Introduction to narrative writing as per Gibb's reflective cycle. Competency based medical education. AETCOM module. mededu.ucms@gmail.com khanamirmaroof[at]yahoo.com mD

1. Narrative writing in
AETCOM
19 July 2021
Amir Maroof Khan, M.D.
Community Medicine
UCMS and GTB hospital, Delhi
mededu.ucms@gmail.com
khanamirmaroof@yahoo.com

2. Why narrative writing?
• Examine their relationship with patients, peers, and society
• Helps to practice with empathy and larger perspective
• Improve communication issues
• Practice of medical writing which lead to better patient outcomes and
impacts health behaviours
Reference: Liao JM, Secemsky BJ. The Value of Narrative Medical Writing in Internal Medicine
Residency. J Gen Intern Med. 2015 Nov;30(11):1707-10. doi: 10.1007/s11606-015-3460-x. Epub 2015
Jul 3. PMID: 26138007; PMCID: PMC4617913.

3. Gibb’s reflective cycle
Feeling
Evaluation
Analysis
Conclusion
Action plan
Description

4. Description
• What happened?
• What are the brief facts of the situation?
• What occurred? Who was involved?
• What did you do? What did others do?

5. Feelings
• What were you feeling or thinking?
• How were you feeling at the time?
• Were there influences affecting others actions/behaviour?
• Were there any known or perceived difficulties with the activity,
timing, location, information or resources etc.?

6. Evaluation
• What was good and bad about the experience?
• What was good and bad about the experience
• How might the facts and feelings (from stage 1 and 2 above) have
affected your actions/behaviour
• What other circumstances may have affected your actions or
thoughts?
• How issues might influence the activity or practice related feedback?

7. Analysis
• What else can you make of the situation?
• Why you picked this incident to reflect on?
• What sense can you make of it? Does it make sense given the
preceding 3 stages?
• What is the main area of concern or focus on the future?

8. Conclusion
• What else could you have done?
• What have you discovered?
• What have you learned from this incident and circumstances?
• What questions remain?

9. Action plan
• If you were in a that place or if you were there in it again, what would
you have done differently?
• What will I do differently from now on or the next time this arises?
• What resources/help will you need?

10. Gibb’s reflective cycle
Feeling
Evaluation
Analysis
Conclusion
Action plan
Description

11. An example of a narrative
• A day in the life of a postgraduate student:
https://www.rhime.in/ojs/index.php/rhime/article/view/435/363
• The chronicles of internland:
https://www.rhime.in/ojs/index.php/rhime/article/view/299/336

12. References
• Gibbs, (1988) Learning by Doing: A Guide to Teaching and Learning
Methods Further Education Unit, Oxford Brookes University, Oxford.
• https://workingwellsolutions.com/reflection-gibbs-model-applied-
example/

13. Distribution of groups from next Monday
Batch Roll Nos. Faculty & Residents
A
1-42 Dr OP Rajoura, Dr Dilip, Dr
Gaurav
Dr Bhawana P
B
43-85 Dr Rahul Sharma, Dr Shaileja, Dr
Bhavna V, Dr Hemant
C
86-127 Dr Somdatta Patra, Dr Eva, Dr
Thamiz,
Dr Akansha
D
128 onwards Dr KA Maroof, Dr Ranjitha, Dr
Gaurav Aggarwal, Dr Anita