title: A model of engagement in reflective writing-based portfolios: Interactions between points of vulnerability and acts of adaptability.
abstract: BACKGROUND
  Portfolios are widely used for meeting new accreditation standards in the age of competency-based medicine. However, the method of learning through portfolio has been suggested to be vulnerable.
  
  
  OBJECTIVE
  The aim of this study was to explore conditions affecting the experience of teaching and learning from the perspective of both students and mentors in a reflective writing-based portfolio initiative.
  
  
  METHODS
  Using mixed-methods rooted in grounded theory, 139 students and 13 mentors completed questionnaires, 23 students participated in four focus groups and 9 mentors in individual interviews.
  
  
  RESULTS
  The overarching theme in our data was student-mentor engagement. Our results confirm previous literature describing portfolio as a vulnerable method of learning, extend this concept by identifying and categorizing specific points of vulnerability, and contribute new knowledge regarding acts of adaptability, which serve to strengthen the student-mentor relationship.
  
  
  CONCLUSIONS
  Engagement is central to the success of portfolio and is shaped by a dynamic interaction between points of vulnerability and acts of adaptability. We propose a model of engagement in portfolio that can be used for faculty development to optimize student-mentor engagement.
authors.affiliation: a Western University , Canada.
authors.forename: Shannon
authors.initials: S
authors.lastname: Arntfield
authors.affiliation: a Western University , Canada.
authors.forename: Brittney
authors.initials: B
authors.lastname: Parlett
authors.affiliation: a Western University , Canada.
authors.forename: Christine N
authors.initials: CN
authors.lastname: Meston
authors.affiliation: a Western University , Canada.
authors.forename: Tavis
authors.initials: T
authors.lastname: Apramian
authors.affiliation: a Western University , Canada.
authors.forename: Lorelei
authors.initials: L
authors.lastname: Lingard
mesh_terms: D000068:Accreditation; D003162:Competency-Based Education; D004504:Education, Medical, Undergraduate; D017144:Focus Groups; D007407:Interviews as Topic; D008611:Mentors; D008962:Models, Theoretical; D036301:Qualitative Research; D013337:Students, Medical; D011795:Surveys and Questionnaires; D014956:Writing