Thursday 24 January 2013

Reflective Repetitive Learning - Clinical Learning

So, hopefully, by this time we should all know that the mind is malleable (Neuroplasticity), and that we can alter our thinking and how our mind works.

Also, we know that our mind cannot differentiate vivid imagination from reality! The stories of almost equivalent biceps strength and size from lifting imaginary weights... How children when interviewed in a certain leading way can believe an event actually took place that never did.

We know we've got so far by Rote learning, or Repetitive learning. This is how we learn language as children. Try , try , and try again....

So, how can we apply all this to reflective learning?
The Kolb Cycle - made up of four stages (see text description below)

That's the Kolb cycle.

Used for a clinical case, this is how I would see it used.

You reflect on the case and experience, learn about it. Think about how you'd like to do it in future. Wonder what would have happened if something was said differently but in the same consultation. Its all great if someone exactly the same presented and talked in exactly the same manner but that will never happen. So, how do you change and reflect upon changes? You imagine how it would have happened if something was different, and your mind goes ahead and applies the changes from your learning, and you try another scenario and you do it again. Then you've tried many scenarios such that a new patient comes along presenting with something similar, but hey, you feel like you've seen this and dealt with it before because your mind tells you its happened before.

Of course, the more cases you see, the more scenarios you can design in your head. However, reflecting in this way will give you more experience with fewer patients - useful if say you're just starting out in a new specialty or for medical students.

Hope you've enjoyed this post.

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