Manipal Journal of Medical Sciences


Background: Study was conducted at Melaka-Manipal Medical College amongst the final year medical students to find out effectiveness of reflection in learning outcomes and student’s understanding on reflection. From 2015, college curriculum was shifted from logbook maintainance to portfolio writing in major clinical branches including family medicine. Reflection being an important component in portfolio writing, we decided to conduct this study to find out the impact of reflective practice on learning outcomes and their understanding on reflection The Methods and Material : All the 77 students posted in family medicine department from 10 February 2017 to 7 April 2017 were tested for academic performance. Initially, students were asked to answer questions on anaemia followed by collaborative reflection and post-test. Cut off marks for passing was taken at 50%. For knowledge and understanding on reflection, we asked students to fill in an informative feedback form. Sixtythree students posted in the department from 10 February to 21 April 2017 were included. Result: We found significant improvement in learning outcomes after collaborative reflection. Pass percentage increased from 25% to 75% (p < 0.01) after reflection. Students who failed in pre-test showed significant improvement after reflection. Seventy-eight percent students were aware of concepts of reflection, 38% were aware of meaning of metacognition; 81% could write the benefits of reflection; 61% had understanding of collaborative reflection and impact of reflection on self-development and improvement in classroom performance. Conclusion: Reflective practice helps in enhancing students’ understanding on subject and classroom performance. Twenty-two percent students did not know what reflection is and its benefits.