Guided group reflection using the Mamede and Schmidt deliberate reflection framework¶

Design · All designs
Evidence · 2 claims (2 for) · 1 study (1 causal), q2 · 1 of 1 report an effect size · 2 claims rest on one study

Description¶

GGR is a six-step structured group reflection intervention delivered in 60-minute case-based sessions, following "the deliberate reflection framework described by Mamede and Schmidt". Steps move from initial hypothesis generation through identifying supportive, contradictory and missing findings, generating alternative hypotheses, to prioritising differentials with facilitator feedback. The article uses it as the collaborative comparator to SNAPPS in undergraduate clinical teaching.

Design Implications¶

Context¶

Requirements¶

Trained facilitators; each 60-min session facilitated by trained instructors with a 60-min orientation

Constraints¶

Sessions were conducted in separate medical units to minimise contamination

Target Learners¶

final-year MBBS undergraduate medical students

Learning Goals¶

clinical reasoning
diagnostic hypothesis generation and revision

Claims¶

Ggr Higher Posttest Than Snapps [+M]
Ggr Domain Specific Advantages [+M]

Examples¶

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Key Sources¶

Anjum Nida; Yasmin Rahila; Khurram Muhammad; Shan Saima; Ali Shabana. (2026). Guided group reflection versus SNAPPS in enhancing clinical reasoning in final-year MBBS students at a public-sector teaching hospital in Pakistan: a quasi-experimental study. BMJ Open. https://doi.org/10.1136/bmjopen-2025-115534

Page metadata

Field	Value
`type`	`design`
`id`	`ggr-deliberate-reflection-framework`
`title`	`Guided group reflection using the Mamede and Schmidt deliberate reflection framework`
`description`	`GGR is a six-step structured group reflection intervention delivered in 60-minute case-based sessions, following "the deliberate reflection framework described by Mamede and Schmidt".`
`status`	`review`
`generated`	by `process:settle-candidates` on `2026-11-04`
`trust`	unverified — no one has confirmed this page's content
`sources`	1 — `anjum-nida-yasmin-rahila-khurram-muhammad-shan-saima-ali-shabana-2026`

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