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Clinical reflective practice  A group-based, situative approach to promote personal professional development  A qualitative developmental evaluation
Background Aim of the study Setting Method Results Discussion  Future research Structure of the presentation
Background  ,[object Object],[object Object],[object Object],[object Object],*  Neumann M et al 2011: Empathy decline and its reasons: A systematic review of studies with  medical students and residents Katrien Bombeke  et al  2010:  Help, I’m losing patient-centredness! Experiences of medical students and their teachers
Aim:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Setting
Kolb A, Kolb D (2005). Learning Styles and Learning Spaces: Enhancing Experiential   Learning in Higher Education .Academy of Management Learning & Education, 2:193–212  Kolb‘s learning cycle
Intervention:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Method I ,[object Object],[object Object],[object Object],* Patton, MQ (2010). Developmental Evaluation: Applying Complexity Concepts to Enhance Innovation and Use . Guilford Press
Method II ,[object Object],[object Object],[object Object],[object Object]
Method III: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reality: „Breakers“, „Vortex“ Results: Ward experience * Motivation: Intention to help Openness ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Process of reflection  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Short term effects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results: Long term effects „…  to realize that looking quietly back on a situation, in which you felt terribly uneasy and reflecting then on what you could have done to prevent such an uneasy situation, … opens up many more options for the next ten situations“. „… I developped a higher sensibility, an internal warning system, which whenever I have an encounter with a difficult patient starts blinking in my head and tells me to step back from my primary feelings, from quick judgment … and therefore developped a higher inner flexibility and openness towards my patients…“
Results: CRP process Perception of misfits Active experimentation Problem definition Individual Plans Trial action Distanced empathy Personal aspects Multiperspectivity Emotional Reg: Suppression or Learning experience Group-perspective Delegation
Discussion: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future research and limitations ,[object Object],[object Object],[object Object],[object Object]
Questions for discussion ,[object Object]
Contact Gabriele Lutz, neurologist and specialist in psychosomatic medicine Witten/Herdecke University,  Faculty of Health, School of Medicine,  Integrated Curriculum for Anthroposophic Medicine, Germany Email: Gabriele.Lutz@gmx.net Thank you very much for your attention!
 
Organizational background ,[object Object],[object Object],University Hospital   Evaluation setting ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gemeinschaftskrankenhaus Herdecke,  University’s academic hospital

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clinical reflective practice lutz icch2011

  • 1. Clinical reflective practice A group-based, situative approach to promote personal professional development A qualitative developmental evaluation
  • 2. Background Aim of the study Setting Method Results Discussion Future research Structure of the presentation
  • 3.
  • 4.
  • 5.
  • 6. Kolb A, Kolb D (2005). Learning Styles and Learning Spaces: Enhancing Experiential Learning in Higher Education .Academy of Management Learning & Education, 2:193–212 Kolb‘s learning cycle
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Results: Long term effects „… to realize that looking quietly back on a situation, in which you felt terribly uneasy and reflecting then on what you could have done to prevent such an uneasy situation, … opens up many more options for the next ten situations“. „… I developped a higher sensibility, an internal warning system, which whenever I have an encounter with a difficult patient starts blinking in my head and tells me to step back from my primary feelings, from quick judgment … and therefore developped a higher inner flexibility and openness towards my patients…“
  • 15. Results: CRP process Perception of misfits Active experimentation Problem definition Individual Plans Trial action Distanced empathy Personal aspects Multiperspectivity Emotional Reg: Suppression or Learning experience Group-perspective Delegation
  • 16.
  • 17.
  • 18.
  • 19. Contact Gabriele Lutz, neurologist and specialist in psychosomatic medicine Witten/Herdecke University, Faculty of Health, School of Medicine, Integrated Curriculum for Anthroposophic Medicine, Germany Email: Gabriele.Lutz@gmx.net Thank you very much for your attention!
  • 20.  
  • 21.

Editor's Notes

  1. 1
  2. Behavioral conditioning: Multiple sclerosis patients for whom four monthly cylophosphamide infusions were contingently paired with the taste of anis-flavored syrup Long-term treatment with cylophosphamide decreases blood leukocyte numbers often leading to leukopenia after six months of administering the placebo infusion paired with the drink, 8 out of 10 patients showed a conditioned reduction in peripheral leukocytes numbers It is possible that conditioning might be somewhat more relevant in explaining the development of nocebo effects in people, through negative past experiences and aversive learing
  3. Behavioral conditioning: Multiple sclerosis patients for whom four monthly cylophosphamide infusions were contingently paired with the taste of anis-flavored syrup Long-term treatment with cylophosphamide decreases blood leukocyte numbers often leading to leukopenia after six months of administering the placebo infusion paired with the drink, 8 out of 10 patients showed a conditioned reduction in peripheral leukocytes numbers It is possible that conditioning might be somewhat more relevant in explaining the development of nocebo effects in people, through negative past experiences and aversive learing
  4. Behavioral conditioning: Multiple sclerosis patients for whom four monthly cylophosphamide infusions were contingently paired with the taste of anis-flavored syrup Long-term treatment with cylophosphamide decreases blood leukocyte numbers often leading to leukopenia after six months of administering the placebo infusion paired with the drink, 8 out of 10 patients showed a conditioned reduction in peripheral leukocytes numbers It is possible that conditioning might be somewhat more relevant in explaining the development of nocebo effects in people, through negative past experiences and aversive learing
  5. Behavioral conditioning: Multiple sclerosis patients for whom four monthly cylophosphamide infusions were contingently paired with the taste of anis-flavored syrup Long-term treatment with cylophosphamide decreases blood leukocyte numbers often leading to leukopenia after six months of administering the placebo infusion paired with the drink, 8 out of 10 patients showed a conditioned reduction in peripheral leukocytes numbers It is possible that conditioning might be somewhat more relevant in explaining the development of nocebo effects in people, through negative past experiences and aversive learing
  6. Graphical presentation of the releasing of the endogenous neurotransmitters through expectations and conditioning Maximinising these effects is important for clinicians to optimize the health of their patients
  7. Graphical presentation of the releasing of the endogenous neurotransmitters through expectations and conditioning Maximinising these effects is important for clinicians to optimize the health of their patients
  8. Graphical presentation of the releasing of the endogenous neurotransmitters through expectations and conditioning Maximinising these effects is important for clinicians to optimize the health of their patients
  9. Graphical presentation of the releasing of the endogenous neurotransmitters through expectations and conditioning Maximinising these effects is important for clinicians to optimize the health of their patients