Fig. 1

mean (95%CI) of marks for each section and overall by study year from 2011 to 12 (Y1) to 2015–16 (Y5) and summary of key changes to preparation of students. Key changes to preparation of students. Y2 (2012–13): clearer instructions to use question headings to structure reflective reports in each of the three sections of the report. Y4 (2014–15): reduction in time available for preparation of students and in format from tutorial to lecture theatre