Using video-cases to assess student reflection: Development and validation of an instrument

Sebastiaan Koole*, Tim Dornan, Leen Aper, Bram De Wever, Albert Scherpbier, Martin Valcke, Janke Cohen-Schotanus, Anselme Derese

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: Reflection is a meta-cognitive process, characterized by: 1. Awareness of self and the situation; 2. Critical analysis and understanding of both self and the situation; 3. Development of new perspectives to inform future actions. Assessors can only access reflections indirectly through learners' verbal and/or written expressions. Being privy to the situation that triggered reflection could place reflective materials into context. Video-cases make that possible and, coupled with a scoring rubric, offer a reliable way of assessing reflection. Methods: Fourth and fifth year undergraduate medical students were shown two interactive video-cases and asked to reflect on this experience, guided by six standard questions. The quality of students' reflections were scored using a specially developed Student Assessment of Reflection Scoring rubric (StARS (R)). Reflection scores were analyzed concerning interrater reliability and ability to discriminate between students. Further, the intra-rater reliability and case specificity were estimated by means of a generalizability study with rating and case scenario as facets. Results: Reflection scores of 270 students ranged widely and interrater reliability was acceptable (Krippendorff's alpha = 0.88). The generalizability study suggested 3 or 4 cases were needed to obtain reliable ratings from 4th year students and >= 6 cases from 5th year students. Conclusion: Use of StARS (R) to assess student reflections triggered by standardized video-cases had acceptable discriminative ability and reliability. We offer this practical method for assessing reflection summatively, and providing formative feedback in training situations.
Original languageEnglish
Pages (from-to)22
JournalBMC Medical Education
Volume12
DOIs
Publication statusPublished - 20 Apr 2012

Fingerprint

Dive into the research topics of 'Using video-cases to assess student reflection: Development and validation of an instrument'. Together they form a unique fingerprint.

Cite this