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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.

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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

    Google Scholar 

  • Alavi M, Leidner DE (2001) Knowledge management and knowledge management systems: conceptual foundations and research issues. MIS Q 25(1):107–136

    Google Scholar 

  • Alshahrani A (2017) Power distance and individualism-collectivism in EFL learning environment. Arab World English J 8(2)

    Google Scholar 

  • 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

    PubMed  Google Scholar 

  • Azer SA, Azer D (2015) Group interaction in problem-based learning tutorials: a systematic review. Eur J Dent Educ 19(4):194–208

    CAS  PubMed  Google Scholar 

  • Bandura A, Ramachaudran VS (1994) Encyclopedia of human behavior, vol 4. Academic Press, New York, pp 71–81

    Google Scholar 

  • 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

    Google Scholar 

  • Berkson L (1993) Problem-based learning: Have the expectations been met? Acad Med 68(10):79–88

    Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • Borgatta EF (2001) Culture. In Borgatta EF (ed) Encyclopedia of sociology, 2nd ed, vol 1. Macmillan Reference, New York

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • Doja A, Horsley T, Sampson M (2014) Productivity in medical education research: an examination of countries of origin. BMC Med Educ 14(1):243

    PubMed  PubMed Central  Google Scholar 

  • 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

    Google Scholar 

  • Claramita M, Susilo AP (2014) Improving communication skills in the Southeast Asian health care context. Perspect Med Educ 3(6):474–479

    Google Scholar 

  • 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

    Google Scholar 

  • Colliver JA (2000) Effectiveness of problem-based learning curricula: research and theory. Acad Med 75(3):259–266

    CAS  PubMed  Google Scholar 

  • 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

    Google Scholar 

  • Fang T (2012) Yin yang: a new perspective on culture. Manag Organ Rev 8(1):25–50

    Google Scholar 

  • 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

    PubMed  Google Scholar 

  • Gwee MC (2008) Globalization of problem-based learning (PBL): cross cultural implications. Kaosiung J Med Sci 14-S22

    Google Scholar 

  • 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

    PubMed  Google Scholar 

  • Hofstede G (1986) Cultural differences in teaching and learning. Int J Intercult Relat 10(3):301–320

    Google Scholar 

  • Hofstede G, Hofstede GH, Hofstede GH et al (1998) Masculinity and femininity: the taboo dimension of national cultures, vol 3. Sage, New York

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Jippes M, Majoor GD (2011) Influence of national culture on the adoption of integrated medical curricula. Adv Health Sci Educ 16(1):5–16

    Google Scholar 

  • Jippes M (2013) Culture matters in medical schools: how values shape a successful curriculum change. Thesis Maastricht University

    Google Scholar 

  • Johnson G (2000) Strategy through a cultural lens: learning from managers’ experience. Manag Learn 31(4):403–426

    Google Scholar 

  • Jones M (2007) Hofstede–culturally questionable? Paper presented to the Oxford Business & Economics Conference, United Kingdom

    Google Scholar 

  • 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

    Google Scholar 

  • Knight PT, Trowler PR (2000) Department-level cultures and the improvement of learning and teaching. Stud High Educ 25(1):69–83

    Google Scholar 

  • 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

    PubMed  PubMed Central  Google Scholar 

  • 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)

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Mezirow J (1991) Transformative dimensions of adult learning. Jossey-Bass, San Francisco, CA

    Google Scholar 

  • 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

    PubMed Central  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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)

    Google Scholar 

  • 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

    PubMed  Google Scholar 

  • 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

    Google Scholar 

  • Peterson RA (1990) Symbols and social life: the growth of cultural studies. Contemp Sociol 19(4):498–500

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Talaat W, Ladhani Z (2014) Community based education in health professions: global perspectives. WHO, Geneva

    Google Scholar 

  • 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

    Article  Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    CAS  PubMed  Google Scholar 

  • Van Der Vleuten CPM, Dolmans DHJM, Scherpbier AJJA (2000) The need for evidence in education. Med Teach 22(3):246–250

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • 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

    Google Scholar 

  • Zepke N (2013) Student engagement: a complex business supporting the first year experience in tertiary education. Int J First Year High Educ 4(2)

    Google Scholar 

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Correspondence to Nur Afrainin Syah .

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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

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  • DOI: https://doi.org/10.1007/978-981-16-7232-3_1

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