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Improving communication with all patients

Reflection is part of the art of medicine. However, like the visual and performing arts, reflectiondemands the development of specific skills, involves the brain and the mind, requires attention to high-quality feedback and is subject to scientific investigation and understanding. The three studies in this issue of Medical Education help to illuminate the processes that underlie reflection. The goals of reflection – insight, wisdom and informed flexibility – though, like beauty, harmony and health, are much harder to define and measure.