The aim was to determine whether the benefits of reflective learning
could be realized in medical education. Two studies were undertaken in
sequence. In-depth interviews were held with students who had
volunteered for a trial of reflective learning involving learning
journals and reflective tutorial groups. Data were collected from
students who chose to participate and those who chose not to. For
comparison six interviews were carried out with students at another
medical school with a PBL curriculum The second phase comprised a
package of questionnaires completed by medical students at two UK
medical schools. Students who used reflective learning were better able
to focus on what to learn and were less driven by assessment. Students
at the PBL school showed a marked difference in their approach to
learning. In the second study students at a school whose curriculum was
PBL based differed in their approach to learning. Medical students who
use reflective learning techniques take a more integrated approach to
their learning. Medical students at schools with different curricula
demonstrate differing approaches to their learning.