Table 2 Scoring of GRE-9 per item and guidance for grading

1. What happened?

Guidance: State the main features of the event: persons involved, timing, place, setting, how all persons concerned acted/behaved

1

2. What is special about this event?

Guidance: State clearly the reason for choosing this event in particular. In-depth description of the dilemma, conflict, challenge posed by the event

1

3. Feelings when it happened

Guidance: Describe personal thoughts and feelings while the event was happening, emotional insight and empathy

2

4. What was the outcome for the concerned?

Guidance: Concerned include patient, significant others, health professionals, health system, society. Empathetic reflection

2

5. Understanding of the event

Guidance: Express what was good and bad about the experience; interpretation of the situation at present with justifications (factors/ knowledge influencing judgment)

2

6. Congruence of actions and beliefs

Guidance: Does the resident think he acted as per his beliefs? Was there anything that held him back from applying his beliefs? Reflection-on-action

2

7. New thoughts and feelings after reflection

Guidance: Describe resident’s new thoughts and feelings after reflecting on the case. Making meaning and analysis of the thoughts and feelings

2

8. Reference to old experience and others

Guidance: Compare to other situations, experience, others involved, and known events and facts, preferable to have reference

2

9. How this incident will affect future role

Guidance: If it arose again, how would the resident act? How did this experience change the practice for the better? Transformative learning, development of new viewpoint of the situation

2

Total score

16