Although ethics is an essential part of medical education, little attention has been paid to ethics education during the clerkship phase, where medical students observe how physicians make decisions regarding various ethical problems. Specific nuances and cultural contexts such as working in a rural setting can determine ethical issues raised. This phenomenology study aimed to explore ethical issues experienced by Indonesian students during clinical clerkship in a rural setting. In-depth interviews were used to explore students’ experiences. Participants were ten students, selected on gender and clerkship year variations. Data saturation was reached after eight interviews, followed by two additional interviews. Thematic analysis was used in this study, and trustworthiness was ensured through data and investigator triangulation, member checking, and audit trail. Three main themes found in this study were limited facilities and resources, healthcare financing and consent issues, as well as unprofessional behavior of healthcare providers. Many ethical issues related to substandard care were associated to limited resources and complexities within the healthcare system in the rural setting. Early exposure to recurrent ethical problems in healthcare can help students prepare for their future career as a physician in a rural setting.

SCL (student centered learning) merupakan strategi pembelajaran yang menempatkan peserta didik sebagai subyek yang aktif, mandiri dan bertanggung jawab sepenuhnya dalam proses belajarnya. Peserta didik beserta proses belajarnya menjadi tokoh utama dalam proses pembelajaran. Semakin kompleksnya materi belajar dan tantangan kebutuhan jaman yang dinamis menuntut adanya kemampuan belajar yang mandiri. Oleh karena itu, kesiapan mahasiswa untuk belajar atas keinginan sendiri (self directed learning readiness) merupakan salah satu komponen penting dalam menentukan keberhasilan belajar. Penelitian ini bertujuan untuk mengeksplorasi karakteristik kesiapan belajar mandiri mahasiswa Kedokteran Umum. Desain penelitian ini ialah mixed methods secara analitik observasional dengan pendekatan cross sectional dan pendekatan fenomenologi untuk mendalami hasil penelitian kuantitatif. Metode pengumpulan data yang digunakan yaitu pengisian kuesioner Self Directed Learning Readiness Scale dan wawancara semi terstruktur. . Mahasiswa angkatan 2019 menunjukkan skor kesiapan belajar mandiri kategori sedang sebanyak 9.1%, tinggi 57.3%, dan sangat tinggi 33.6%. Mahasiswa angkatan 2016 menunjukkan skor kesiapan belajar mandiri kategori sedang sebanyak 17.8%, tinggi 50.5%, dan sangat tinggi 31.7%. Sedangkan mahasiswa profesi angkatan 2014 menunjukkan skor kesiapan belajar mandiri kategori rendah sebanyak 2.3%, sedang 4.5%, tinggi 56.8%, dan sangat tinggi 36.4%. Proses identifikasi kebutuhan belajar sudah baik, namun konsistensi, manajemen waktu, pengendalian diri, wawasan kinerja, dan ulasan masih perlu ditingkatkan

Delivering bad news is considered one of the hardest parts of communication between doctor and patient.  Thus patients and families have the right to understand their actual health condition.  Delivering bad news could lead to an uncomfortable situation when the patients and their families showed negative reactions to the conversation.  Moreover, such a situation could lead to a negative experience and could develop into a bad emotional experience between doctor and patient.  Communication problems are identified as the main factor in delivering bad news. On the other side, culture, the main factor that determines the result of communication, would play an important role in this situation.  This paper aimed to explore the family’s role in the process of delivering bad news from physicians to their patients.  Qualitative methods were conducted in this paper using in-depth interviews with 7 family members of patients in a terminal condition.  The result showed several themes, which are the role of the family in maintaining patients’ emotional and psychological condition, the role of the family as an important person to rely on (in terms of medication), family as decision-maker who determines the therapy for patients and also play a role in communication between doctor and patients.