A qualitative study examining the critical differences in the experience of and response to formative feedback by undergraduate medical students in Japan and the UK.

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  • Additional Information
    • Source:
      Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BioMed Central, [2001-
    • Subject Terms:
      Students, Medical* ; Education, Medical, Undergraduate*; Humans ; Formative Feedback ; Japan ; Clinical Competence ; Feedback ; United Kingdom
    • Abstract:
      Background: Formative feedback plays a critical role in guiding learners to gain competence, serving as an opportunity for reflection and feedback on their learning progress and needs. Medical education in Japan has historically been dominated by a summative paradigm within assessment, as opposed to countries such as the UK where there are greater opportunities for formative feedback. How this difference affects students' interaction with feedback has not been studied. We aim to explore the difference in students' perception of feedback in Japan and the UK.
      Methods: The study is designed and analysed with a constructivist grounded theory lens. Medical students in Japan and the UK were interviewed on the topic of formative assessment and feedback they received during clinical placements. We undertook purposeful sampling and concurrent data collection. Data analysis through open and axial coding with iterative discussion among research group members was conducted to develop a theoretical framework.
      Results: Japanese students perceived feedback as a model answer provided by tutors which they should not critically question, which contrasted with the views of UK students. Japanese students viewed formative assessment as an opportunity to gauge whether they are achieving the pass mark, while UK students used the experience for reflective learning.
      Conclusions: The Japanese student experience of formative assessment and feedback supports the view that medical education and examination systems in Japan are focused on summative assessment, which operates alongside culturally derived social pressures including the expectation to correct mistakes. These findings provide new insights in supporting students to learn from formative feedback in both Japanese and UK contexts.
      (© 2023. The Author(s).)
    • References:
      Acad Med. 1990 Sep;65(9 Suppl):S63-7. (PMID: 2400509)
      Ann Acad Med Singap. 2008 Sep;37(9):800-2. (PMID: 18989500)
      Med Educ. 2008 Mar;42(3):271-8. (PMID: 18275414)
      Med Educ. 2019 Jan;53(1):76-85. (PMID: 30073692)
      BMC Med Educ. 2021 Aug 13;21(1):428. (PMID: 34389012)
      BMC Med Educ. 2010 May 20;10:35. (PMID: 20487536)
      BMJ Glob Health. 2021 Jan;6(1):. (PMID: 33419929)
      Acad Med. 2015 May;90(5):609-14. (PMID: 25406607)
      Med Educ. 2020 Apr;54(4):289-295. (PMID: 31872497)
      Postgrad Med J. 2021 Jan;97(1143):5-9. (PMID: 32817495)
      Int J Med Educ. 2016 Dec 19;7:407-413. (PMID: 28008136)
      Med Educ. 2014 Jul;48(7):713-23. (PMID: 24909533)
      BMJ. 2004 Aug 7;329(7461):327-31. (PMID: 15297339)
      Med Teach. 2004 Aug;26(5):403-8. (PMID: 15369878)
      Adv Med Educ Pract. 2015 May 19;6:373-81. (PMID: 26056511)
      SAGE Open Med. 2019 Jan 02;7:2050312118822927. (PMID: 30637106)
      Acad Med. 2007 May;82(5):493-502. (PMID: 17457074)
      Ir J Med Sci. 2011 Jun;180(2):315-7. (PMID: 21203861)
      Med Teach. 2011;33(5):354-63. (PMID: 21517683)
      Perspect Med Educ. 2016 Oct;5(5):276-84. (PMID: 27650373)
      Med Teach. 2017 Oct;39(10):1016-1022. (PMID: 28758830)
      Nurse Res. 2006 Jul 1;13(4):84. (PMID: 27702218)
      Acad Med. 2002 Dec;77(12 Pt 1):1185-8. (PMID: 12480619)
      JAMA. 1983 Aug 12;250(6):777-81. (PMID: 6876333)
      Adv Health Sci Educ Theory Pract. 2012 May;17(2):183-94. (PMID: 20143260)
      Med Educ. 2006 Mar;40(3):202-11. (PMID: 16483322)
      Med Educ. 2022 Jan;56(1):91-97. (PMID: 34491582)
      Med Teach. 2017 Aug;39(8):844-850. (PMID: 28509610)
      Adv Health Sci Educ Theory Pract. 2020 Dec;25(5):1045-1056. (PMID: 33113056)
      Keio J Med. 2007 Jun;56(2):61-3. (PMID: 17609590)
      BMC Med Educ. 2021 Jan 7;21(1):30. (PMID: 33413338)
      BMC Med Educ. 2020 Dec 3;20(Suppl 2):460. (PMID: 33272265)
      Med Educ. 2013 Apr;47(4):362-74. (PMID: 23488756)
      Acad Med. 2006 Dec;81(12):1069-75. (PMID: 17122471)
      Acad Med. 2014 Sep;89(9):1245-51. (PMID: 24979285)
    • Contributed Indexing:
      Keywords: Constructivist grounded theory; Culture; Feedback; Formative assessment; Reflection
    • Publication Date:
      Date Created: 20230605 Date Completed: 20230607 Latest Revision: 20230608
    • Publication Date:
      20231215
    • Accession Number:
      PMC10240445
    • Accession Number:
      10.1186/s12909-023-04257-6
    • Accession Number:
      37277728