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{
    "pk": 12883,
    "title": "Does the Medium Matter? Evaluating the Depth of Reflective Writing by Medical Students on Social Media Compared to the Traditional Private Essay Using the REFLECT Rubric",
    "subtitle": null,
    "abstract": "Introduction: \nSocial media is a novel medium to host reflective writing (RW) essays, yet its impact on depth of students’ reflection is unknown. Shifting reflection on to social platforms offers opportunities for students to engage with their community, yet may leave them feeling vulnerable and less willing to reflect deeply. Using sociomateriality as a conceptual framework, we aimed to compare the depth of reflection in RW samples submitted by medical students in a traditional private essay format to those posted on a secure social media platform.\nMethods: \nFourth-year medical students submitted a RW essay as part of their emergency medicine clerkship, either in a private essay format (academic year [AY] 2015) or onto a closed, password-protected social media website (AY 2016). Five raters used the Reflection Evaluation for Learners’ Enhanced Competencies Tool (REFLECT) to score 122 de-identified RW samples (55 private, 67 social media). Average scores on two platforms were compared. Students were also surveyed regarding their comfort with the social media experience.\nResults: \nThere were no differences in average composite REFLECT scores between the private essay (14.1, 95% confidence interval [CI], 12.0-16.2) and social media (13.7 95% CI, 11.4-16.0) submission formats (t [1,120] = 0.94, p = 0.35). Of the 73% of students who responded to the survey, 72% reported feeling comfortable sharing their personal reflections with peers, and 84% felt comfortable commenting on peers’ writing.\nConclusion:\n Students generally felt comfortable using social media for shared reflection. The depth of reflection in RW essays was similar between the private and social media submission formats.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Social Media, Reflective Writing, Medical Education, Emergency Medicine"
        }
    ],
    "section": "Original Research - Print",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0c07t78m",
    "frozenauthors": [
        {
            "first_name": "Alisha",
            "middle_name": "Emily Cutler",
            "last_name": "Brown",
            "name_suffix": "",
            "institution": "University of Washington",
            "department": "None"
        },
        {
            "first_name": "Joshua",
            "middle_name": "",
            "last_name": "Jauregui",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Jonathan",
            "middle_name": "S.",
            "last_name": "Ilgen",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Jeff",
            "middle_name": "",
            "last_name": "Riddell",
            "name_suffix": "",
            "institution": "Keck School of Medicine of University of Southern California, Department of Emergency Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Douglas",
            "middle_name": "",
            "last_name": "Schaad",
            "name_suffix": "",
            "institution": "University of Washington, Department of Biomedical Informatics and Medical Education, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Jared",
            "middle_name": "",
            "last_name": "Strote",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        },
        {
            "first_name": "Jamie",
            "middle_name": "",
            "last_name": "Shandro",
            "name_suffix": "",
            "institution": "University of Washington, Department of Emergency Medicine, Seattle, Washington",
            "department": "None"
        }
    ],
    "date_submitted": "2019-06-27T13:22:38-04:00",
    "date_accepted": "2019-06-27T13:22:38-04:00",
    "date_published": "2019-12-19T15:51:28-05:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12883/galley/6774/download/"
        }
    ]
}