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Reflection increases trainees' ability to meet rotation goals

Residency Program Connection, January 20, 2009

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Educational sessions dedicated to reflection may help residents achieve rotation goals and objectives, according to researchers at The Methodist Hospital in Houston.

In order to study if reflection exercises can affect OB/GYN trainees’ ability to meet rotation goals and objectives, researchers first distributed goals and objectives in writing to residents for the first six months of their 2005–2006 academic year. Then, during the second half of the year, the same set of residents received the goals but also attended structured one-hour reflection sessions focusing on the goals and objectives.

At the end of the year, researchers asked residents to rate their experiences regarding the goals and reflection exercises. Respondents said the reflection exercises better defined the goals and objectives.

Additionally, all residents participating in the study reported performing 18% more procedures in the ACGME operative log Web site during reflection months than the first half of the year.  

The ACGME requires each training program to have goals and objectives for each rotation. The accrediting agency also promotes reflection as one of the characteristics of the practice-based learning and improvement core competency.

The full study results were published in Teaching and Learning in Medicine.

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