Table 4.

Themes identified from student self-reflections after the final CP exercise

Theme	Number that mentioned theme in reflections in years 2008; 2009; 2010 Total	Percent of students that mentioned this theme (N= 514)
Noted that they had made progress and were more effective at presenting their CP.	173; 166; 170 509	99
Noted that they were better at critical thinking to rule out the wrong answers and rule in the correct answer.	87; 91; 63 241	46.9
Noted that they were better at organizing information from the case and presenting important/relevant/pertinent findings from the case. Better organized to present case.	91; 52; 76 219	42.6
Noted they were less nervous than during the first CP.	39; 63; 88 190	37
Noted the CPs would help them during clinical rotations, residency, or as a physician.	53; 45; 55 153	30
Noted the CPs helped them study or prepare for course examinations.	46; 45; 18 109	21.2