Skip to main content

Professional Pedagogies and Research Practices: Teaching and Researching Reflective Inquiry Through a Medical Portfolio Process

  • Chapter
  • First Online:

Abstract

Reflection and portfolios are relatively novel terms in medical education. However, both have been embraced with gusto. Reflection is widely advocated as a fundamental skill for doctors at all stages of their career. The rationale for the introduction of reflective portfolios has been the need to ensure practitioner engagement in life-long learning. The drive for such practices has originated primarily from the external scrutiny of the fiduciary relationship that forms the basis of medical practice. A portfolio approach seems to offer many advantages: it is learner centered yet provides an externally visible, longitudinal and authentic record of a learner’s engagement with daily problems. However, there are many practical constraints involved with portfolio use as they are resource intense, particularly concerning the time required from both students and mentor. In particular, reflection and portfolio use are based on adult learning theory, which assumes that both students and staff actively engage in a learning relationship that is based on mutual trust and respect. Medicine, like law, however, is a conservative profession, based on a positivist tradition with an inherent hierarchy and little tolerance for error. In a sense, the adoption of reflection and portfolios is a gauntlet thrown at traditional medical education.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  • Accreditation Council for Graduate Medical Education Outcome project. http://www.acgme.org/Outcome. Accessed 20 Jan 2009.

  • Allery, L. A., Owen, P. A., & Robling, M. R. (1997). Why general practitioners and consultants change their clinical practice: a critical incident study. BMJ, 314(7084), 870-874.

    Google Scholar 

  • American Board of Internal Medicine. (1995). Project professionalism. Philadelphia: ABIM.

    Google Scholar 

  • American Board of Internal Medicine Foundation, American College of Physicians-American Society of Internal Medicine Foundation, European Federation of Internal Medicine. (2002). Medical professionalism in the new millennium: a physician charter. Annals of International Medicine, 136, 243-246.

    Google Scholar 

  • Argyris, C., & Schon, D. (1974). Theory in practice: Increasing professional effectiveness. London: Jossey-Bass.

    Google Scholar 

  • Arnold, L., & Stern, D. (2006). What is medical professionalism. In T. Stern (Ed.), Measuring medical professionalism. New York: Oxford University Press.

    Google Scholar 

  • Atkins, S., & Murphy, K. (1993). Reflection: a review of the literature. Journal of Advanced Nursing, 18, 1188-1192.

    Google Scholar 

  • Aukes, L. C., Geertsma, J., Cohen-Schotanus, J., Zwierstra, R. P., & Slaets, J. P. (2007). The development of a scale to measure personal reflection in medical practice and education. Medical Teacher, 29(2-3), 177-182.

    Google Scholar 

  • Azer, S. A. (2008). Use of portfolios by medical students: Significance of critical thinking. The Kaohsiung Journal of Medical Sciences, 24(7), 361-366.

    Google Scholar 

  • Barrett, H. C. (2006). Researching and evaluating digital storytelling as a deep learning tool - [helenbarrett.com/portfolios/SITEStorytelling2006.pdf]. Accessed 19 Jan 2009.

    Google Scholar 

  • Barrett, H. C. (2007). Researching Electronic Portfolios and Learner Engagement: The REFLECT Initiative. Journal of Adolescent & Adult Literacy, 50(6), 436-449.

    Google Scholar 

  • Beveridge, I. (1997). Teaching your students to think reflectively: The case for reflective journals. Teaching in Higher Education, 2(1), 33-43.

    Google Scholar 

  • Blasco, P. G., Moreto, G., & Levites, M. R. (2005). Teaching humanities through opera: Leading medical students to reflective attitudes. Family Medicine, 37(1), 18-20.

    Google Scholar 

  • Blasco, P. G., Moreto, G., Roncoletta, A. F., Levites, M. R., & Janaudis, M. A. (2006). Using movie clips to foster learners’ reflection: improving education in the affective domain. Family Medicine, 38(2), 94-96.

    Google Scholar 

  • Bleakley, A. (2000). Writing with invisible ink: narrative, confessionalism and reflective practice. Reflective Practice, 1(1), 11-24.

    Google Scholar 

  • Boenink, A. D., Oderwald, A. K., De Jonge, P., Van Tilburg, W., & Smal, J. A. (2004). Assessing student reflection in medical practice. The development of an observer-rated instrument: reliability, validity and initial experiences. Medical Education, 38(4), 368-377.

    Google Scholar 

  • Bolton, G. (2005). Reflective practice; writing and professional development (2nd ed.). London, UK: Sage.

    Google Scholar 

  • Bordage, G., Grant, J., & Marsden, P. (1990). Quantitative assessment of diagnostic ability. Medical Education, 24, 413-425.

    Google Scholar 

  • Boud, D. (1999). Avoiding the traps: Seeking good practice in the use of self assessment and reflection in professional courses. Social Work in Education, 18, 121-132.

    Google Scholar 

  • Boud, D., Keogh, R., & Walker, D. (eds). (1985). Reflection: Turning experience into learning. London: Kogan Press.

    Google Scholar 

  • Bond, D., Keogh, R., & Walker, D. (1985). Reflection: Turming experience into learning. Routledge Falmer, UK.

    Google Scholar 

  • Boud D., & Walker D. (1993). Barriers to Reflection on Experience. In Boud D, Cohen R, & Walker D (Eds), Using Experience for Learning. Buckingham: SRHE & Open University Press.

    Google Scholar 

  • Branch, W. T., Jr. (2005). Use of critical incident reports in medical education. A perspective. Journal of General Internal Medicine, 20(11), 1063-1067.

    Google Scholar 

  • Branch, W. T., & Paranjape, A. (2002). Feedback and reflection: Teaching methods for clinical settings. Academic Medicine, 77, 1185-1188.

    Google Scholar 

  • Branch, W., Pels, R. J., Lawrence, R. S., & Arky, R. (1993). Becoming a doctor. Critical-incident reports from third-year medical students. The New England Journal of Medicine, 329(15), 1130-1132.

    Google Scholar 

  • Brockbank, A., & McGill, I. (1997). Facilitating reflective learning in higher education. The Society of Research into Higher Education. Open University Press, England.

    Google Scholar 

  • Brockbank, A., & McGill, I. (1998). Facilitating reflective learning in higher education. Buckingham, UK: SRHE and Open University Press.

    Google Scholar 

  • Brookfield, S. (1990). Using critical incidents to explore learner’s assumptions. In J. Mezirow (Ed.), Fostering critical reflection in adulthood: A guide to transformative and emancipatory learning (pp. 177-193). San Francisco: Jossey-Bass.

    Google Scholar 

  • Burch, V. C., & Seggie, J. L. (2008). Use of a structured interview to assess portfolio-based learning. Medical Education, 42(9), 894-900.

    Google Scholar 

  • Campbell, C., Parboosingh, J., Gondocz, S., Babitskaya, G., Lindsay, E., De Guzman, R., et al. (1996). Study of physicians’ use of a software program to create a portfolio of their self-directed learning. Academic Medicine, 71(10 Suppl), S49-S51.

    Google Scholar 

  • Carraccio, C., & Englander, R. (2004). Evaluating competence using a portfolio: A literature review and web-based application to the ACGME competencies. Teaching and Learning Medicine, 16(4), 381-387.

    Google Scholar 

  • Challis, M. (2001). Portfolios and assessment: Meeting the challenge. Medical Teacher, 23, 437-440.

    Google Scholar 

  • Charon, R. (2000). Reading, writing and doctoring: Literature and medicine. The American Journal of the Medical Sciences, 319, 285-291.

    Google Scholar 

  • Charon, R. (2001). The patient-physician relationship. Narrative medicine: A model for empathy, reflection, profession, and trust. JAMA, 286(15), 1897-1902.

    Google Scholar 

  • Chirema, K. (2007). The use of reflective journals in the promotion of reflection and learning in post-registration nursing students. Nurse Education Today, 27(3), 192-202.

    Google Scholar 

  • Chisholm, C. D., & Croskerry, P. (2004). A case study in medical error: The use of the portfolio entry. Academic Emergency Medicine, 11(4), 388-392.

    Google Scholar 

  • Comte, A., & Ferre, F. (eds). (1988). Introduction to positive philosophy. Cambridge, MA: Hackett Publishing.

    Google Scholar 

  • Cook, D. A., & Smith, A. J. (2004). Validity of index of learning styles scores: Multitrait-multimethod comparison with three cognitive/learning style instruments. Medical Education, 40(9), 900-907.

    Google Scholar 

  • Coulehan, J. (2005). Viewpoint: Today’s professionalism: engaging the mind but not the heart. Academic Medicine, 80(10), 892-898.

    Google Scholar 

  • Cruess, S. R., Johnston, S., & Cruess, R. L. (2002). Professionalism for medicine: Opportunities and obligations. The Medical Journal of Australia, 177, 208-211.

    Google Scholar 

  • Dagley, V., & Berrington, B. (2005). Learning from an evaluation of an electronic portfolio to support general practitioners’ personal development planning, appraisal and revalidation. Education for Primary Care, 16, 567-574.

    Google Scholar 

  • Dannefer, E., & Henson, L. (2007). The Portfolio approach to competency-based assessment at the Cleveland Clinic Lerner College of Medicine. Academic Medicine, 82(5), 493-502.

    Google Scholar 

  • DasGupta, S., & Charon, R. (2004). Personal illness narratives: Using reflective writing to teach empathy. Academic Medicine, 79(4), 351-356.

    Google Scholar 

  • Davis, M. H., Friedman Ben-David, M., Harden, R. M., Howie, P., Ker, J., McGhee, C., et al. (2001). Portfolio assessment in medical students’ final examinations. Medical Teacher, 23, 357-366.

    Google Scholar 

  • Davis, D. A., Mazmanian, P. E., Fordis, M., Van Harrison, R., Thorpe, K. E., & Perrier, L. (2006). Accuracy of physician self-assessment compared with observed measures of competence: A systematic review. JAMA, 296(9), 1094-1102.

    Google Scholar 

  • Dewey, J. (1916). Democracy and education. An introduction to the philosophy of education (1966th ed.). New York: Free Press.

    Google Scholar 

  • Dewey, J. (1933). How we think: A restatement of the relation of reflective thinking to the education process. Boston: D.C. Heath.

    Google Scholar 

  • Dittrich, L. (2003). The humanities and medicine: Reports of 41 US, Canadian and international programs. Academic Medicine, 78, 951-952.

    Google Scholar 

  • Dornan, T., Carroll, C., & Parboosingh, J. (2002). An electronic learning portfolio for reflective continuing professional development. Medical Education, 36(8), 767-769.

    Google Scholar 

  • Doyal, L. (2001). Closing the gap between professional teaching and practice. BMJ, 322, 685-686.

    Google Scholar 

  • Dreyfus, S., & Dreyfus, H. (1980). A five-stage model of the mental activities involved in directed skill acquisition. Storming Media, http://www.stormingmedia.us/15/1554/A155480.html. Accessed Feb 09.

  • Driessen, E. W., van Tartwijk, J., Vermunt, J. D., & van der Vleuten, C. P. M. (2003). Use of portfolios in early undergraduate medical training. Medical Teacher, 25(1), 14-19.

    Google Scholar 

  • Driessen, E. W., van Tartwijk, J., Overeem, K., Vermunt, J. D., & van der Vleuten, C. P. M. (2005a). Conditions for successful reflective use of portfolios in undergraduate medical education. Medical Education, 39, 1230-1235.

    Google Scholar 

  • Driessen, E. W., van der Vleuten, C. P. M., Schuwirth, L., van Tartwijk, J., & Vermunt, J. D. (2005b). The use of qualitative research criteria for portfolio assessment as an alternative to reliability evaluation: a case study. Medical Education, 29, 214-220.

    Google Scholar 

  • Driessen, E., Overeem, K., van Tartwijk, J., van der Vleuten, C., & Muijtjens, A. (2006). Validity of portfolio assessment: Which qualities determine ratings? Medical Education, 40, 862-866.

    Google Scholar 

  • Driessen, E., van Tartwijk, J., van der Vleuten, C., & Wass, V. (2007a). Portfolios in medical education: Why do they meet with mixed success? A systematic review. Medical Education, 41(12), 1224-1233.

    Google Scholar 

  • Driessen, E. W., Muijtjens, A. M., van Tartwijk, J., & van der Vleuten, C. P. (2007b). Web- or paper-based portfolios: Is there a difference? Medical Education, 41(11), 1067-1073.

    Google Scholar 

  • Driessen, E., van Tartwijk, J., & Dornan, T. (2008). The self critical doctor: Helping students become more reflective. BMJ, 336, 827-830.

    Google Scholar 

  • Elango, S., Jutti, R., & Lee, L. (2005). Portfolio as a learning tool: Students’ perspective. Annals of the Academy of Medicine Singapore, 34(8), 511-514.

    Google Scholar 

  • Engel, J., Zarconi, J., & Pethtel, L. (2008). Narrative in health care: Healing patients, practitioners, profession, and community. London, UK: Radcliffe Press.

    Google Scholar 

  • Epstein, R. M. (1999). Mindful Practice. JAMA, 282, 833-839.

    Google Scholar 

  • Epstein, R. M. (2007). Assessment in Medical Education. The New England Journal of Medicine, 356, 387-396.

    Google Scholar 

  • Epstein, R. (2008). Reflection, perception and the acquisition of wisdom. Medical Education, 42, 1048-1050.

    Google Scholar 

  • Epstein, R. M., & Hundert, E. (2002). Defining and Assessing Professional Competence. JAMA, 287(2), 226-235.

    Google Scholar 

  • Epstein, R. M., Cole, D. R., Gawinski, B. A., Piotrowski-Lee, S., & Ruddy, N. B. (1998). How students learn from community-based preceptors. Archives of Family Medicine, 7(2), 149-154.

    Google Scholar 

  • Eraut, M. (1994). Developing professional knowledge and competence. London: Falmer Press.

    Google Scholar 

  • Eron, L. D. (1955). Effect of medical education on medical students. Journal of Medical Education, 30, 559-566.

    Google Scholar 

  • Eva, K., & Regehr, G. (2008). “I’ll never play professional football” and other fallacies of self-assessment. The Journal of continuing education in the health professions, 28(1), 14-19.

    Google Scholar 

  • Feudtner, C., Christakis, D. A., & Christakis, N. A. (1994). Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environments and personal development. Academic Medicine, 69, 670-679.

    Google Scholar 

  • Flanagan, J. C. (1954). The critical incident technique. Psychological Bulletin, 51(4), 327-358.

    Google Scholar 

  • Fraser, S. W., & Greenhalgh, T. (2001). Coping with complexity: Educating for capability. BMJ, 323, 799-803.

    Google Scholar 

  • Frich, J. C., & Fugelli, P. (2003). Medicine and the arts in the undergraduate medical curriculum at the University of Oslo Faculty of Medicine, Oslo, Norway. Academic Medicine, 78(10), 1036-1038.

    Google Scholar 

  • Friedman Ben David, M., Davis, M. H., Harden, R. M., Howie, P. W., Ker, J., & Pippard, M. J. (2001). AMEE Medical Education Guide No. 24: Portfolios as a method of student assessment. Medical Teacher, 23(6), 535-551.

    Google Scholar 

  • Fryer-Edwards, K., Pinsky, L., & Robbins, L. (2006). The ue of portfolios to assess professionalism. In T. Stern (Ed.), Measuring medical professionalism. New York: Oxford University Press.

    Google Scholar 

  • Gearhart, M. G., & Wolf, S. A. (1997). Issues in portfolio assessment: Assessing writing processes from their products. Educational Assessment, 4(4), 265-296.

    Google Scholar 

  • General Medical Council. (1993). Tomorrow’s doctors. London: General Medical Council.

    Google Scholar 

  • General Medical Council. (2000). Revalidating doctors: Ensuring standards, securing the future. London: GMC.

    Google Scholar 

  • General Medical Council. (2003). Tomorrow’s doctors; Recommendations on medical undergraduate education. UK: General Medical Council. http://www.gmc-uk.org/education/undergraduate/undergraduate_policy/tomorrows_doctors.asp.

  • Ginsburg, S., Regehr, G., Hatala, R., McNaughton, N., Frohna, A., Hodges, B., et al. (2000). Context, conflict and resolution: A new conceptual framework for evaluating professionalism. Academic Medicine, 75(10), S6-S11.

    Google Scholar 

  • Gordon, J. (2003). Assessing students’ personal and professional development using portfolios and interviews. Medical Education, 37(4), 335-340.

    Google Scholar 

  • Gordon, J. (2005). Medical humanities: To cure sometimes, to relieve often, to comfort always. The Medical Journal of Australia, 182(1), 5-8.

    Google Scholar 

  • Grant, A. M. (2001). Rethinking psychological mindedness: Metacognition, self-reflection and insight. Behaviour Change, 18, 8-17.

    Google Scholar 

  • Grant, A. M., Franklin, J., & Langford, P. (2002). The self-reflection and insight scale: A new measure of provate self-consciousness. Social Behavior and Personality, 30, 821-836.

    Google Scholar 

  • Grant, A., Kinnersley, P., Metcalf, E., Pill, R., & Houston, H. (2006). Students’ views of reflective learning techniques: An efficacy study at a UK medical school. Medical Education, 40, 379-388.

    Google Scholar 

  • Greenhalgh, T., & Hurwitz, B. (1998). Narrative based medicine. London, UK: BMJ publishing.

    Google Scholar 

  • Griffiths, M., & Tann, S. (1992). Using Reflective Practice to Link Personal and Public Theories. Journal of Education for Teaching, 18(1), 64-84.

    Google Scholar 

  • Grundy, S., & Kemmis, S. (1982). Education action research in Australia: the state of the art (an overview). In S. Kemmis, et al. (Eds.), The action research reader. Waurn Ponds, Victoria: Deakin University.

    Google Scholar 

  • Hafferty, F. (2006). Measuring professionalism: a commentary. In T. Stern (Ed.), Measuring medical professionalism. New York: Oxford University Press.

    Google Scholar 

  • Hafferty, F. W., & Franks, R. (1994). The hidden curriculum, ethics teaching and the structure of medical education. Academic Medicine, 69, 861-871.

    Google Scholar 

  • Hall, R. (1996). Representation as shared activity: Situated cognition and Dewey’s cartography of experience. Journal of Learning Sciences, 5, 209-238.

    Google Scholar 

  • Handfield-Jones, R. (2002). MAINPRO. Self-regulation, professionalism, and continuing professional development. Canadian Family Physician, 48, 856-858. 862-865.

    Google Scholar 

  • Harden, R. M. (2006). Trends and the future of postgraduate medical education. Emergency Medicine Journal, 23(10), 798-802.

    Google Scholar 

  • Harden, R. M., Crosby, J. R., Davis, M. H., & Friedman Ben-David, M. (1999). Outcome-based education from competency to meta competency: A model for specification of learning outcomes. Medical Teacher, 21(6), 546-552.

    Google Scholar 

  • Harvey, L., & Knight, P. (1996). Transforming higher education. Buckingham, UK: SRHE and Open University Press.

    Google Scholar 

  • Hatem, D., & Ferrara, E. (2001). Becoming a doctor: Fostering humane caregivers through creative writing. Patient Education Counseling, 45(1), 13-22.

    Google Scholar 

  • Hatton, N., & Smith, D. (1995). Reflection in teacher education: Towards definition and implementation. The University of Sydney: School of Teaching and Curriculum Studies.

    Google Scholar 

  • Hawkins, P. (1997). in What is Learning? A Review of Learning Theories (chp 3). In A. Brockbank & I. McGill (1998). Facilitating reflective learning in higher education. Buckingham, UK: SRHE and Open University Press

    Google Scholar 

  • Hawkins, A. H., & McEntyre, M. C. (eds). (2000). Teaching literature and medicine. New York: The Modern Language Association.

    Google Scholar 

  • Hays, R. (2004). Reflecting on learning portfolios. Medical Education, 38, 800-804.

    Google Scholar 

  • Henderson, S. W. (2002). Medical student elegies: The poetics of caring. The Journal of Medical Humanities, 23, 119-132.

    Google Scholar 

  • Herman, J. L., & Winters, L. (1994). Portfolio research: A slim collection. Educational Leadership, 52, 48-55.

    Google Scholar 

  • Herman, J., Gearhart, M., & Baker, E. (1995). Assessing writing portfolios: Issues in the validity and meaning of scores. Educational Assessment, 1(3), 201-224.

    Google Scholar 

  • Hilton, S., & Southgate, L. (2007). Professionalism in medical education. Teaching and Teacher Education, 23, 265-279.

    Google Scholar 

  • Inui, T. S. (2003). A flag in the wind: Educating for professionalism in medicine. Washington, DC: Association of American Medical Colleges.

    Google Scholar 

  • Jacobellis v Ohio, 378 U.S. 184, 197, 1964.

    Google Scholar 

  • Jasper, M. (1999). Nurse’s perceptions of the value of written reflection. Nurse Education Today, 19, 452-463.

    Google Scholar 

  • Johns, C. (1995). Framing learning through reflection within Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing, 22(2), 226-234.

    Google Scholar 

  • Jung, B., & Tryssenaar, J. (1998). Supervising students: Exploring the experience through reflective journals. Occupational Therapy International, 5(1), 35-48.

    Google Scholar 

  • Kalet, A. L., Sanger, J., Chase, J., Keller, A., Schwartz, M. D., Fishman, M. L., et al. (2007). Promoting professionalism through an online professional development portfolio: Successes, joys and frustrations. Academic Medicine, 82(11), 1065-1072.

    Google Scholar 

  • Kasman, D. L. (2004). Doctor, are you listening? A writing and reflection workshop. Family Medicine, 36(8), 549-552.

    Google Scholar 

  • King, L. S. (1983). Medicine in the USA: Historical vignettes XI. Medicine seeks to be “scientific”. JAMA, 49, 2475-2479.

    Google Scholar 

  • King, P. M., & Kitchener, K. S. (1994). Developing reflective judgment: Understanding and promoting intellectual growth and critical thinking in adolescents and adults. San Francisco: Jossey-Bass.

    Google Scholar 

  • King, P. M., & Kitchener, K. S. (2002). The reflective judgment model: Twenty years of research on epistemic cognition. In B. K. Hofer & P. R. Pintrich (Eds.), Personal epistemology: The psychology of beliefs about knowledge and knowing (pp. 37-61). Mahway, NJ: Lawrence Erlbaum, Publisher.

    Google Scholar 

  • Kirk, L., & Blank, L. (2005). Professional behavior-a learner’s permit for licensure. The New England Journal of Medicine, 353(25), 2709-2711.

    Google Scholar 

  • Kjaer, N., Maagaard, R., & Wied, S. (2006). Using an online portfolio in postgraduate training. Medical Teacher, 28(8), 708-712.

    Google Scholar 

  • Kohn, L., & Corrigan, J. (2000). To err is human: Building a safer health system. USA: Committee on Quality of Health Care in America, Institute of Medicine.

    Google Scholar 

  • Kolb, D. (1984). Experiential learning: Experience as a source of learning and development. Englewood Cliffs, New Jersey: Prentice-Hall.

    Google Scholar 

  • Korthagen, F. A. J., Kessels, J., Koster, B., Lagerwerf, B., & Wubbels, T. (2001). Linking theory and practice: The pedagogy of realistic teacher education. Mahwah, NY: Lawrence Erlbaum Associates.

    Google Scholar 

  • Kumagai, A. K. (2008). A conceptual framework for the use of illness narratives in medical education. Academic Medicine, 83(7), 653-658.

    Google Scholar 

  • Laight, D. W. (2004). Attitudes to concept maps as a teaching/learning activity in undergraduate health professional education: Influence of preferred learning style. Medical Teacher, 26(3), 229-233.

    Google Scholar 

  • Land, R. (2003). Orientations to academic development. In H. Eggins & R. MacDonald (Eds.), The scholarship of academic development. Buckingham, UK: SHRE and Open University Press.

    Google Scholar 

  • Leo, T., & Eagen, K. (2008). Professionalism education: The medical student response. Perspectives in Biology and Medicine, 51(4), 508-516.

    Google Scholar 

  • Lewis, K. O., & Baker, R. C. (2007). The development of an electronic educational portfolio: An outline for medical education professionals. Teaching and Learning Medicine, 19(2), 139-147.

    Google Scholar 

  • Ludwig, D. S., & Kabat-Zinn, J. (2009). Mindfulness in medicine. JAMA, 300(11), 1350-1352.

    Google Scholar 

  • Lyons, N. (2004). The Centrality of Reflective Engagement in Learning and Professional Development: the UCC experience (Chap. 3). In A. Hyland (Ed.), University College Cork as a Learning Organization. Cork, Ireland: The Staff Enhancement & Development Committee, University College Cork

    Google Scholar 

  • Lyons, N., Hyland, A., & Ryan, N. (eds). (2002). Advancing the scholarship of teaching and learning through a reflective portfolio process: The UCC experience. Cork: UCC.

    Google Scholar 

  • Lyons, N. (2002). Interogating, documenting and representing the scholarship of teaching through a reflective portfolio process: The University College Cork experience.

    Google Scholar 

  • Mamede, S., & Schmidt, H. G. (2004). The structure of reflective practice in medicine. Medical Education, 38(12), 1302-1308.

    Google Scholar 

  • Mamede, S., Schmidt, H. G., & Penaforte, J. C. (2008). Effects of reflective practice on the accuracy of medical diagnoses. Medical Education, 42(5), 468-475.

    Google Scholar 

  • Martin-Kneip, G. O. (2000). Becoming a better teacher. Alexandria, VA, USA: ASCD.

    Google Scholar 

  • Marton, F., Hounsell, D., & Entwistle, N. (eds). (1984). The experience of learning. Edinburgh: Scottish Academic Press.

    Google Scholar 

  • Mathers, N. J., Challis, M. C., Howe, A. C., & Field, N. J. (1999). Portfolios in continuing medical education-effective and efficient? Medical Education, 33(7), 521-530.

    Google Scholar 

  • Mattick, K., & Knight, L. (2007). High-quality learning: Harder to achieve than we think? Medical Education, 41, 638-644.

    Google Scholar 

  • Maughan, T. S., Finlay, I. G., & Webster, D. J. (2001). Portfolio learning with cancer patients: An integrated module in undergraduate medical education. Clinical Oncology, 13(1), 44-49.

    Google Scholar 

  • McCready, T. (2007). Portfolios and the assessment of competence in nursing. International Journal of Nursing Studies, 44(1), 143-151.

    Google Scholar 

  • McKeon, R. (ed). (1941). The basic works of Aristotle. New York: McGraw Hill.

    Google Scholar 

  • McMullan, M., Endacott, M. A., Gray, M., Jasper, M., Miller, C., Scholes, J., et al. (2003). Portfolios and assessment of competence: A review of the literature. Journal of Advanced Nursing, 41(3), 283-294.

    Google Scholar 

  • Mezirow, J. (1981). A critical theory of adult learning and education. Adult Education, 32(1), 3-24.

    Google Scholar 

  • Mezirow, J. (1990). How critical reflection triggers transformative learning. In J. Mezirow (Ed.), Fostering critical reflection in adulthood: A guide to transformative and emancipatory learning (pp. 1-20). San Francisco: Jossey-Bass.

    Google Scholar 

  • Mezirow, J. (1991). Transformative dimensions of adult learning. San Francisco: Jossey-Bass.

    Google Scholar 

  • Miles, S., & Kaplan, I. (2005). Using images to promote reflection: An action research study in Zambia and Tanzania. Journal of Research in Special Educational Needs, 5(2), 77-83.

    Google Scholar 

  • Miller, G. E. (1990). The assessment of clinical skills/competence/performance. Academic Medicine, 65(Suppl), S63-S67.

    Google Scholar 

  • Mohammed, M. A., Cheng, K. K., Rouse, A., & Marshall, T. (2001). Bristol, Shipman, and clinical governance: Shewhart’s forgotten lessons. Lancet, 357, 463-467.

    Google Scholar 

  • Moon, J. (2000). Reflection in learning and professional development: Theory and practice. London: Kogan Page.

    Google Scholar 

  • Moon, J. (2004). A handbook of reflective and experiential learning. UK: Routledge Falmer or visit her website http://www.cemp.ac.uk/themes/reflectivelearning. Accessed 20 Jan 2009.

  • Norman, G. (2008). Head to Head Are learning portfolios worth the effort? No. BMJ, 337, a514.

    Google Scholar 

  • O’Neill, B. (2000). Doctor as murderer. Death certification needs tightening up, but it still might not have stopped Shipman. BMJ, 320, 329-330.

    Google Scholar 

  • O’Sullivan, P., Reckase, M., McClain, T., Savidge, M., & Clardy, J. (2004). Demonstration of portfolios to assess competency of residents. Advances in Health Sciences Education, 9(4), 309-323.

    Google Scholar 

  • Oblinger, D. G., & Oblinger, J. L. (2005). Educating the Net Generation. Washington, DC: EDUCAUSE.

    Google Scholar 

  • Papadakis, M. A., Teherani, A., Banach, M. A., et al. (2005). Disciplinary action by medical boards and prior behavior in medical school. The New England Journal of Medicine, 353, 2673-2682.

    Google Scholar 

  • Patenaude, J., Niyonsenga, T., & Fafard, D. (2003). Changes in components of moral reasoning during students medical education: A pilot study. Medical Education, 37, 822-829.

    Google Scholar 

  • Paulson, F. L., & Paulson, P. (1994). Assessing portfolios using the constructivist paradigm. In R. Fogarty (Ed.) (1996). Student portfolios. Palatine: IRI Skylight Training & Publishing

    Google Scholar 

  • Pearson, D., & Heywood, P. (2004). Portfolio use in general practice vocational training: A survey of GP registrars. Medical Education, 38, 87-95.

    Google Scholar 

  • Pee, B., Woodman, T., Fry, H., & Davenport, E. S. (2000). Practice-based learning: Views on the development of a reflective learning tool. Medical Education, 34, 754-761.

    Google Scholar 

  • Perry, W. G. (1981). Cognitive and ethical growth: The making of meaning. In A.W. Chickering & Associates (Eds.), The modern American college: Responding to the new realities of diverse students and a changing society. San Francisco: Jossey-Bass.

    Google Scholar 

  • Pinsky, L., & Fryer-Edwards, K. (2004). Diving for PERLS. Journal of General Internal Medicine, 19(5 pt 2), 582-587.

    Google Scholar 

  • Pitts, J., & Coles, C. (2001). Enhancing reliability in portfolio assessment: ‘Shaping’ the portfolio. Medical Teacher, 23(4), 351-356.

    Google Scholar 

  • Pitts, J., & Coles, C. (2003). The challenge of non-standardised assessment of professionals: The need for a paradigm shift. Education for Primary Care, 14, 397-405.

    Google Scholar 

  • Pitts, J., Coles, C., & Thomas, P. (1999). Educational portfolios in the assessment of general practice trainers: Reliability of assessors. Medical Education, 33, 515-520.

    Google Scholar 

  • Pitts, J., Coles, C., Thomas, P., & Smith, F. (2002). Enhancing reliability in portfolio assessment: Discussions between assessors. Medical Teacher, 24(2), 197-201.

    Google Scholar 

  • Poirier, S., Ahrens, W. R., & Brauner, D. J. (1998). Songs of innocence and experience: student’s poems about their medical education. Academic Medicine, 73(5), 473-478.

    Google Scholar 

  • Polanyi, M. (1974). Personal knowledge: Towards a post-critical philosophy. Chicago, Ill: University of Chicago Press.

    Google Scholar 

  • Prideaux, D., & Bligh, J. (2002). Research in medical education: Asking the right questions. Medical Education, 36, 1114-1115.

    Google Scholar 

  • Prideaux, D., Alexander, H., Bower, A., Dacre, J., Haist, S., Jolly, B., et al. (2000). Clinical teaching: Maintaining an educational role for doctors in the new health care environment. Medical Education, 34(10), 820-826.

    Google Scholar 

  • Priest, H., & Roberts, P. (1998). Assessing student’s clinical performance. Nursing Standard, 12, 37-41.

    Google Scholar 

  • Radcliffe, C., & Lester, H. (2003). Perceived stress during undergraduate medical training: A qualitative study. Medical Education, 37(1), 32-38.

    Google Scholar 

  • Rees, C., & Sheard, C. (2004). Undergraduate medical students’ views about a reflective portfolio assessment of their communication skills learning. Medical Education, 38(2), 125-128.

    Google Scholar 

  • Reid, A., & O’Donohue, M. (2004). Revisiting enquiry-based teacher education in neo-liberal times. Teaching and Teacher Education, 20, 559-570.

    Google Scholar 

  • Roberts, C., & Stark, P. (2008). Readiness for self-directed change in professional behaviours: Factorial validation for the Self-reflection and Insight Scale. Medical Education, 42, 1054-1063.

    Google Scholar 

  • Roberts, C., Newble, D., & O’Rourke, A. (2002). Portfolio-based assessments in medical education: Are they valid and reliable for summative purposes? Medical Education, 36(10), 899-900.

    Google Scholar 

  • Royal College of Physicians and Surgeons of Canada (2006) The CanMeds Assessment Tools Handbook: An introductory guide to assessment methods for CanMEDS competencies. http://rcpsc.medical.org/canmeds/resources/handbook/2.9%20Portfolios%20and%20Logbooks.pdf. Accessed 20 Jan 2009.

  • Royal College of Physicians of London. (2005). Doctors in society: Medical professionalism in a changing world. London: RCP London.

    Google Scholar 

  • Sandars, J., & Homer, M. (2008). Reflective learning and the Net Generation. Medical Teacher, 30(9-10), 877-879.

    Google Scholar 

  • Sandars, J., Murray, C., & Pellow, A. (2008). Twelve tips for using digital storytelling to promote reflective learning by medical students. Medical Teacher, 30(8), 774-777.

    Google Scholar 

  • Sarikaya, O., Civaner, M., & Kalaca, S. (2006). The anxieties of medical students related to clinical training. International Journal of Clinical Practice, 60(11), 1414-1418.

    Google Scholar 

  • Scholes, J., Webb, C., Gray, M., Endacott, R., Miller, C., Jasper, M., et al. (2004). Making portfolios work in practice. Journal of Advanced Nursing, 46(6), 595-603.

    Google Scholar 

  • Schön, D. (1983). The reflective practitioner. How professionals think in action London: Temple Smith.

    Google Scholar 

  • Scottish Dean’s Medical Curriculum Group. (2000). Learning outcomes for the Medical Undergraduates in Scotland: A foundation for competent and reflective practitioners.

    Google Scholar 

  • Shulman, L. (1998). Course anatomy: The dissection and analysis of knowledge through teaching. In P. Hutchings (Ed.), The course portfolio. Washington, DC: The American Association for Higher Education.

    Google Scholar 

  • Shumway, J. M., & Harden, R. M. (2003). AMEE Guide No. 25: The assessment of learning outcomes for the competent and reflective physician. Medical Teacher, 25(6), 569-584.

    Google Scholar 

  • Snadden, D., & Thomas, M. L. (1998). Portfolio learning in general practice vocational training-does it work? Medical Education, 32(4), 401-406.

    Google Scholar 

  • Snadden, D., Thomas, M. L., Griffen, E. M., & Hudson, H. (1996). Portfolio-based learning in general practice vocational training. Medical Education, 30, 148-152.

    Google Scholar 

  • Snadden, D., Thomas, M., & Challis, M. (1999). AMEE Guide No.11: Portfolio based learning and assessment. Dundee, Scotland: The Association for Medical Education in Europe.

    Google Scholar 

  • Sobral, D. (1995). Diagnostic ability of medical students in relation to their learning characteristics. Medical Education, 29, 278-282.

    Google Scholar 

  • Sobral, D. (2000). An Appraisal of medical students’ reflection-in-action. Medical Education, 24, 182-187.

    Google Scholar 

  • Sobral, D. (2005). Medical students’ mindset for reflective learning: A revalidation study of the reflection-in-learning scale. Advances in Health Sciences Education, 10, 303-314.

    Google Scholar 

  • Surbeck, E., Park Han, E., & Moyer, J. (1991). Assessing reflective responses in journals. Educational Leadership, 48(6), 25-27.

    Google Scholar 

  • Swick, H. M. (2000). Toward a normative definition of medical professionalism. Academic Medicine, 75, 612-616.

    Google Scholar 

  • Tate, P., Foulkes, J., Neighbour, R., Campion, P., & Field, S. (1999). Assessing physicians’ interpersonal skills via videotaped encounters: a new approach for the Royal College of General Practitioners membership examination. Journal of Health Communication, 4(2), 143-152.

    Google Scholar 

  • Teunissen, P. W., Scheele, F., Scherpbier, A. J., van der Vleuten, C. P., Boor, K., van Luijk, S. J., et al. (2007). How residents learn: Qualitative evidence for the pivotal role of clinical activities. Medical Education, 41(8), 763-770.

    Google Scholar 

  • Tigelaar, D., Dolmans, D., deGrave, W., Wolfhagen, I., & van der Vleuten, C. (2006). Participants’ opinions on the usefulness of a teaching portfolio. Medical Education, 40, 371-378.

    Google Scholar 

  • Van Mannen, M. (1977). Linking ways of knowing with ways of being practical. Curriculum Inquiry, 6(3), 205-228.

    Google Scholar 

  • Van Mannen, M. (1995). On the Epistemology of Reflective Practice. Teachers and Teaching: Theory and Practice, 1(1), 33-50.

    Google Scholar 

  • Wade, R., & Yarbrough, D. (1996). Portfolios: A tool for reflective thinking in teacher education? Teaching and Teacher Education, 12(1), 63-79.

    Google Scholar 

  • Wear, D., & Kuczewski, M. G. (2004). The professionalism movement: Can we pause? The American Journal of Bioethics, 4(2), 1-10.

    Google Scholar 

  • Webb, C., Endacott, R., Gray, M., Jasper, M., Miller, M., McMullan, M., et al. (2002). Models of portfolios. Medical Education, 36(10), 897-898.

    Google Scholar 

  • Webb, C., Endacott, R., Gray, MA., Jasper, MA., McMullan, M., Scholes, J. (2003). Evaluating portfolio assessment systems: what are the appropriate criteria? Nurse Educ Today, 23(8),600-609.

    Google Scholar 

  • Winter, R. (2003). Contextualising the patchwork text: Problems in coursework assignment in higher education. Innovations in Education and Teaching International, 40(2), 112-122.

    Google Scholar 

  • Wisker, G. (1996). Assessment for learning: encouraging personal development and critical response on a writing module by student-centred assessment and teaching/learning strategies. IETI, 33, 58-65.

    Google Scholar 

  • Wolff, A. M., & Bourke, J. (2000). Reducing medical errors: A practical guide. The Medical Journal of Australia, 173(5), 247-251.

    Google Scholar 

  • Working group on higher professional education. (1994). Portfolio-based learning in General Practice. London: Royal College of General Practitioners.

    Google Scholar 

  • Wynia, M. K. (2008). The short history and tenuous future of medical professionalism: The erosion of medicine’s social contract. Perspectives in Biology and Medicine, 51(4), 565-578.

    Google Scholar 

  • Zeichner, K., & Liston, D. (1996). Reflective teaching: An introduction. New Jersey: Lawrence Erlbaum Associates.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Kelly, M. (2010). Professional Pedagogies and Research Practices: Teaching and Researching Reflective Inquiry Through a Medical Portfolio Process. In: Lyons, N. (eds) Handbook of Reflection and Reflective Inquiry. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-85744-2_18

Download citation

Publish with us

Policies and ethics