Critical Reasoning & Life-Long Learning

It's obvious how this topic might apply in pharmacy. Health care is forever changing as new policies arrive, new research arrives in the market and when cultures change. It's important to be able to adapt to these changes and consider what the best approach to your practice may be.

Critical thinking can be defined as:

The disciplined mental activity of evaluating arguments or propositions [or situations] and making judgement that can guide the development of beliefs and taking action.


At the end of the day, pharmacists are medication therapy experts. Expertise consists of at least these things:

Confidence, Rapidity, Efficiency, Accuracy, Recalibration (when to slow down)

Everyone starts as a novice and can become an expert. This transition is done through experience and using judgement to make decisions.

It may be helpful to have a way to measure your learning process. through SMART learning objectives. Some overlap with aim statements.

Specific - precise about desired outcomes
Measurable - quantifiable objectives
Achievable - realistic
Relevant - aligns with organization's goals
Timed - when it will be achieved


Reflection is also important during a critical learning incident (a time when learning is challenged). A series of prompts can help guide this process:

Recall the experience.

How did you feel during the experience?

Why did you feel this way, why did things happen this way?

Suggestions for future changes based on above.


Both Reflection-on-Action and Reflection-in-Action is important as a healthcare professional.

On-action would be the prompts mentioned previously, while In-action would be the improvisation and thinking on your feet.

Daily reflection, persistent monitoring and retrospective reflection need to be a part of anyone's practice. First there is very little self-assessment done and second, there is a lack of motivation to address them. During self-assessment some topics to be considered are: purpose, question, information, inferences, concepts (in your thinking), assumptions, point of view, implications and interpretations.




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