Is Reflective Ability Associated With Professionalism Lapses During Medical School?

Leslie A. Hoffman, Ronald L. Shew, Toan Vu, James J. Brokaw, Richard Frankel

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

PURPOSE: Recently, many have argued that learning to reflect on one’s experiences is a critical component of professional identity formation and of professionalism. However, little empirical evidence exists to support this claim. This study explored the association between reflective ability and professionalism lapses among medical students. METHOD: The authors conducted a retrospective case–control study of all students who matriculated at Indiana University School of Medicine from 2001 to 2009. The case group (n = 70) included those students who had been cited for a professionalism lapse during medical school; the students in the control group (n = 230) were randomly selected from the students who had not been cited for a professionalism lapse. Students’ professionalism journal entries were scored using a validated rubric to assess reflective ability. Mean reflection scores were compared across groups using t tests, and logistic regression analysis was used to assess the relationship between reflective ability and profession­alism lapses. RESULTS: Reflection scores for students in the case group (2.46 ± 1.05) were significantly lower than those for students in the control group (2.82 ± 0.83) (P = .01). A lower reflection score was associated with an increased likelihood that the student had been cited for a professionalism lapse (odds ratio = 1.56; P <.01). CONCLUSIONS: This study revealed a significant relationship between reflective ability and professionalism, although further study is needed to draw any conclusions regarding causation. These findings provide quantitative evidence to support current anecdotal claims about the relationship between reflection and professionalism.

Original languageEnglish (US)
JournalAcademic Medicine
DOIs
StateAccepted/In press - Jan 12 2016

Fingerprint

Aptitude
Medical Schools
Students
ability
school
student
Group
Professionalism
professionalism
Control Groups
identity formation
Medical Students
Causality
evidence
medical student
regression analysis
Retrospective Studies
Logistic Models
logistics
Odds Ratio

ASJC Scopus subject areas

  • Medicine(all)
  • Education

Cite this

Is Reflective Ability Associated With Professionalism Lapses During Medical School? / Hoffman, Leslie A.; Shew, Ronald L.; Vu, Toan; Brokaw, James J.; Frankel, Richard.

In: Academic Medicine, 12.01.2016.

Research output: Contribution to journalArticle

@article{bba5f459c360470b8672ed27aae4a952,
title = "Is Reflective Ability Associated With Professionalism Lapses During Medical School?",
abstract = "PURPOSE: Recently, many have argued that learning to reflect on one’s experiences is a critical component of professional identity formation and of professionalism. However, little empirical evidence exists to support this claim. This study explored the association between reflective ability and professionalism lapses among medical students. METHOD: The authors conducted a retrospective case–control study of all students who matriculated at Indiana University School of Medicine from 2001 to 2009. The case group (n = 70) included those students who had been cited for a professionalism lapse during medical school; the students in the control group (n = 230) were randomly selected from the students who had not been cited for a professionalism lapse. Students’ professionalism journal entries were scored using a validated rubric to assess reflective ability. Mean reflection scores were compared across groups using t tests, and logistic regression analysis was used to assess the relationship between reflective ability and profession­alism lapses. RESULTS: Reflection scores for students in the case group (2.46 ± 1.05) were significantly lower than those for students in the control group (2.82 ± 0.83) (P = .01). A lower reflection score was associated with an increased likelihood that the student had been cited for a professionalism lapse (odds ratio = 1.56; P <.01). CONCLUSIONS: This study revealed a significant relationship between reflective ability and professionalism, although further study is needed to draw any conclusions regarding causation. These findings provide quantitative evidence to support current anecdotal claims about the relationship between reflection and professionalism.",
author = "Hoffman, {Leslie A.} and Shew, {Ronald L.} and Toan Vu and Brokaw, {James J.} and Richard Frankel",
year = "2016",
month = "1",
day = "12",
doi = "10.1097/ACM.0000000000001094",
language = "English (US)",
journal = "Academic Medicine",
issn = "1040-2446",
publisher = "Lippincott Williams and Wilkins",

}

TY - JOUR

T1 - Is Reflective Ability Associated With Professionalism Lapses During Medical School?

AU - Hoffman, Leslie A.

AU - Shew, Ronald L.

AU - Vu, Toan

AU - Brokaw, James J.

AU - Frankel, Richard

PY - 2016/1/12

Y1 - 2016/1/12

N2 - PURPOSE: Recently, many have argued that learning to reflect on one’s experiences is a critical component of professional identity formation and of professionalism. However, little empirical evidence exists to support this claim. This study explored the association between reflective ability and professionalism lapses among medical students. METHOD: The authors conducted a retrospective case–control study of all students who matriculated at Indiana University School of Medicine from 2001 to 2009. The case group (n = 70) included those students who had been cited for a professionalism lapse during medical school; the students in the control group (n = 230) were randomly selected from the students who had not been cited for a professionalism lapse. Students’ professionalism journal entries were scored using a validated rubric to assess reflective ability. Mean reflection scores were compared across groups using t tests, and logistic regression analysis was used to assess the relationship between reflective ability and profession­alism lapses. RESULTS: Reflection scores for students in the case group (2.46 ± 1.05) were significantly lower than those for students in the control group (2.82 ± 0.83) (P = .01). A lower reflection score was associated with an increased likelihood that the student had been cited for a professionalism lapse (odds ratio = 1.56; P <.01). CONCLUSIONS: This study revealed a significant relationship between reflective ability and professionalism, although further study is needed to draw any conclusions regarding causation. These findings provide quantitative evidence to support current anecdotal claims about the relationship between reflection and professionalism.

AB - PURPOSE: Recently, many have argued that learning to reflect on one’s experiences is a critical component of professional identity formation and of professionalism. However, little empirical evidence exists to support this claim. This study explored the association between reflective ability and professionalism lapses among medical students. METHOD: The authors conducted a retrospective case–control study of all students who matriculated at Indiana University School of Medicine from 2001 to 2009. The case group (n = 70) included those students who had been cited for a professionalism lapse during medical school; the students in the control group (n = 230) were randomly selected from the students who had not been cited for a professionalism lapse. Students’ professionalism journal entries were scored using a validated rubric to assess reflective ability. Mean reflection scores were compared across groups using t tests, and logistic regression analysis was used to assess the relationship between reflective ability and profession­alism lapses. RESULTS: Reflection scores for students in the case group (2.46 ± 1.05) were significantly lower than those for students in the control group (2.82 ± 0.83) (P = .01). A lower reflection score was associated with an increased likelihood that the student had been cited for a professionalism lapse (odds ratio = 1.56; P <.01). CONCLUSIONS: This study revealed a significant relationship between reflective ability and professionalism, although further study is needed to draw any conclusions regarding causation. These findings provide quantitative evidence to support current anecdotal claims about the relationship between reflection and professionalism.

UR - http://www.scopus.com/inward/record.url?scp=84954348658&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84954348658&partnerID=8YFLogxK

U2 - 10.1097/ACM.0000000000001094

DO - 10.1097/ACM.0000000000001094

M3 - Article

C2 - 26760059

AN - SCOPUS:84954348658

JO - Academic Medicine

JF - Academic Medicine

SN - 1040-2446

ER -