What is reflection?"Reflection" is a word which, in the past, was used relatively rarely in veterinary education. Unfortunately, for some people, as it has started to be used, it has acquired negative connotations, being perceived as associated with "woolly thinking", not the objectivity normally associated with a scientific discipline. In medical education, reflection has recently been defined as "a metacognitive process that occurs before, during and after situations with the purpose of developing greater understanding of both the self and the situation so that future encounters with the situation are informed from previous encounters" (Sandars 2009), and if we trace scholarly thinking on reflection back to its roots, in the writings of John Dewey, at the turn of the twentieth century, it is clear that it is: a systematic process; aimed at meaning-making, with deeper understanding supporting continuity of learning; associated with "attitudes that value the personal and intellectual growth of oneself and others"; and brought about in part through our interactions as part of a community (Rodgers 2002). Based on these foundations, even brief thought (or reflection!) reveals that "reflection" is a quality which permeates all our professional activity. We may "reflect-in-action", during the course of a difficult case (Mamede et al 2007), and "reflect-on-action" when we are reviewing cases which have not gone as well as expected or those where we feel there could have been improvements in our approach or management (Schön 1983). So the ability to recognise unusual features of what was formerly perceived as a relatively routine case, and modify an investigation or therapy accordingly, the hallmark of a good practitioner, be they specialist or generalist, depends on our ability to reflect, although it is not always clear what, in the expert, triggers the change from non-reflective action to deliberative thinking (Moulton et al 2007). Reflection both in and on action will minimise mistakes and also stimulate learning, so that new patterns recognised or old patterns better described can be activated when similar situations are encountered in the future (Crosskerry 2003).
2
What is the difference between reflection and critical analysis/evaluation?Like medicine, our profession is science based, and it is our evidence-based approach to diagnosis and treatment of animal problems that is the basis of the social contract that underpins the monopoly on "acts of veterinary surgery" that is our professional privilege (May 2013). The scientific method is one of the most powerful methods that we have for exploring the "truth" about our material world, but its strength also gives rise to its limitations. As far as possible, when we engage in the critical analysis essential to science, we place ourselves on the outside of phenomena under investigation to establish our objectivity as observers. In order not to compromise our methods, we also maintain our protocols throughout to avoid the introduction of any researcher bias. However,...