scholarly journals Developing professional judgement in surgical trainees: the role of critical reflection

2018 ◽  
Vol 1 (1) ◽  
pp. 104-109
Author(s):  
Timothy William Gray ◽  
Christopher John Coombs
Keyword(s):  
Critical Reflection ◽  
Central Element ◽  
Continuing Professional Development ◽  
Pilot Project ◽  
Core Component ◽  
Surgery Training ◽  
Surgical Trainees ◽  
Clinical Thinking ◽  
Professional Judgement

Critical reflection is a disciplined process that aims to critically evaluate everyday medical practices to more fully understand and learn from them. It can lead to improved professionalism and clinical reasoning and is increasingly seen as a core component of continuing professional development in a number of disciplines. While critical reflection is a central element of expert surgical practice, its processes are often tacit and hence invisible to trainees. In this paper, we describe a pilot project aimed at introducing critical reflection techniques into a plastic surgery training program. We also discuss the use of critical reflection as a tool to allow learning surgeons to develop, observe and critique their own clinical thinking, and outline a framework for surgical supervisors and trainers to guide, monitor and assess the development of professional judgement in their trainees.

scholarly journals Developing professional judgement in surgical trainees: the role of critical reflection

2018 ◽  
Vol 1 (1) ◽  
pp. 95-100
Author(s):  
Timothy William Gray ◽  
Christopher John Coombs
Keyword(s):  
Critical Reflection ◽  
Central Element ◽  
Continuing Professional Development ◽  
Pilot Project ◽  
Core Component ◽  
Surgery Training ◽  
Surgical Trainees ◽  
Clinical Thinking ◽  
Professional Judgement

Critical reflection is a disciplined process that aims to critically evaluate everyday medical practices to more fully understand and learn from them. It can lead to improved professionalism and clinical reasoning and is increasingly seen as a core component of continuing professional development in a number of disciplines. While critical reflection is a central element of expert surgical practice, its processes are often tacit and hence invisible to trainees. In this paper, we describe a pilot project aimed at introducing critical reflection techniques into a plastic surgery training program. We also discuss the use of critical reflection as a tool to allow learning surgeons to develop, observe and critique their own clinical thinking, and outline a framework for surgical supervisors and trainers to guide, monitor and assess the development of professional judgement in their trainees.

Dissecting leadership education and assessment in surgery

2021 ◽  
pp. postgradmedj-2021-139845
Author(s):  
Raimand Morad ◽  
Hemant Kumar ◽  
Iain Snelling
Keyword(s):  
Operating Room ◽  
Leadership Training ◽  
Leadership Education ◽  
Working Environment ◽  
Clinical Competencies ◽  
Self Reflection ◽  
Surgical Trainees ◽  
Competency Based ◽  
Professional Judgement

The importance of leadership is well recognised within surgery owing to the heavily teamwork dependent nature and uniquely dynamic working environment of the operating room. Teaching and assessment methods of leadership within UK surgical training has arguably lacked credence in comparison to the more tangible technical clinical competencies due to the fact that the daily tasks of surgeons are multifaceted and cannot be simplified into a tick-box exercise. As such, some surgical trainees perceive themselves to be minimally competent in their leadership ability. The new surgical curricula planned to be implemented by the Intercollegiate Surgical Curriculum Programme in August 2021 aims to address this by shifting leadership training and assessment towards an outcome-based approach, rather than a competency-based approach, with an emphasis on the role of the professional judgement of trainers as well as trainee self-reflection. This article explores these proposed changes by framing them within the context of the wider literature pertaining to surgical leadership education.

scholarly journals Emotional intelligence as a part of critical reflection in social work practice and research

2021 ◽  
pp. 147332502110247
Author(s):  
Mari D Herland
Keyword(s):  
Emotional Intelligence ◽  
Social Work ◽  
Social Workers ◽  
Critical Reflection ◽  
Work Practice ◽  
Social Work Practice ◽  
Emotional Reactions ◽  
Social Work Research ◽  
Emotional Aspects

Social workers often experience higher levels of burnout compared with other healthcare professionals. The capacity to manage one’s own emotional reactions efficiently, frequently in complex care settings, is central to the role of social workers. This article highlights the complexity of emotions in social work research and practice by exploring the perspective of emotional intelligence. The article is both theoretical and empirical, based on reflections from a qualitative longitudinal study interviewing fathers with behavioural and criminal backgrounds, all in their 40 s. The analysis contains an exploration of the researcher position that illuminates the reflective, emotional aspects that took place within this interview process. Three overall themes emerged – first: Recognising emotional complexity; second: Reflecting on emotional themes; and third: Exploring my own prejudices and preconceptions. The findings apply to both theoretical and practical social work, addressing the need to understand emotions as a central part of critical reflection and reflexivity. The argument is that emotions have the potential to expand awareness of one’s own preconceptions, related to normative societal views. This form of analytical awareness entails identifying and paying attention to one’s own, sometimes embodied, emotional triggers.

scholarly journals A Long Way to Go Understanding the Role of Chaplaincy? A Critical Reflection on the Findings of the Survey Examining Chaplaincy Responses to Covid-19

2021 ◽  
Vol 75 (1_suppl) ◽  
pp. 46-48
Author(s):  
Megan Best ◽  
Geila Rajaee ◽  
Anne Vandenhoeck
Keyword(s):  
Critical Reflection

This contribution reflects on some of the most prominent findings in the survey on the chaplaincy response to the COVID-19 pandemic. The finding that chaplain respondents had difficulty understanding their own role prior to the first wave is of concern. If chaplains cannot articulate their own role, it is not surprising that those around them are also unclear. Chaplains are not the only ones to blame for the confusion around their role though.

Stiffen the sinews, summon up the blood, and strain upon the start: enfranchising the medical profession for clinically proximate advocacy of improved healthcare

2021 ◽  
pp. 103985622110250
Author(s):  
Jeffrey C L Looi ◽  
Stephen Allison ◽  
Stephen R Kisely ◽  
Tarun Bastiampillai
Keyword(s):  
Resource Allocation ◽  
Health Systems ◽  
Medical Profession ◽  
Continuing Professional Development ◽  
Health Advocacy ◽  
Public And Private ◽  
Medical Practitioners ◽  
The Public ◽  
Team Activity

Objective: To discuss and reflect upon the role of medical practitioners, including psychiatrists, as health advocates on behalf of patients, carers and staff. Conclusions: Health advocacy is a key professional competency of medical practitioners, and is part of the RANZCP framework for training and continuing professional development. Since advocacy is often a team activity, there is much that is gained experientially from volunteering and working with other more experienced health advocates within structurally and financially independent (of health systems and governments) representative groups (RANZCP, AMA, unions). Doctors may begin with clinically proximate advocacy for improved healthcare in health systems, across the public and private sectors. Health advocacy requires skill and courage, but can ultimately influence systemic outcomes, sway policy decisions, and improve resource allocation.

Intra-party Deliberation and Reflexive Control within a Deliberative System

2018 ◽  
Vol 47 (4) ◽  
pp. 500-526 ◽  
Author(s):  
Enrico Biale ◽  
Valeria Ottonelli
Keyword(s):  
Political Parties ◽  
Deliberative Democracy ◽  
Critical Reflection ◽  
Systemic Approach ◽  
Special Role ◽  
Central Tenet ◽  
Deliberative System ◽  
Special Responsibility

From within a “systemic approach” to deliberative democracy, political parties can be seen as crucial actors in facilitating deliberation, by playing epistemic, motivational, and justificatory functions that are central to the deliberative ideal. However, we point out that if we assume a purely outcome-oriented conception of the role of parties within a deliberative system, we risk losing sight of a central tenet of deliberative democracy and of its distinctive principle of legitimacy, namely, that citizens must be able to exercise critical reflection on the grounds of democratic decisions. We argue that parties have a special responsibility in making a deliberative system meet this requirement, and that such special role can be fulfilled only if parties’ programs, values, and strategies are shaped through intra-party deliberation. On the grounds of this discussion, we define a model of intra-party deliberation that is based on the principles of mutual acceptability, pluralism, and publicity.

scholarly journals Theoretically Speaking – An Autoethnographic Journey in Crossing Disciplines to Being-Becoming a Practical Scholar

2019 ◽  
Vol 1 (1) ◽  
pp. 1-12
Author(s):  
Michaella Cavanagh
Keyword(s):  
Critical Reflection ◽  
Theory And Practice ◽  
Fashion Design ◽  
Visual Methods ◽  
Ways Of Thinking ◽  
Short Narrative

Becoming a PhD scholar requires a change in identity and new ways of thinking. This is difficult for those from practical backgrounds who struggle to merge the theoretical/scholarly with the creative/practical. Moving towards the scholarly calls for the unlearning of previously held truths. Starting autoethnographically, metaphorical drawings opened up space for critical reflection – crucial to researching oneself. Three metaphorical drawings were made for seminal points in my journey from a fashion design lecturer to a PhD scholar. Each drawing is accompanied by a short narrative and further analysed through conversations with my PhD supervisor. In writing the narratives and dialogue, deeper insights were gained in understanding the role of theory, allowing me to see how my identity was shifting into that of being a scholar. Simultaneously, using visuals as tangible objects allowed me to challenge the familiar while drawing on the resources of my practical background. The result was the inherent alignment of theory and practice, a deeper understanding of the changes within my identities and the alignment of my disparate selves. The use of visual methods has value for others wishing to find a way to bring the strengths of their current disciplines into a more scholarly realm.

scholarly journals O NÃO-ROSTO DOS ANTEPASSADOS REVELADO NAS MÁSCARAS RITUALÍSTICAS BANTU: UM OLHAR SOBRE SUA CULTURA VISUAL

2019 ◽  
Vol 17 (1) ◽  
pp. 259
Author(s):  
Júlio Macuva Estendar ◽  
Helmut Renders
Keyword(s):  
Visual Culture ◽  
Central Element ◽  
Human Dynamics ◽  
Aesthetic Characteristics

Partindo da descrição da crença nos antepassados como elemento central da religiosidade tradicional dos povos bantu, este artigo discute o uso de máscaras ritualísticas bantu em seu papel de mediação entre antepassados e vivos. Descreve-se o processo de criação das máscaras, suas características estéticas e sua função no rito a partir da perspectiva das teorias da cultura visual, discutindo aspectos atribuídas às máscaras como o da mediação ou da sua própria força performativa e considerando as dinâmicas humanas da recepção e da imaginação. THE NON-FACE OF THE ANCESTORS REVEALED IN BANTU RITUAL MASKS: A LOOK AT THEIR VISUAL CULTURE Starting from the description of the belief in the ancestors as central element of the traditional religiosity of the bantu peoples, this article discusses the use of ritual bantu masks in their role of mediation between ancestors and living. The process of its creation, their aesthetic characteristics and their function in the rite are discussed from the perspective of visual culture theories, considering aspects attributed to masks such as mediation or its own performative force and the human dynamics of reception and of imagination.

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