Abstract
Following the nature of student–teacher relationship in the hierarchical and collectivist culture, facilitating learning in this context brings its consequences. Few studies from this cultural context show that students from this cultural background perceive the small group discussion differently from the Western students. In this culture, teachers are seen as the ultimate rules, so small group discussion to formulate learning objectives may be puzzling, as the conclusion is the final words from the teachers. Therefore, health professional students anywhere in the world should be carefully trained to reflect on experiences and pieces of evidence and to learn from the lessons confidently. To be independent, self-regulated, and self-directed learners, students should begin to trust their reflections to plan further learning. Consequently, to stimulate reflection needs sufficient feedback, which means two-way dialogue between students and teachers. In this chapter, we emphasize on teacher training to start a constructive discussion and avoid misuse of social ‘power’. However, we understand that the majority of teachers that grew up in this cultural context have a lifetime experience of social-power. So, generation gap are potentially influencing their approaches in educating future health professionals. This chapter will discuss the endeavor of teachers in this cultural context in approaching student-centered learning.
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References
Al-Bugha D, Mitsu M (2018) Syarah Arba’in Imam Nawawi (631–676 Hijriyah/800 century/9th century) translation. Keira Publishing, West Java
Aoun JE (2017) Robot-proof: higher education in the age of artificial intelligence. MIT press, Cambridge, MA
Ariew R (1992) Descartes and the tree of knowledge. Synthese 92(1):101–116. https://doi.org/10.1007/BF00413744
Auffray C, Charron D, Hood L (2010) Predictive, preventive, personalized and participatory medicine: back to the future.Genome Med 2(8):57. https://doi.org/10.1186/gm178
Bacigalupo M, Kampylis P, Punie Y et al. (2016) EntreComp: the entrepreneurship competence framework, vol 10. Publication Office of the European Union, Luxembourg, p 593884. https://doi.org/10.2791/593884.
Bandura A (1991) Social cognitive theory of self-regulation. Organ Behav Hum Decis Process 50(2):248–287. https://doi.org/10.1016/0749-5978(91)90022-L
Bialik M, Fadel C (2015) Skills for the 21st Century: what should students learn? Center of curriculum redesign, Boston
Bicknell J (2003) Descartes’s rhetoric: roads, foundations, and difficulties in the method. Philos Rhetor 36(1):22–38. https://doi.org/10.1353/par.2003.0012
Brown T (2008) Design thinking. Harv Bus Rev 86(6):84
Budiastuti V (2017) Epistemological belief factors in the collaborative learning of problem based learning. Disertation. Yogyakarta: Doctorate study program. Faculty of Medicine, Universitas Gadjah Mada. http://etd.repository.ugm.ac.id/penelitian/detail/116912
Chan KW, Elliott RG (2004) Relational analysis of personal epistemology and conceptions about teaching and learning. Teach Teach Educ 20(8):817–831. https://doi.org/10.1016/j.tate.2004.09.002
Cilliers FJ, Schuwirth LW, Herman N, Adendorff HJ, van der Vleuten CP (2012) A model of the pre-assessment learning effects of summative assessment in medical education. Adv Health Sci Educ 17(1):39–53. https://doi.org/10.1007/s10459-011-9292-5
Claramita M, Nugraheni MD, van Dalen J, van der Vleuten C (2013) Doctor–patient communication in Southeast Asia: a different culture? Adv Health Sci Educ 18(1):15–31. https://doi.org/10.1007/s10459-012-9352-5
Claramita M (2016) Revealing "Tut Wuri Handayani"-a student-centred learning approach-by Ki Hajar Dewantara from the early 20th century: a literature review. Jurnal Pendidikan Kedokteran Indonesia: the Indonesian Journal of Medical Education 5(1):1–14. https://doi.org/10.22146/jpki.25295
Dent JA, Harden RM (2013) New horizons in medical education. A Practical Guide for Medical Teacher. Elsevier, London, pp 3–7. https://doi.org/10.1177/0310057x0102900620
Driessen E, Van tartwijk J, van der Vleuten C, et al (2007) Portfolios in medical education: why do they meet with mixed success? A systematic review. Med Educ 41(12):1224–1233. https://doi.org/10.1111/j.1365-2923.2007.02944.x
EHEA (2016) Student centered learning, European Health Education Area, Europe
Fadiman A (2012) The spirit catches you and you fall down: a Hmong child, her American doctors, and the collision of two cultures. Macmillan. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1114928/
Frambach JM, Driessen EW, Chan LC et al (2012) Rethinking the globalisation of problem-based learning: how culture challenges self-directed learning. Med Educ 46(8):738–747. https://doi.org/10.1111/j.1365-2923.2012.04290.x
Frenk J, Chen L, Bhutta ZA et al (2010) Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet 376(9756):1923–1958. https://doi.org/10.1016/S0140-6736(10)61854-5
Geertz H (1989) The Javanese family: a study of kinship and socialization. Waveland Press Inc., USA
Gibbs G (1988) Learning by doing: a guide to teaching and learning methods. Further Education Unit, Oxford
Greviana N, Mustika R, Soemantri D (2020) Development of e-portfolio in undergraduate clinical dentistry: how trainees select and reflect on evidence. Eur J Dent Educ 24(2):320–327. https://doi.org/10.1111/eje.12502
Hasso Plattner Institute of Design at Stanford (2010) An introduction to design thinking: process guide. Stanford University, California
Herrmann-Werner A, Gramer R, Erschens R et al (2017) Peer-assisted learning (PAL) in undergraduate medical education: an overview. Z Evid Fortbild Qual Gesundhwes 121:74–81. https://doi.org/10.1016/j.zefq.2017.01.001
Hing LK (1978) The Taman Siswa in Postwar Indonesia. Indonesia 25:41–59
Hofer BK, Pintrich PR (1997) The development of epistemological theories: beliefs about knowledge and knowing and their relation to learning. Rev Educ Res 67(1):88–140. https://doi.org/10.3102/00346543067001088
Hussain J, Millman C, Scott J et al (2007) Ethnic minority graduate entrepreneurs in the UK: characteristics, motivation and access to finance. Ind High Educ 21(6):455–463. https://doi.org/10.5367/000000007783099845
Kleinmann A (1981) Patients and healers in the context of culture: an exploration of the borderland between anthropology, medicine, and psychiatry. University of California Press, California
Krupat E, Sprague JM, Wolpaw D et al (2011) Thinking critically about critical thinking: ability, disposition or both? Med Educ 45(6):625–635. https://doi.org/10.1111/j.1365-2923.2010.03910.x
Kusurkar RA, Ten Cate TJ, Van Asperen M, Croiset G (2011) Motivation as an independent and a dependent variable in medical education: a review of the literature. Med Teach 33(5):e242–e262. https://doi.org/10.3109/0142159X.2011.558539
Lockspeiser TM, O’Sullivan P, Teherani A, Muller J (2008) Understanding the experience of being taught by peers: the value of social and cognitive congruence. Adv Health Sci Educ Theory Pract 13(3):361–372. https://doi.org/10.1007/s10459-006-9049-8
Manyama M, Stafford R, Mazyala E et al (2016) Improving gross anatomy learning using reciprocal peer teaching. BMC Medical Education 16:95. https://doi.org/10.1186/s12909-016-0617-1Maslow AH (1987) Motivation and personality, 3rd edn. Pearson Education, Delhi, India.
McKimm J, O’Sullivan H (2016) When I say… leadership. Med Educ 50(9):896–897. https://doi.org/10.1111/medu.13119
McLaughlin JE, Wolcott MD, Hubbard D, Umstead K, Rider TR (2019) A qualitative review of the design thinking framework in health professions education. BMC Med Educ 19(1):98. https://doi.org/10.1186/s12909-019-1528-8
McLeod SA (2018) What are the most interesting ideas of Sigmund Freud. Simply Psychology:1–3
McVey RT (1967) Taman Siswa and the Indonesian national awakening. Indonesia 4:128–149
Mehta N (2013) Beyond transparency: the spatial argument for experiential externalism. Philosopher Imprint 13(8):1–19
Ministry of Education Rep Indonesia (2015) Tut wuri handayani, Ministry of Education Republic of Indonesia. https://www.kemdikbud.go.id/main/informasi-publik/logo-kemdikbud
Muller S (1984) Physicians for the twenty-first century: report of the project panel on the general professional education of the physician and college preparation for medicine. J Med Educ 59:1–208
Musharyanti L, Claramita M, Haryanti F, Dwiprahasto I (2019) Why do nursing students make medication errors? A qualitative study in Indonesia. J Taibah Univ Med Sci 14(3):282–288. https://doi.org/10.1016/j.jtumed.2019.04.002
National Research Council (2012) Education for life and work: Developing transferable knowledge and skills in the 21st Century. Committee on Defining Deeper Learning and 21st Century Skills. The National Academies Press, Washington DC
Nomura O, Onishi H, Kato H (2017) Medical students can teach communication skills—a mixed methods study of cross-year peer tutoring. BMC Med Educ 17(1):103. https://doi.org/10.1186/s12909-017-0939-7
Nugraheny E, Claramita M, Rahayu GR et al (2016) Feedback in the nonshifting context of the midwifery clinical education in Indonesia: a mixed methods study. Iran J Nurs Midwifery Res 21(6):628–634. https://doi.org/10.4103/1735-9066.197671
Nurokhmanti H, Claramita M, Emilia O (2022) Students’ motivation to choose general practice as their career pathway. Manuscript #1111087467; Accepted at Int J Med Educ (February 2022-in Press)
OECD/CERI (2008) 21st century learning: research, innovation and policy, directions from recent OECD analyses. OECD CERI International Conference. Learning in the 21st Century: Research, Innovation and Policy, OECD, Paris. http://www.oecd.org/site/educeri21st/40554299.pdf
Oganisjana K (2015) Promotion of university students’ collaborative skills in open innovation environment. J Open Innov Technol Market Complexity 1(2):18. https://doi.org/10.1186/s40852-015-0021-9
Olaussen A, Reddy P, Irvine S, Williams B (2016) Peer-assisted learning: time for nomenclature clarification. Med Educ Online 21(1):30974. https://doi.org/10.3402/meo.v21.30974
Ontario Ministry of Education (2016) Towards defining 21st century competencies for Ontario:21st century competencies. Ontario Ministry of Education, Canada
Papp KK, Huang GC, Clabo LML et al (2014) Milestones of critical thinking: a developmental model for medicine and nursing. Acad Med 89(5):715–720. https://doi.org/10.1097/ACM.0000000000000220
Parmi IT (2009) Reflection of educational principles of Ki Hadjar Dewantara towards national integration: historical and cultural approach. Dissertation, Yogyakarta State University
Pellegrino JW and Hilton ML (2013) Education for life and work: developing transferable knowledge and skills in the 21st century. https://doi.org/10.17226/13398
Preston S, Rich-Tolsma M (2018) Competing in an Era of Disruption. real-leaders.com
Qomariyah N, Savitri T, Hadianto T, Claramita M (2016) Formulating employability skills for graduates of public health study program. Int J Eval Res Educ 5(1):22–31. https://doi.org/10.11591/ijere.v5i1.4518
Reeves S, Fletcher S, Barr H et al (2016) A BEME systematic review of the effects of interprofessional education: BEME Guide No. 39. Medical Teacher 38(7):656–668. https://doi.org/10.3109/0142159X.2016.1173663
Rehman I, Mahabadi N, Rehman CI (2020) Classical conditioning. StatPearl Publishing LLC, Treasure Island, Florida
Ross MT and Cameron HS (2007) Peer assisted learning: a planning and implementation framework: AMEE Guide no. 30. Med Teach 29(6):527–545. https://doi.org/10.1080/01421590701665886
Ryan RM, Deci EL (2000) Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol 55(1):68–78. https://doi.org/10.1037/0003-066X.55.1.68
Samarasekera DD, Goh PS, Lee SS et al (2018) The clarion call for a third wave in medical education to optimise healthcare in the twenty-first century. Med Teach 40(10):982–985. https://doi.org/10.1080/0142159X.2018.1500973
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC (2018) The age of adolescence. Lancet Child Adolescent Health 2(3):223–228. https://doi.org/10.1016/S2352-4642(18)30022-1
Schommer-Aikins M, Hutter R (2002) Epistemological beliefs and thinking about everyday controversial issues. J Psychol 136(1):5–20. https://doi.org/10.1080/00223980209604134
Silawani S (2019) Problems in the implementation of problem-based learning in different culture of paternalism-collectivistic and egalitarian-individualistic: a systematic review. Thesis, Universitas Gadjah Mada
Silva E (2009) Measuring skills for 21st-century learning. Phi Delta Kappan 90(9):630–634
Sizer TR (2004) Horace′s compromise: the dilemma of the American high school: with a new preface. Houghton Mifflin Harcourt, Boston
Skinner BF (1989) The origins of cognitive thought. Am Psychol 44(1):13–18. https://doi.org/10.1037/0003-066X.44.1.13
Spillane JP, Halverson R, Diamond JB (2004) Towards a theory of leadership practice: a distributed perspective. J Curric Stud 36(1):3–34. https://doi.org/10.1080/0022027032000106726
Suhoyo Y, Schönrock-Adema J, Emilia O et al (2018) Clinical workplace learning: perceived learning value of individual and group feedback in a collectivistic culture. BMC Med Educ 18(1):1–6. https://doi.org/10.1186/s12909-018-1188-0
Susilo AP, van Merriënboer J, van Dalen J et al (2013) From lecture to learning tasks: Use of the 4C/ID model in a communication skills course in a continuing professional education context. J Contin Educ Nurs 44(6):278–284. https://doi.org/10.3928/00220124-20130501-78
Susilo AP, Dalen JV, Scherpbier A et al (2013) Nurses’ roles in informed consent in a hierarchical and communal context. Nurs Ethics 20(4):413–425. https://doi.org/10.1177/0969733012468467
Susskind RE, Susskind D (2015) The future of the professions: How technology will transform the work of human experts. Oxford University Press
Suto I (2013) 21st century skills: ancient, ubiquitous, enigmatic? Research Matters. Cambridge Assess Public 15:2–18
Tauchid M, Soeratman S, Lahade RS et al (1962) Book 1-Repository of articles written by Ki Hadjar Dewantara from 1920–1960, 1st edn. Taman Siswa Publishing, Yogyakarta, Indonesia
Tauchid M, Soeratman S, Sajoga, et al (1994) Book 2—culture—repository of articles written by Ki Hadjar Dewantara from 1920–1960, 2nd edn. Taman Siswa Publications, Yogyakarta, Indonesia
Till A, McKimm J, Swanwick T (2018) Twelve tips for integrating leadership development into undergraduate medical education. Med Teach 40(12):1214–1220. https://doi.org/10.1080/0142159X.2017.1392009
Tsuchiya K (1975) The Taman Siswa movement: its early eight years and Javanese background. J Southeast Asian Stud 6(2):164–177
UNDP (2019) Human Development Index (HDI). http://hdr.undp.org/en/content/human-development-index-hdi
van Berkel HJ, Scherpbier A, Hillen H (2010) Lessons from problem-based learning. Oxford University Press. https://doi.org/10.1093/acprof:oso/9780199583447.001.0001
Vallerand RJ, Pelletier LG, Blais MR et al (1992) The academic motivation scale: a measure of intrinsic, extrinsic, and amotivation in education. Educ Psychol Measur 52(4):1003–1017. https://doi.org/10.1177/0013164492052004025
van de Grift TC, Kroeze R (2016) Design thinking as a tool for interdisciplinary education in health care. Acad Med 91(9):1234–1238. https://doi.org/10.1097/ACM.0000000000001195
Wang L, Alexander C (2015) Big data in medical applications and health care. Curr Res Med 6(1):1–8. https://doi.org/10.3844/amjsp.2015.1.8
Wartman SA (2017) The role of the physician in 21st century healthcare. Association of Academic Health Centers. http://www.aahcdc.org. Accessed 28 May 2020
Werstch J (1993) Voices of the minds. Harvard University Press, New York
Whitmire E (2003) Epistemological beliefs and the information-seeking behavior of undergraduates. Libr Inf Sci Res 25(2):127–142. https://doi.org/10.1016/S0740-8188(03)00003-3
WHO (2010) Framework for action on interprofessional education and collaborative practice No. WHO/HRH/HPN/10.3. World Health Organization
WHO (2019) WHO strategic meeting on social determinant of health, World Health Organization. https://www.who.int/social_determinants/en/. Accessed 28 May 2020
Widyahening IS, van der Heijden GJ, Moy FM, van der Graaf Y, Sastroasmoro S, Bulgiba A (2012) From west to east; experience with adapting a curriculum in evidence-based medicine. Perspect Med Educ 1(5):249–261. https://doi.org/10.1007/s40037-012-0029-9
World Federation in Medical Education (2015) No Title. https://wfme.org
Yu TC, Wilson NC, Singh PP et al (2011) Medical students-as-teachers: a systematic review of peer-assisted teaching during medical school. Adv Med Educ Pract 2:157–172. https://doi.org/10.2147/AMEP.S14383
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Claramita, M., Nurokhmanti, H., Qomariyah, N., Budiastuti, V.I., Utomo, P.S., Findyartini, A. (2022). Facilitating Student-Centered Learning: In the Context of Social Hierarchies and Collectivistic Culture. In: Claramita, M., Findyartini, A., Samarasekera, D.D., Nishigori, H. (eds) Challenges and Opportunities in Health Professions Education. Springer, Singapore. https://doi.org/10.1007/978-981-16-7232-3_2
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