Written responses can be responses to a variety of prompts. The questions can be as broad as "What would you do differently as a result of what you learned?" and "What will you keep doing or stop doing as a result of the learning that has occurred?" to more narrowly focused questions such as "What would you do next for this patient in this situation?" Those written responses can be evaluated for concordance to an ideal response. When appropriate, it may be adequate to have the learner write a meaningfully reflective statement.