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This presentation models the feedback teachers give to students who are using an interactive computer tutorial (Nefreduca) to help them understand key biological concepts related to the kidney. Nefreduca consists of a series of open source science inquiry based web learning materials targeted at children with chronic kidney disease. It utilises a scenario based approach drawing on the work of Lijnse (1995) and Buty, Tiberghien & Le Marechal (2004). The hospital teachers who assisted the children with their use of Nefreduca reported learning gains with the system but there is no automatic feedback for autonomous learning with Nefreduca when children are unsupported by a teacher. An ethnographic approach was adopted to then understand how teachers provided feedback to the students in order to devise a model of supportive feedback to the chronically ill students, which can be implemented in the next version of Nefreduca.