The sociocultural challenges in the R2C2 framework of feedback in clinical education: An Indonesian context
Andri Andrian Rusman, Sylvia Mustika Sari

Faculty of Medicine, Universitas Jenderal A. Yani

Abstract

Introduction
Feedback in clinical education is a driving force in developing students^ competence. However, the feedback process in the hierarchical culture, such Asian context, was found to be unidirectional and instructive.
Aims of study
To explore the feedback communication during the workplace-based assessment was done in Indonesian culture based on the R2C2 framework.
Method
Based on the ethnomethodology approach, we observed six WBA sessions in Forensic Medicine clinical rotation in 4 weeks and audiotaped six feedback conversations. We used the critical discourse analysis and conducted the thematic analysis.
Results
We found three sociocultural barriers in R2C2 framework: 1) The power construction influences the student lectures relationships. 2)The unidirectional feedback conversation affects the exploration of students^ responses and coaching processes. 3) The content of feedback focuses on correcting students^ mistakes.
Conclusions
We identify the sociocultural challenges in implementing the R2C2 framework in feedback during clinical education. This study addresses the need to develop the original model based on cultural context.

Keywords: Feedback, communication, clinical education

Topic: Medical Education and Bioetic