“…Reflective writing has a learning effect in the medical education and clinical setting (Liu, Jawitz, Zheng, Gusberg, & Kim, ; Sukhato et al., ; Wald, Haramati, Bachner, & Urkin, ). It has been suggested that writing was an effective reflection method for the cognitive process and resulted in favourable outcomes both theoretically and practically (Zarei, Pourghasemian, & Jalali, ). Furthermore, in a study comparing discussion, writing and both as complements to active learning, test scores were significantly higher when writing was used as a complementary method (Linton, Pangle, Wyatt, Powell, & Sherwood, ).…”