Purpose The practice of feedback is influenced by the characteristics of students, teachers, and the clinical environment. Most studies on feedback have been conducted in Western settings with different sociocultural backgrounds to Indonesia. This study explores feedback in Indonesian clinical clerkship using a sociocultural lens and aims to provide an exemplar of adaptive practice relevant to non-Western settings.
Methods This qualitative study was conducted using an interpretive phenomenology approach. Data were collected through focus groups with students and teachers and interviews with program coordinators. Data were transcribed verbatim and grouped according to data sources, coded, and analyzed thematically.
Results Themes identified from the focus group discussions and interviews were categorized as student, teacher, and environmental factors. Student factors include dependence on feedback, tendencies to use a group approach, difficulties recognizing social rules, a perceived lack of resilience, and tendencies to doubt praise. Factors related to teachers include a high level of expertise, being extremely busy, having a strong commitment, and being unsure of students’ acceptance of feedback. Clinical environment factors influence interactions between teachers and learners and include high power distance and collectivistic values. A safe environment is needed to ensure effective feedback interactions.
Conclusion High power distance, collectivism, and generational characteristics of students likely impact feedback practice in clinical settings. Designing a safe environment is essential for effective feedback practice.
Citations
Citations to this article as recorded by
Nursing students’ experiences of seeking feedback in clinical practice context: A qualitative explorative descriptive study Vistolina Nuuyoma, Martha Sinvula, Agnes Makhene Journal of Professional Nursing.2026; 62: 172. CrossRef
Journey towards dialogic feedback in teacher education: a narrative inquiry Rini Susanti, Graham Parr, Anne Keary Pedagogy, Culture & Society.2026; : 1. CrossRef
The Lived Experience of Nursing Student Witnessing Neonatal Resuscitation in Indonesia: A Phenomenological Study Ratna Puji Priyanti, Nurul Hidayah, Asri Asri, Eka Mei Dianita, Shih-Chun Lin, Santo Imanuel Tonapa Journal of Hospice & Palliative Nursing.2026;[Epub] CrossRef
An English language teacher educator's feedback literacy journey: Who educates the teacher educator in Indonesia? Rini Susanti, Graham Parr, Anne Keary Learning, Culture and Social Interaction.2026; 60: 101052. CrossRef
Promoting medical students’ reflection through feedback interaction: The RAISE model Estivana Felaza, Ardi Findyartini, Rita Mustika, Jenny Bashiruddin, Joedo Prihartono, Lucia RM Royanto, Subha Ramani The Asia Pacific Scholar.2025; 10(1): 27. CrossRef
Cultural influences on Asian health profession trainees seeking and receiving feedback: a scoping review Paul Douglas Fullerton, Van Nguyen, Vinod Pallath, Mahbub Sarkar BMC Medical Education.2025;[Epub] CrossRef
Nurturing humanism and professionalism in a clinical setting: A multicenter study to develop a framework for a learning module for clinical students Rita Mustika, Anyta Pinasthika, Nadia Greviana, Eti Poncorini Pamungkasari, Annang Giri Moelyo, Rahma Tsania Zhuhra, Ipek Gonullu PLOS ONE.2024; 19(11): e0313525. CrossRef
The Best of Both Worlds: Exploring the Interplay Between Written and Verbal Feedback in the Continuum of Medical Education Nadia Greviana, Anyta Pinasthika, Diantha Soemantri Medical Science Educator.2024; 35(2): 863. CrossRef
Looking beyond the COVID-19 pandemic: the recalibration of student-teacher relationships in teaching and learning process Diantha Soemantri, Ardi Findyartini, Rita Mustika, Estivana Felaza, Muhammad Athallah Arsyaf, Bayu Prasetya Alfandy, Nadia Greviana Medical Education Online.2023;[Epub] CrossRef
Purpose Currently there are a limited number of comprehensive studies exploring in more depth the relationship between burnout and quality of life (QoL) of medical residents during residency training. This study aims to examine the correlation between burnout and residents’ QoL and explore the factors associated with burnout in residency training.
Methods This was a mixed-method study. The first stage was a quantitative study using cross-sectional design to administer the Maslach Burnout Inventory Human Service Survey and World Health Organization Quality of Life-BREF instruments to 86 medical residents, followed with the qualitative study through 10 in-depth interviews.
Results Twenty-seven residents (31.4%) experienced severe emotional exhaustion (EE), 22 (25.6%) experienced severe depersonalization (DP), and 40 (46,5%) experienced low personal accomplishment (PA). Factors increasing the likelihood of experiencing burnout were being surgical residents for EE (2.65 times), dealing with difficult/rare cases for DP (1.14 points), and working hours for PA (1.03 points). The QoL was influenced by the three burnout domains, marital status, education level, gender, age, type of residency, night shift, difficult/rare cases, working hours, and number of emergency cases. Factors influencing burnout, both intrinsic and extrinsic, were identified and divided into causative and protective factors.
Conclusion The current study has examined the relationship between burnout and QoL and identified factors affecting residents’ burnout. Both intrinsic factors, such as spirituality, and extrinsic factors which include duration of shift, work facilities, and teacher-senior-junior relationships, affect burnout. Supervision and academic regulation are some of the solutions expected by the residents to minimize burnout.
Citations
Citations to this article as recorded by
Strategies to Promote Psychological Safety in Residency Training in Asian Countries with High Power Distance Cultures: A Scoping Review Dewi Anggraeni Kusumoningrum, Neera R. Jain, Craig S. Webster Teaching and Learning in Medicine.2026; : 1. CrossRef
Factors influencing burnout as perceived by resident physicians in a Jordanian tertiary hospital: a qualitative descriptive study Muhammad Ahmed Alshyyab, Baker Suleiman Momany, Gerard FitzGerald, Rania Al-Bsoul International Journal of Health Care Quality Assurance.2026; : 1. CrossRef
The Magnitude of Anesthesiology Residents Burnout at Shahid Beheshti University of Medical Sciences: A Cross-Sectional Study Maedeh Karimian, Ali Dabbagh, Parisa Sezari, Kamal Fani, Marzieh Shahrabi, Alireza Shakeri Anesthesiology and Pain Medicine.2025;[Epub] CrossRef
Assessing burnout and quality of life among residents and fellows in a high-stress environment: a cross-sectional study Nadia El Asmar, Vanda Yazbeck Karam, Rania Sakr, Myriam El Khoury Malhame, Rajaa Chatila, Zeina Akiki BMC Psychology.2025;[Epub] CrossRef
Structural Determinants of Health-Related Quality of Life in Internal Medicine Residents: An Ethnographic Study Luis Felipe Higuita-Gutiérrez, Jaiberth Antonio Cardona-Arias Advances in Medical Education and Practice.2025; Volume 16: 1007. CrossRef
Burnout before and during COVID: A systematic review and meta‐analysis of 48 698 trainees Shaun Prentice, Diana S. Dorstyn, Nicola Massy‐Westropp, Jill Benson, Taryn Elliott Medical Education.2025; 59(11): 1156. CrossRef
Burnout among Syrian postgraduate residents in medicine, dentistry, and pharmacy: a cross-sectional study Radwan A. Haffaf, Sulaf Hamid, Mayssoon Dashash Korean Journal of Medical Education.2025; 37(3): 293. CrossRef
Job stress and burnout affecting the mental health of Korean medical faculty members: constructing causality among latent variables Ji-Hyun Seo, Hwa-ok Bae Korean Journal of Medical Education.2024; 36(1): 27. CrossRef
Síndrome de burnout, ansiedad y depresión en residentes de dermatología: un estudio transversal A. Soto-Moreno, A. Martínez-López, C. Ureña-Paniego, E. Martínez-García, A. Buendía-Eisman, S. Arias-Santiago Actas Dermo-Sifiliográficas.2024; 115(10): 935. CrossRef
[Tanslated article] Burnout Syndrome, Anxiety, and Depression in Dermatology Residents: A Cross-Sectional Study A. Soto-Moreno, A. Martínez-López, C. Ureña-Paniego, E. Martínez-García, A. Buendía-Eisman, S. Arias-Santiago Actas Dermo-Sifiliográficas.2024; 115(10): T935. CrossRef
The concept of the Center for psychological support of resident doctors during the training period. Polina Sergeevna Tuillet Психология и Психотехника.2023; (4): 48. CrossRef
Burnout and Contributing Factors to Burnout Among Indonesian Healthcare Workers Before and During COVID-19 Pandemic Monalisa Simbolon, Masyitoh Basabih Jurnal Psikiatri Surabaya.2023; 12(2): 114. CrossRef
First
Prev
