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• W2012068118 abstract "Purpose To determine whether writing, one-on-one interviews with faculty, or a combination of these interventions effectively elicited reflection on professionalism for medical students. Method The study was a randomized trial conducted in 2001 at Harborview Medical Center, Seattle, Washington, with fourth-year medical students on a four-week clinical clerkship in emergency medicine. Three interventions were evaluated: the critical incident report (CIR), the CIR followed by a one-on-one interview with a faculty member, and one-on-one interview with no CIR. Quality and quantity of professional issues raised were addressed. Results All students (n = 68) agreed to participate; 66 completed the study components. On average, the students addressed significantly more issues of professionalism in their interviews alone than in their CIRs, 15.9 (95% confidence interval [CI] 18.2–13.6) and 7.15 (CI 8.88–5.40) issues respectively (p < .0001). Interviews preceded by CIRs were not significantly different from interviews with no CIR (13.5 versus 15.9 professionalism issues raised, respectively). In-depth explorations, including problem solving and projection to the future, occurred 2.59 times in interviews alone (CI 3.62–1.56) and 0.794 times in CIRs (CI 1.12–0.46) (p < .001). When analyzed as a proportion of total statements, the groups had similar ratios of in-depth statements (11.2% in CIRs and 15.7% in interviews alone). Conclusion Writing did not significantly affect the quantity or quality of reflection in interviews. One-on-one interviews with a faculty mentor most effectively elicited reflection on professionalism. Future studies should examine how reflective exercises such as those evaluated can be used to promote professional development." @default.
• W2012068118 created "2016-06-24" @default.
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• W2012068118 date "2003-07-01" @default.
• W2012068118 modified "2023-10-07" @default.
• W2012068118 title "Promoting Reflection on Professionalism" @default.
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• W2012068118 doi "https://doi.org/10.1097/00001888-200307000-00018" @default.
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