sought to explore whether level of reflection was correlated with timing of the rotation [earlier or later in training year, before or since the coronavirus disease 2019 (COVID-19) pandemic].

Exploring contextual factors for pre-service teachers teaching with technology through planning, teaching, and reflecting

Teaching with technology is a required skill for today’s teachers and the technological pedagogical content knowledge (TPACK) is a commonly used framework that is used to assess the effective usage of this skill. In this framework, teachers’ knowledge is assessed under various individual and blended knowledge domains. The effect of contextual factors on TPACK is a relatively recent focal point of this framework. Therefore, this study investigates pre-service teachers’ enactment of different TPACK domains and interprets the results according to contextual factors that underlie their decisions and their knowledge levels. For this purpose, a case study involving four pre-service teachers was conducted. The contextual factors are extracted from the pre-service teachers’ reflection and teaching philosophy statements. Then their demonstration of TPACK levels are found both during planning and teaching stages. The results indicate that pre-service teachers with low TPACK enactment are mostly preoccupied with contextual elements related to practical concerns, whereas those with higher levels exhibited a greater degree of contextual elements related to beliefs and external priorities. It was also found that this latter group’s planning and teaching artifacts are more balanced with respect to TPACK levels, whereas a more significant drop in TPACK levels from planning to teaching was observed for the former group.

Experiential Learning of Interdisciplinary Care Skills in Surgery Assessed From Student Reflections

IntroductionInterdisciplinary healthcare collaboration improves patient outcomes, increases workplace satisfaction, and reduces costs. Our medical school utilizes an experiential learning tool for teaching interprofessionalism known as the Longitudinal Patient Project (LPP). Medical students are directed to identify a surgical patient to establish continuity with by observing them throughout preoperative, intraoperative, and postoperative periods, and follow-up with the patient after their procedure. Students then write reflections on their LPP experience. This study examines the LPP as an interprofessionalism teaching tool using qualitative analysis of student reflections. MethodsNVivo 12 was used to code reflections. One researcher coded reflections for subject, depth, temporality, and confidence. Depth was assessed using Mezirow’s Critical Reflection Theory, with students receiving titles of “content,” “process,” or “premise” reflectors based on the deepest level of reflection exhibited. Confidence was assessed by labeling reflective statements as “concrete” or “verbal.” Data were coded by a second researcher for validation. Consensus was reached, the remainder of the dataset was updated to reflect codebook changes, and trends were assessed. ResultsInter-rater agreement was 83%. All students achieved “content” level reflection. Ninety-seven percent of students reached “process” reflection. Ninety-three percent of students reached “premise” reflection. Students provided more concrete indicators of knowledge gained from the LPP than from prior experiences. Subjects included communication, team dynamics, patient impact, and student experience. Increased depth and breadth of reflection on communication and team dynamics were observed from the LPP. ConclusionsThe LPP illustrates the importance of interdisciplinary care in surgery. Future iterations should emphasize the impact on patients and their families.