If you are interested in writing for reflective practice in medicine and healthcare you may wish to read this article written by Dr Rita Charon and Ms Nellie Hermann: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247912/ The article is a commentary on: Wald HS, Borkan JM, Taylor JS, Anthony D, Reis SP. Fostering and evaluating reflective capacity in medical education: Developing the REFLECT rubric for assessing reflective writing. Acad Med. 2012;87:XX–XX. [PubMed]
Charon and Hermann point out that Wald et al. have made certain assumptions in their article that are not necessarily correct and that: “According to Wald and colleagues’ study, writing is used to measure the attainment of the skill of reflection after that skill has somehow been attained elsewhere.” In Charon and Hermann’s view, and my own, reflective writing is not a means of reporting on reflection that has happened elsewhere, the reflection happens through the writing process.