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Table 6 Alignment of findings with suggestions on how to support self-regulation in feedback

From: “Tell me what is ‘better’!” How medical students experience feedback, through the lens of self-regulatory learning

Findings

How to support SRL

Medical students position themselves as passive recipients of feedback

Medical students show reluctance to implement feedback that requires major changes or conflicts with personal learning beliefs

Reflective conversations to support increasing awareness of students’ role in controlling their learning

Reflective conversations give students insight into their learning journey, enabling them to challenge preconceptions that limit development

Medical students are junior learners whose self-regulation may not be as developed as postgraduate trainees, where models of feedback focus on co-construction of learning plans

Educators may need to initially lead learning plans to support incremental student engagement in developing learning plans

When learners feel psychologically unsafe, their ability to engage cognitively is derailed

Educators must acknowledge and support emotions in feedback conversations if they wish learners to be able engage with the feedback and use it in adapting their learning via self-regulation

Educators need to communicate constructively and cultivate a supportive environment where student developmental planning is central to the agenda

When learners do not use feedback, it does not mean it has not affected them

Educators should not conflate non-implementation of feedback with no impact. Sensitive exploration of why the learner has withdrawn can support students in re-engaging