Medical Practice and Reviews
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Article Number - 15AD22649218

Vol.5(4), pp. 31-35 , December 2014
DOI: 10.5897/MPR.2014.0120
ISSN: 2141-2596

Full Length Research Paper

Medical students’ reflections on first clinical experience

zlem Sar?kaya*
  • zlem Sar?kaya*
  • Department of Medical Education, School of Medicine, Marmara University, Turkey.
  • Google Scholar
Hacer Nalbant
  • Hacer Nalbant
  • Department of Medical Education, Istanbul Medical Faculty, Istanbul University, Turkey.
  • Google Scholar

 Received: 17 September 2014  Accepted: 28 November 2014  Published: 31 December 2014

Copyright © 2014 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

Reflection is an important skill, as it supports both individual and lifelong learning. It can be used as a learning method in medical education for professional development at all stages. This study aims to evaluate reflective skills of third-year medical students in primary care experience.  Physicians from affiliated primary health care centers supervised students during their clinical practice. Student reports was the main documents to assess learning experiences during that period. Researchers used narrative reflection in the students’ reports for content analysis. Reports entries were categorized as avoidant or scant reporting, objective reporting, committed reflectors and reflectors with emotional exploration and coded accordingly. Self-learning experiences of students resulted in various levels of reflection. Students who have committed reflection and reflection with emotional exploration presented detailed and contextual information about their performances and self- learning outcomes. Some students who are categorized as objective reporters wrote simply about daily events and interactions as their learning experiences. Reflective practice provides some information about learning experiences of medical students and reflections on self-learning of primary care experience.
Key words: Medical education, reflection, professional development, primary health care.


Dewey J (1933). Why reflective thinking must be. How We Think. Boston: D.C. Heath & Co.
Sandars J (2009). The use of reflection in medical education: AMEE Guide No. 44. Med. Teach. 31(8):685-695.
Kolb DA (1984). Experiential Learning: Experience as the source of learning and development. Englewood Cliffs, NJ: Prentice Hall.
Moon J (1999). Reflection in Learning and Professional Development. London: Kogan.
Widyandana D, Majoor GD, Scherpbier AJ (2011). Effects of partial substitution of pre-clinical skills training by attachments to primary health care centers: An experimental study. Med. Teach. 33(6):e313–e317.
Mann K, Gordon J, MacLeod A (2009). Reflection and reflective practice in health professions education: a systematic review. Adv. Health Sci. Educ. Theory Pract. 14(4):595–621.
Boenink AD, Oderwald AK, De Jonge P, Van Tilburg W, Smal JA (2004). Assessing student reflection in medical practice. The development of an observer-rated instrument: reliability, validity and initial experiences. Med. Educ. 38(4):368-377.
Niemi PM (1997). Medical students' professional identity: self-reflection during the preclinical years. Med. Educ. 31(6):408-415.
Freshwater D, Rolfe G (2001). Critical reflexivity: A politically and ethically engaged research method for nursing. Nurs. Times Res. 6:526-537.
Patel VL,Yoskowitz NA, Arocha JF (2009). Towards effective evaluation and reform in medical education: a cognitive and learning sciences perspective. Adv. Health Sci. Educ. Theory Pract.14(5):791-812.
Aukes LC, Geertsma J, Cohen-Schotaus J, Zwiestra RP, Slaets JPJ (2008). The effect of enhanced experiential learning on personal reflection of undergraduate medical students. Med. Educ. 13:15.
Ebstein RM, Hundert EM (2002). Defining and Assessing Professional Competence. JAMA 287(2):226-235.
Eraut M (2007). Learning from other people in the workplace. Oxford Rev. Educ. 33(4):403-422.


APA Sarıkaya*, Ö., & Nalbant, H. (2014). Medical students’ reflections on first clinical experience. Medical Practice and Reviews, 5(4), 31-35.
Chicago Özlem Sarıkaya and Hacer Nalbant. "Medical students’ reflections on first clinical experience." Medical Practice and Reviews 5, no. 4 (2014): 31-35.
MLA Özlem Sarıkaya and Hacer Nalbant. "Medical students’ reflections on first clinical experience." Medical Practice and Reviews 5.4 (2014): 31-35.
DOI 10.5897/MPR.2014.0120

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