Reflective writing in case summary assignments

Outcome and competency-basedundergraduate and graduate medical education isthe desired standard embraced by many medicaleducationists worldwide. Reflective capacity is anintegral component of that strategy and reflective writinghas shown tremendous potential as a delivery tool. Butthere are various challenges in the implementation ofthe initiative. Efficacy as a delivery tool, achievementof pedagogical outcomes, reliability issues, challenges inassessment outcomes/tools, and whether it can be taughtand learnt, need to be addressed. Many questions are stillnot satisfactorily answered, and this review attempts tooffer some perspective on the issues.