STIMULATING REFLECTIVE PRACTICEIn your personal, professional, and academic life

Current environment• Reflection is recognized as a valuable and necessary

component of medical practice – now incorporated into competencies

• Increasing presence of reflection in top medical journals– Academic Medicine, Medical Education, Medical Teacher– BMJ– JAMA– CMAJ

• Wide-ranging educational and assessment uptake across UK, USA, Canada– Emergence of Reflection and Portfolio’s as learning strategies– AMEE guidelines for use in medical education– UME and PGE uptake of NM and RW in numerous schools– Non-Medical Expert OSCE stations at Royal College

• Multiple supporting grant sources – NIH, CHIR, AMS

3 domains for reflection

1. Doctor as expert– Clinical reflection

2. Doctor as scholar– Scientific reflection

3. Doctor as person– Personal reflection

Where does reflection occur?

Simulation:

Reflection in actionReflection on action

Narrative Medicine uses stories to bridge the gap between patients and providers, teaching

that how care is delivered (the process) is just as important as what care is delivered (the

content).

• “To know what patients endure at the hands of illness and therefore to be of clinical help requires that doctors enter the worlds of their patients, if only imaginatively, and to see and interpret those worlds from the patients point of view”

Public Engagement

Via collaboration with Public Humanities, Western University, SSMD, LHSC and

the NMI

Continuing Medical Education

• NM-Working Group• CPD Workshops Spring/Fall• Office of Patient Experience at LHSC

NM-Working GroupFriends and Neighbors

Dr Sandra FismanDr Sandra Northcott

Dr Gary TithecottDr Chris WatlingDr Jatinder Takhar

Dr Don FarquharDr Faisal RehmanDr Irina Sanatani

Dr Brian Taylor

Dr Kathy Roth

Dr George KimDr Tom FreemanDr Shiraz MalikDr Tanya Thornton

Dr Rich CherryDr Pat Morley-Forster

Dr Geoff Bellingham

Plus:DentistryNursingEthicsMidwifery

Postgraduate Medical Education

• Transferrable NM-based PGE competency curriculum

• Getting the word out – departmental/city-wide/POS academic half-days and sessions

• Non-medical Expert OSCE – PGY-4– Coordination with Dept Surgery

Undergraduate Medical Education

• Portfolio course (Yr 1&2) and module (Yr 3)• Hippo Club

“Students come here and they are very excited about medicine. They want to help the sick patient, and medicine is the tool that makes that possible. That’s why they are here. But medical schools don’t teach you about the patient, they teach you about the disease.” Dr. Nancy Angoff

Dean of Students, Yale Medical School

Reflective Exercise