Sharpening reflexive practice in health professional education research

Authors

DOI:

https://doi.org/10.11157/fohpe.v24i1.734

Keywords:

qualitative research, reflexivity, reflective practice

Abstract

This paper focuses on the methodological practice of reflexivity. It critically explores previous works within and outside the field of health professional education research that seek to guide and inform researchers about reflexivity. Using illustrative scenarios, this paper will describe what reflexivity might look like in practice and ways in which reflexivity may contribute to strengthening future work. To finish, challenges of reporting reflexivity, including achieving a balance of credibility and vulnerability with respect to researcher reflexivity will be discussed. In sum, this work seeks to provide readers who are new to reflexivity, and those with experience, with some new ways of thinking about reflexivity that they might take forward into their research.

References

Barrett, A., Kajamaa, A., & Johnston, J. (2020). How to … be reflexive when conducting qualitative research. The Clinical Teacher, 17(1), 9–12. https://doi.org/10.1111/tct.13133

Barry, C. A., Britten, N., Barber, N., Bradley, C., & Stevenson, F. (1999). Using reflexivity to optimize teamwork in qualitative research. Qualitative Health Research, 9(1), 26–44. https://doi.org/10.1177/104973299129121677

Denniston, C., & Tai, J. (2020). Paradigm shifts during higher degrees by research. The Clinical Teacher, 17(1), 98–99. https://doi.org/10.1111/tct.13002

Ellingson, L. L. (2009). Engaging crystallization in qualitative research: An introduction. SAGE. https://doi.org/10.4135/9781412991476

Finlay, L. (2002). "Outing" the researcher: The provenance, process, and practice of reflexivity. Qualitative Health Research, 12(4), 531–545. https://doi.org/10.1177/104973202129120052

Flannery, M. C. (2001). Quilting: A feminist metaphor for scientific inquiry. Qualitative Inquiry, 7(5), 628–645. https://doi.org/10.1177/107780040100700507

Indermaur-Denniston, C. (2018). Communication skills in healthcare: Academic, clinician and patient perspectives [unpublished doctoral dissertation]. Monash University.

Karani, R., Varpio, L., May, W., Horsley, T., Chenault, J., Miller, K. H., & O'Brien, B. (2017). Racism and bias in health professions education: How educators, faculty developers, and researchers can make a difference. Academic Medicine, 92(11), S1–S6. https://doi.org/10.1097/ACM.0000000000001928

Laurila, K. I. (2016). Indigenous knowledge? Listening for the drumbeat and searching for how I know. Qualitative Social Work, 15(5–6), 610–618. https://doi.org/10.1177/1473325016652674

Martimianakis, M. A., Mylopoulos, M., & Woods, N. N. (2020). Developing experts in health professions education research: Knowledge politics and adaptive expertise. Advances in Health Sciences Education: Theory and Practice, 25(5), 1127–1138. https://doi.org/10.1007/s10459-020-10014-x

McElhinney, Z., & Kennedy, C. (2022). Enhancing the collective, protecting the personal: The valuable role of composite narratives in medical education research. Perspectives on Medical Education, 11(4), 220–227. https://doi.org/10.1007/s40037-022-00723-x

Milner, H. R. (2007). Race, culture, and researcher positionality: Working through dangers seen, unseen, and unforeseen. Educational Researcher, 36(7), 388–400. https://doi.org/10.3102/0013189x07309471

Molloy, E., & Bearman, M. (2019). Embracing the tension between vulnerability and credibility: "Intellectual candour" in health professions education. Medical Education, 53(1), 32–41. https://doi.org/10.1111/medu.13649

Olmos-Vega, F. M., Stalmeijer, R. E., Varpio, L., & Kahlke, R. (2022). A practical guide to reflexivity in qualitative research: AMEE Guide No. 149. Medical Teacher. https://doi.org/10.1080/0142159X.2022.2057287

Pillow, W. (2003). Confession, catharsis, or cure? Rethinking the uses of reflexivity as methodological power in qualitative research. International Journal of Qualitative Studies in Education, 16(2), 175–196. https://doi.org/10.1080/0951839032000060635

Ramani, S., Könings, K. D., Mann, K., & van der Vleuten, C. P. M. (2018). A guide to reflexivity for qualitative researchers in education. Academic Medicine, 93(8), 1257. https://doi.org/10.1097/acm.0000000000002263

Russell-Mundine, G. (2012). Reflexivity in indigenous research: Reframing and decolonising research? Journal of Hospitality and Tourism Management, 19(1), 85–90. https://doi.org/10.1017/jht.2012.8

Varpio, L., & Ellaway, R. H. (2021). Shaping our worldviews: A conversation about and of theory. Advances in Health Sciences Education: Theory and Practice, 26(1), 339–345. https://doi.org/10.1007/s10459-021-10033-2

Varpio, L., & MacLeod, A. (2020). Harnessing the multidisciplinary edge effect by exploring paradigms, ontologies, epistemologies, axiologies, and methodologies. Academic Medicine, 95(5), 686–689. https://doi.org/10.1097/ACM.0000000000003142

Verdonk, P. (2015). When I say … reflexivity. Medical Education, 49(2), 147–148. https://doi.org/10.1111/medu.12534

Walsh, R. (2003). The methods of reflexivity. Humanistic Psychologist, 31(4), 51–66. https://doi.org/10.1080/08873267.2003.9986934

Wyatt, T. R. (2022). “The sins of our forefathers”: Reimagining research in health professions education. Advances in Health Sciences Education, 27(4), 1195–1206. https://doi.org/10.1007/s10459-022-10111-z

Wyatt, T. R., Johnson, M., & Zaidi, Z. (2022). Intersectionality: A means for centering power and oppression in research. Advances in Health Sciences Education: Theory and Practice, 27(3), 863–875. https://doi.org/10.1007/s10459-022-10110-0

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Published

2023-03-31

How to Cite

Denniston, C. (2023). Sharpening reflexive practice in health professional education research. Focus on Health Professional Education: A Multi-Professional Journal, 24(1), 85–94. https://doi.org/10.11157/fohpe.v24i1.734

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Section

Focus on Methodology