1. Jeffrey L. Sternlieb, Ph.D. Lehigh Valley Health Network
Introducing and Integrating Reflective Practices in Psychology Graduate Education
Jeffrey L. Sternlieb, Ph.D.
Lehigh Valley Health Network
Allentown, PA

2. Objectives
Identify the Nature, Characteristics, and Qualities of Reflective Practices
Describe Similarities and Differences among a variety of Reflective Activities
Develop a Strategy to Introduce Reflective Activities in your own Curriculum

3. Components of Psychology Training
Evidence Based Psychology
Relationship Centered Care
Self Knowledge and Self Care
Professionalism
Patient Safety
Reduce Stress and Burn Out

4. Self Knowledge and Self Care
Self Awareness
Emotional Intelligence
Johari Window
Reflective practices

5. Johari Window: Blind Spots
Universal
Goal: Reduce size and impact
Method: Feedback
Video
Personal Reflection
Colleagues Observation
Coaching (paired precepting)
Gawande article on coaching

6. Context: Psychology Culture / Internship Culture / Personal Culture
Content vs. Process
Intent vs. Impact
Law of Unintended Consequences
Hidden Curriculum
Remen - stories

7. Levels of Reflective Processes
Level I: Be it to See it
Level II: Name it to Tame it
Level III: Share it to Bear it

8. Dimensions of Reflective Practice
Formal vs. Informal - Regular vs. Sporadic
Individual vs. Group
Structured vs. Unstructured
Written vs. Verbal
Prepared vs. Spontaneous
Leader Facilitated vs. Shared Leadership
Closed vs. Open

9. Examples: Mindful Hand washing MBSR Support Group Narrative Medicine
Megaclinic
Continuity Case Conference
Balint Groups

10. More Examples: Journal Writing Labyrinth Walking Auto-ethnography
Meditation
Retreats

11. Keep in Mind: Emotional safety Process Guidelines
Confidentiality, Ownership, Respect
Emotions Trump Logic
Reflect, Reflect, Reflect
Group Development; Group Process
Individual Differences (MBTI)
forming, norming, storming, performing
B(oundaries), A(uthority), R(oles), T(asks)

12. Develop a Plan: Write Down a Wish List - Set a Goal
Identify Barriers, Frustrations, Limitations
Brainstorm, Fantasize Approaches
Write,
Pair
Share

13. Final Cautions: Practice what I Preach Faculty Reflection
Your own Residency Culture
Shift Your Lens
Don’t be Furious, Be Curious