Introduction: Advanced Pharmacy Practice Experiences (APPEs) provide ample opportunity for students to acclimate into pharmacy roles and experience professionalization through authentic practice. A structured APPE self-reflection process improvement was implemented to assist students in writing higher quality reflections, and to better capture themes of student professionalization.Objectives: The purpose of this paper was to describe experience with the structured self-reflection format and (a) determine the most impactful APPE professionalization themes derived from student self-categorization; and (b) analyze self-reflections for inclusion of actionable professional development plans.Methods: A four-step structured APPE self-reflection format, abbreviated IDEA (Identify, Describe, Evaluate, and Actionable Plan), was created to standardize the reflection process. For each APPE, students (N = 211) completed the IDEA by selecting a theme of professionalization impact (from 15 predetermined choices) and crafting a self-reflection. For the APPE annual cycle, themes of professionalization impact were compiled and grouped into overarching categories spanning development in practice or communication skills, student professional development, and collaborative teamwork. A rubric was developed for faculty to evaluate levels of reflection with a goal of critical reflection (evidence of transformative behavior or perspectives) described in actionable professional development plans.Results: Two hundred eleven students completed 1473 IDEA self-reflections (6.9 per student). All 15 themes of impact were selected for self-reflection, with "practice skills development/experiencing new curricular discipline" being most prevalent. Critical reflection was attained in 968 (65.7%) of reflections. A decline in criticality over time was noted, with the first six APPE modules averaging 73% and dropping to 54% and 34% in the final two modules, respectively.
Conclusion:The IDEA structured APPE self-reflection enables students to readily identify professionalization themes and reflect upon their impact. Two-thirds of reflections indicated actionable professional development plans, indicative of professionalization and transformative learning.