Abstract
Student-centered learning (SCL) has been a well-known principle of educating future health professionals globally. SCL was based on the ‘constructivism’ and ‘socio-theory of learning’ in which active participation and two-way dialogue of students and teachers are the keys for self-directed learning. In this chapter lays the conceptual foundations for using Hofstede's dimensions of culture model in exploration in the rest of the edited volume of the interplay between culture and health professions education. This first and overall chapters are focusing on work from Eastern settings with hierarchical and collectivistic cultures. The model and its derivation are explained and critiqued. Given the contextual focus of the book, the power distance and the individualism–collectivism dimensions of the model are unpacked in some detail and illuminated using examples from health professions education. Honoring calls for more evidence-based practice in health professions education and the contextual knowledge of local researchers and practitioners, widely adopted approaches like problem-based learning, models of communication skills, and feedback are critiqued using the model on the one hand and contextually relevant literature on the other.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Archer MS (2005) Structure, culture and agency. In: Jacobs MD, Hanrahan NW (eds) The Blackwell companion to the sociology of culture. Blackwell Publishing Ltd., Malden, MA, pp 17–34
Alavi M, Leidner DE (2001) Knowledge management and knowledge management systems: conceptual foundations and research issues. MIS Q 25(1):107–136
Alshahrani A (2017) Power distance and individualism-collectivism in EFL learning environment. Arab World English J 8(2)
Al-Shobaili HA, Al-Robaee AA, Al-Zolibani AA et al (2010) Utilization of self directed learning allocated times by medical students. Saudi Med J 31(3):333–335
Azer SA, Azer D (2015) Group interaction in problem-based learning tutorials: a systematic review. Eur J Dent Educ 19(4):194–208
Bandura A, Ramachaudran VS (1994) Encyclopedia of human behavior, vol 4. Academic Press, New York, pp 71–81
Barnhardt B, Ginns P (2014) An alienation-based framework for student experience in higher education: new interpretations of past observations in student learning theory. High Educ 68(6):789–805
Berkson L (1993) Problem-based learning: Have the expectations been met? Acad Med 68(10):79–88
Bing-You R, Ramani S, Ramesh S, Hayes V, Varaklis K, Ward D, Blanco M (2019) The interplay between residency program culture and feedback culture: a cross-sectional study exploring perceptions of residents at three institutions. Med Educ Online 24(1):1611296
Borgatta EF (2001) Culture. In Borgatta EF (ed) Encyclopedia of sociology, 2nd ed, vol 1. Macmillan Reference, New York
Cardon PW (2008) A critique of Hall’s contexting model: a meta-analysis of literature on intercultural business and technical communication. J Bus Tech Commun 22(4):399–428
Cilliers FJ, Schuwirth LWT, van der Vleuten CPM (2012) Modelling the pre-assessment learning effects of assessment: evidence in the validity chain. Med Educ 46(11):1087–1098
Doja A, Horsley T, Sampson M (2014) Productivity in medical education research: an examination of countries of origin. BMC Med Educ 14(1):243
Claramita M, Nugraheni MD, van Dalen J et al (2013) Doctor–patient communication in Southeast Asia: a different culture? Adv Health Sci Educ 18(1):15–31
Claramita M, Susilo AP (2014) Improving communication skills in the Southeast Asian health care context. Perspect Med Educ 3(6):474–479
Claramita M, Setiawati EP, Kristina TN et al (2019) Community-based educational design for undergraduate medical education: a grounded theory study. BMC Med Educ 19(1):1–10
Colliver JA (2000) Effectiveness of problem-based learning curricula: research and theory. Acad Med 75(3):259–266
Dhital R, Subedi M, Prasai N et al (2015) Learning from primary health care centers in nepal: reflective writings on experiential learning of third year Nepalese medical students. BMC Res Notes 8(1):1–9
Fang T (2012) Yin yang: a new perspective on culture. Manag Organ Rev 8(1):25–50
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
Gwee MC (2008) Globalization of problem-based learning (PBL): cross cultural implications. Kaosiung J Med Sci 14-S22
Hartling L, Spooner C, Tjosvold L et al (2010) Problem-based learning in pre-clinical medical education: 22 years of outcome research. Med Teach 32(1):28–35
Hofstede G (1986) Cultural differences in teaching and learning. Int J Intercult Relat 10(3):301–320
Hofstede G, Hofstede GH, Hofstede GH et al (1998) Masculinity and femininity: the taboo dimension of national cultures, vol 3. Sage, New York
Hofstede G, Hofstede GJ, Minkov M (2010) Culture and organizations: software of the mind, intercultural cooperation and its importance for survival, vol 3. McGraw-Hill, New York, pp 79–107
House R, Javidan M, Hanges P, Dorfman P (2002) Understanding cultures and implicit leadership theories across the globe: an introduction to project GLOBE. J World Bus 37(1):3–10
Jippes M, Majoor GD (2011) Influence of national culture on the adoption of integrated medical curricula. Adv Health Sci Educ 16(1):5–16
Jippes M (2013) Culture matters in medical schools: how values shape a successful curriculum change. Thesis Maastricht University
Johnson G (2000) Strategy through a cultural lens: learning from managers’ experience. Manag Learn 31(4):403–426
Jones M (2007) Hofstede–culturally questionable? Paper presented to the Oxford Business & Economics Conference, United Kingdom
Kirkman BL, Lowe KB, Gibson CB (2006) A quarter century of culture’s consequences: a review of empirical research incorporating Hofstede’s cultural values framework. J Int Bus Stud 37(3):285–320
Knight PT, Trowler PR (2000) Department-level cultures and the improvement of learning and teaching. Stud High Educ 25(1):69–83
Koh GCH, Khoo HE, Wong ML et al (2008) The effects of problem-based learning during medical school on physician competency: a systematic review. CMAJ 178(1):34–41
Kristina TN, Majoor GD, Van der Vleuten CPM (2006) A survey validation of generic objectives for community-based education in undergraduate medical training. Educ Health Change Learn Practice 19(2)
Lynch EA, Mudge A, Knowles S et al (2018) “There is nothing so practical as a good theory”: a pragmatic guide for selecting theoretical approaches for implementation projects. BMC Health Serv Res 18(1):1–11
Lewin K (1952) Problems of research in social psychology. In: Cartwright D (ed) Field theory in social science: selected theoretical papers by Kurt Lewin. Tavistock Publications Limited, London, p 346
Mezirow J (1991) Transformative dimensions of adult learning. Jossey-Bass, San Francisco, CA
Micallef R, Kayyali R (2019) A systematic review of models used and preferences for continuing education and continuing professional development of pharmacists. Pharmacy 7(4):154
Mizuno-Lewis S, Kono K, Lewis DR et al (2014) Barriers to continuing education and continuing professional development among occupational health nurses in Japan. Workplace Health Saf 62(5):198–205
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
Nyamnjoh A (2017) The phenomenology of Rhodes Must Fall: student activism and the experience of alienation at the University of Cape Town. Strat Rev South Afr 39(1)
Oda Y, Koizumi S (2008) Status of medical education reform at Saga Medical School 5 years after introducing PBL. Kaohsiung J Med Sci 24(3):S46–S53
Otting H, Zwaal W, Tempelaar D, Gijselaers W (2010) The structural relationship between students’ epistemological beliefs and conceptions of teaching and learning. Stud High Educ 35(7):741–760
Peterson RA (1990) Symbols and social life: the growth of cultural studies. Contemp Sociol 19(4):498–500
Schwerdtle P, Morphet J, Hall H (2017) A scoping review of mentorship of health personnel to improve the quality of health care in low and middle-income countries. Glob Health 13(1):1–8
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. http://lib.ugm.ac.id/ind/?page_id=248
Soares AM, Farhangmehr M, Shoham A (2007) Hofstede’s dimensions of culture in international marketing studies. J Bus Res 60(3):277–284
Steenkamp JBE, Ter Hofstede F, Wedel M (1999) A cross-national investigation into the individual and national cultural antecedents of consumer innovativeness. J Mark 63(2):55–69
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
Talaat W, Ladhani Z (2014) Community based education in health professions: global perspectives. WHO, Geneva
Trigwell K, Prosser M, Waterhouse F (1999) Relations between teachers’ approaches to teaching and students’ approaches to learning. High Educ 37(1):57–70. https://doi.org/10.1023/A:1003548313194
Tsoukatos E, Rand GK (2007) Cultural influences on service quality and customer satisfaction: evidence from Greek insurance. Manag Serv Qual Int J 17(4):467–485
Wimpenny K, Savin-Baden M (2013) Alienation, agency and authenticity: a synthesis of the literature on student engagement. Teach High Educ 18(3):311–326
Widyandana D, Majoor GD, Scherpbier AJJA (2011) Effects of partial substitution of pre-clinical skills training by attachments to primary health care centers: an experimental study. Med Teach 33(6):e313–e317
Van Der Vleuten CPM, Dolmans DHJM, Scherpbier AJJA (2000) The need for evidence in education. Med Teach 22(3):246–250
Van Merriënboer JJ, Clark RE, De Croock MB (2002) Blueprints for complex learning: the 4C/ID-model. Educ Tech Res Dev 50(2):39–61
Von Fragstein M, Silverman J, Cushing A et al (2008) UK consensus statement on the content of communication curricula in undergraduate medical education. Med Educ 42(11):1100–1107
Younes NA, AbuAlRub R, Alshraideh H et al (2019) Engagement of Jordanian physicians in continuous professional development: current practices, motivation, and barriers. Int J Gener Med 12:475–483
Zepke N (2013) Student engagement: a complex business supporting the first year experience in tertiary education. Int J First Year High Educ 4(2)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Syah, N.A., Claramita, M., Susilo, A.P., Cilliers, F. (2022). Culture and Learning. 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_1
Download citation
DOI: https://doi.org/10.1007/978-981-16-7232-3_1
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-16-7231-6
Online ISBN: 978-981-16-7232-3
eBook Packages: MedicineMedicine (R0)