#485: The Impact of Shared Feedback Visualization on Student Reflection During Simulation Debriefing

This study examined how a cognitive group awareness tool (RADAR) influences medical students’ reflective behaviors during online post-simulation debriefing. A between-subjects experiment with 117 medical students compared three conditions: traditional observational debriefing (control), completing a shared decision-making questionnaire before debriefing (light RADAR), and completing the questionnaire with visualized results (full RADAR). Both RADAR conditions increased reflection on decision-making and counseling behaviors. Epistemic network analysis identified three distinct reflection patterns: control students connected performance review with patient history gathering; light RADAR students linked searching for alternative approaches with communication techniques and counseling; full RADAR students connected performance review with patient partnerships and counseling information. Visualization of assessment discrepancies in full RADAR did not increase feed-forward reflection. This study contributes to understanding how cognitive group awareness tools can enhance reflective learning processes in online simulation-based learning.