The Reflective Process

The term “reflection” is often used informally with different meanings. This chapter lays out the core components of the reflective process that can be used as a tool for professional identity formation and lifelong learning and why and how reflection ought to be incorporated into daily practice. Reflective practice in healthcare education is an emerging topic with a substantial theoretical basis. Various theoretical frameworks of reflection are introduced, such as Schon’s concepts of reflection-in-action and reflection-on-action and Brookfield’s concept of critical reflection. These are used to question hegemonic assumptions in the field. Practical models for the reflective process are presented, including the Gibbs framework and the Kolb’s cycle of experiential learning. Team reflection supports bases for continued learning, problem-solving, improved patient outcome, and quality improvement initiatives. Narrative medicine focuses on treating patients as individuals with their own unique stories, and reflective writing is an important part of developing narrative competency.