Advances in Health Sciences Education

, Volume 10, Issue 4, pp 303–314 | Cite as

Medical Students’ Mindset for Reflective Learning: A Revalidation Study of the Reflection-In-Learning Scale

  • Dejano T. SobralEmail author


The aims of this paper are to examine the measurement properties of the Reflection-in-Learning Scale (RLS) and to identify whether there are relationships between RLS scores early in the medical program and outcomes of the students’ academic activity later on. The 14-item RLS was administered to second-year students (N=275) at start and at end of the third semester, after the students had reviewed their previous learning experience with the Course Valuing Inventory. The internal consistency, temporal stability and dimensionality of the RLS scores were investigated in relation to the start-end perspectives. Furthermore, a 2-year follow-up allowed the assessment of the relationships of third-term RLS scores with sixth-term measures of both academic achievement and diagnostic reasoning as appraised by the Diagnostic Thinking Inventory (DTI). Findings indicate that RLS data have acceptable unidimensionality and consistency of measurement, notwithstanding a significant individual–context interaction. Repeated measures revealed distinct patterns of RLS scores relating to perceived self-efficacy on the ability to reflect. Third-term RLS scores were significant, albeit weak, predictors of sixth-term cognitive achievement and DTI-related diagnostic reasoning ability. In conclusion, the results do not support a major explanatory role for RLS on knowledge representation. Nevertheless, the findings appear to substantiate the construct validity of this tool as an index of the students’ frame of mind as regards reflective learning. They suggest that the RLS captures a self-regulation or cognitive housekeeping dimension of the students’ reflective learning. The individual pattern of such (reflective) activity is likely to vary with specific learning conditions.


instrument learning approach learning context medical students psychometrics reflective learning self-assessment 


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  1. Bordage, G., Grant, J., Marsden, P 1990Quantitative assessment of diagnostic abilityMedical Education24413425CrossRefGoogle Scholar
  2. Boud, D., Keogh, R., Walker, D 1985Promoting reflection in learning: A modelBoud, R.,Keogh, R.Walker, D. eds. Reflection: Turning Experience into LearningKogan PageLondon1840Google Scholar
  3. Boud, D., Walker, D 1998Promoting reflection in professional courses: The challenge of contextStudies in Higher Education23191206CrossRefGoogle Scholar
  4. Carmines, E.G., Zeller, R.A 1979Reliability and Validity AssessmentSage Beverly Hills, CA60Google Scholar
  5. Dewey, J 1933How We Think: A Restatement of the Relation of Reflective Thinking to the Education ProcessHeathBostonGoogle Scholar
  6. Ertmer, P.A., Newby, T.J 1996The expert learner: Strategic, self-regulated, and reflectiveInstructional Science24124CrossRefGoogle Scholar
  7. Eva, K.W., Cunnington, J.P.W., Reiter, H.I., Keane, D.R., Norman, G.R 2004How can I know what I don’t know? Poor self-assessment in a well-defined domainAdvances in Health Sciences Education9211224Google Scholar
  8. Fabrigar, L.R., Wegener, D.T., MacCallum, R.C., Strahan, E.J 1999Evaluating the use of exploratory factor analysis in psychological researchPsychological Methods4272299CrossRefGoogle Scholar
  9. Fitzgerald, J.T., White, C.B., Gruppen, L.D 2003A longitudinal study of self-assessment accuracyMedical Education37645649Google Scholar
  10. Groves, M., Scott, I., Alexander, H 2002Assessing clinical reasoning: a method to monitor its development in a PBL curriculumMedical Teacher24507515CrossRefGoogle Scholar
  11. Kolb, D., Moon, J. 1999Reflection in Learning and Professional DevelopmentPrentice-HallEnglewood Cliffs, NJGoogle Scholar
  12. Moon, J. 1999A Handbook of Reflective and Experiential LearningRoutledgeFalmerLondonGoogle Scholar
  13. Norman, G.R., Streiner, D.L 1994BiostatisticsMosbySt Louis, MOGoogle Scholar
  14. Nehari, M., Bender, H 1978Meaningfulness of a learning experience: A measure for educational outcomes in higher educationHigher Education7111CrossRefGoogle Scholar
  15. Schön, D. 1987Educating the Reflective PractitionerJossey-BassSan FranciscoGoogle Scholar
  16. Sobral, D.T. 2000An appraisal of medical students’ reflection-in-learningMedical Education3482187CrossRefGoogle Scholar
  17. Sobral, D.T. 2001Medical students’ reflection in learning in relation to approaches to study and academic achievementMedical Teacher23508513CrossRefGoogle Scholar
  18. Sobral, D.T. 2004Medical students’ self-appraisal of first-year learning outcomes: use of the course valuing inventoryMedical Teacher26234238CrossRefGoogle Scholar
  19. Ward, M., Gruppen, L., Regehr, G 2002Measuring self-assessment: Current state of the artAdvances in Health Sciences Education76380CrossRefGoogle Scholar
  20. Westberg, J., Jason, H. 2001Fostering Reflection and Providing FeedbackSpringer New YorkGoogle Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  1. 1.Faculty of Medicine - C.P. 04569University of BrasiliaBrasília – DFBrazil

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