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Articles

The struggle to understand: exploring medical students' experiences of learning and understanding during a basic science course

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References

  • Ahopelto, I., M. Mikkilä-Erdman, E. Olkinuora, and P. Kääpä. 2011. “A Follow-up Study of Medical Students’ Biomedical Understanding and Clinical Reasoning Concerning the Cardiovascular System.” Advances in Heath Sciences Education 16 (5): 655–68. doi: 10.1007/s10459-011-9286-3
  • Anderson, C., and D. Hounsell. 2007. “Knowledge Practices: ‘Doing the Subject’ in Undergraduate Courses.” Curriculum Journal 18 (4): 463–78. doi: 10.1080/09585170701687910
  • Auble, P. M., J. J. Franks, and S. A. Soraci. 1979. “Effort Toward Comprehension: Elaboration or ‘Aha!’?” Memory and Cognition 7 (6): 426–34. doi: 10.3758/BF03198259
  • Ausubel, D. P., J. D. Novak, and H. Hanesian. 1968. Educational Psychology: A Cognitive View. 2nd ed. New York: Holt, Rinehart and Winston.
  • Bergman, E. M., A. B. H. de Bruin, A. Herrler, I. W. H. Verheijen, A. J. J. A. Scherpbier, and van der C. P. M. Vleuten. 2013. “Students’ Perceptions of Anatomy Across the Undergraduate Problem-based Learning Medical Curriculum: A Phenomenographical Study.” BMC Medical Education 13: 152–62. doi: 10.1186/1472-6920-13-152
  • Boyatzis, R. E. 1998. Transforming Qualitative Information: Thematic Analysis and Code Development. Thousand Oaks, CA: Sage.
  • Braun, V., and V. Clarke. 2006. “Using Thematic Analysis in Psychology.” Qualitative Research in Psychology 3 (2): 77–101. doi: 10.1191/1478088706qp063oa
  • Burns, J., J. Clift, and J. Duncan. 1991. “Understanding of Understanding: Implications for Learning and Teaching.” British Journal of Educational Psychology 61 (3): 276–89. doi: 10.1111/j.2044-8279.1991.tb00985.x
  • Denzin, N. K., and Y. S. Lincoln, eds. 2003. Collecting and Interpreting Qualitative Materials. 2nd ed. Thousand Oaks, CA: Sage.
  • Du Boulay, C. 1997. “Learning Pathology: Why? How? When?” Journal of Clinical Pathology 50 (8): 623–24. doi: 10.1136/jcp.50.8.623
  • Entwistle, A., and N. Entwistle. 1992. “Experiences of Understanding in Revising for Degree Examinations.” Learning and Instruction 2 (1): 1–22. doi: 10.1016/0959-4752(92)90002-4
  • Entwistle, N. 2009. Teaching for Understanding at University: Deep Approaches and Distinctive Ways of Thinking; Universities into the 21st Century. New York: Palgrave Macmillan.
  • Entwistle, N., and D. Entwistle. 2003. “Preparing for Examinations: The Interplay of Memorising and Understanding, and the Development of Knowledge Objects.” Higher Education Research and Development 22 (1): 19–41. doi: 10.1080/0729436032000056562
  • Entwistle, N., and F. Marton. 1994. “Knowledge Objects: Understandings Constituted Through Intensive Academic Study.” British Journal of Educational Psychology 64 (1): 161–78. doi: 10.1111/j.2044-8279.1994.tb01092.x
  • Entwistle, N., and P. Ramsden. 1983. Understanding Student Learning. London: Croom Helm.
  • Entwistle, N., and C. Smith. 2002. “Personal Understanding and Target Understanding: Mapping Influences on the Outcomes of Learning.” British Journal of Educational Psychology 72 (3): 321–42. doi: 10.1348/000709902320634528
  • Entwistle, N. J., and Abigail Entwistle. 1991. “Contrasting Forms of Understanding for Degree Examinations: The Student Experience and its Implications.” Higher Education 22 (3): 205–27. doi: 10.1007/BF00132288
  • Entwistle, N. J., and E. R. Peterson. 2004. “Conceptions of Learning and Knowledge in Higher Education: Relationships with Study Behaviour and Influences of Learning Environments.” International Journal of Educational Research 41 (6): 407–28. doi: 10.1016/j.ijer.2005.08.009
  • Fyrenius, A., C. Silén, and S. Wirell. 2007a. “Students’ Conceptions of Underlying Principles in Medical Physiology: An Interview Study of Medical Students’ Understanding in a PBL Curriculum.” Advances in Physiology Education 31 (4): 364–69. doi: 10.1152/advan.00108.2006
  • Fyrenius, A., S. Wirell, and C. Silén. 2007b. “Student Approaches to Achieving Understanding – Approaches to Learning Revisited.” Studies in Higher Education 32 (2): 149–65. doi: 10.1080/03075070701267194
  • Garnham, B. 2008. “Data Generation.” In The Sage Encyclopedia of Qualitative Research Methods, edited by L. Given, 193–194. Thousand Oaks, CA: Sage.
  • Granger, N. A. 2004. “Dissection Laboratory is Vital to Medical Gross Anatomy Education.” Anatomical Record, Part B 281B: 6–8. doi: 10.1002/ar.b.20039
  • Halldén, O., M. Scheja, and L. Haglund. 2008. “The Contextuality of Knowledge: An Intentional Approach to Meaning Making and Conceptual Change.” In International Handbook of Research on Conceptual Change, edited by S. Vosniadou, 509–532. New York: Routledge.
  • Kember, D. 1996. “The Intention to Both Memorise and Understand: Another Approach to Learning?" Higher Education 31 (3): 341–54. doi: 10.1007/BF00128436
  • Kumar, K., A. Indurkhya, and H. Nguyen. 2001. “Curricular Trends in Instruction of Pathology: A Nationwide Longitudinal Study from 1993 to Present.” Human Pathology 32 (11): 1147–53. doi: 10.1053/hupa.2001.29788
  • Lincoln, Y. S., and E. G. Guba. 2003. “Paradigmatic Controversies, Contradictions, and Emerging Confluences.” In The Landscape of Qualitative Research: Theories and Issues, edited by N. K. Denzin and Y. S. Lincoln, 253–291. Thousand Oaks, CA: Sage.
  • Lindblom-Ylänne, S., and K. Lonka. 2000. “Dissonant Study Orchestrations of High-achieving University Students.” European Journal of Psychology of Education 15 (1): 19–32. doi: 10.1007/BF03173164
  • Lonka, K., and S. Lindblom-Ylänne. 1996. “Epistemologies, Conceptions of Learning, and Study Practices in Medicine and Psychology.” Higher Education 31 (1): 5–24. doi: 10.1007/BF00129105
  • Marton, F., E. Beaty, and G. Dall' Alba. 1993. “Conceptions of Learning.” International Journal of Educational Research 19 (2): 277–300.
  • Marton, F., D. Hounsell, and N. Entwistle. 2005. The Experience of Learning: Implications for Teaching and Studying in Higher Education. 3rd (Internet) ed. University of Edinburgh, Centre for Teaching, Learning and Assessment. http://www.tla.ed.ac.uk/resources/EoL.html.
  • Marton, F., and R. Säljö. 1976a. “On Qualitative Differences in Learning: I – Outcome and Process.” British Journal of Educational Psychology 46: 4–11. doi: 10.1111/j.2044-8279.1976.tb02980.x
  • Marton, F., and R. Säljö. 1976b. “On Qualitative Differences in Learning: II – Outcome as a Function of the Learner's Conception of the Task.” British Journal of Educational Psychology 46: 115–27. doi: 10.1111/j.2044-8279.1976.tb02304.x
  • Marton, F., and R. Säljö. 1997. “Approaches to Learning.” In The Experience of Learning. Implications for Teaching and Studying in Higher Education, edited by F. Marton, D. Hounsell, and N. Entwistle, 39–59. Edinburgh: Scottish Academic Press.
  • Marton, F., and K. Trigwell. 2000. “Variatio Est Mater Studiorum.” Higher Education Research and Development 19 (3): 381–95. doi: 10.1080/07294360020021455
  • Marton, F., Q. Wen, and K. C. Wong. 2005. “‘Read a Hundred Times and the Meaning Will Appear …’ Changes in Chinese University Students’ Views of the Temporal Structure of Learning.” Higher Education 49 (3): 291–318. doi: 10.1007/s10734-004-6667-z
  • McCune, V., and D. Hounsell. 2005. “The Development of Students’ Ways of Thinking and Practising in Three Final-year Biology Courses.” Higher Education 49 (3): 255–89. doi: 10.1007/s10734-004-6666-0
  • Meyer, J. 2000. “The Modelling of ‘Dissonant’ Study Orchestration in Higher Education.” European Journal of Psychology of Education 15 (1): 5–18. doi: 10.1007/BF03173163
  • Meyer, J. H. F., and R. Land. 2005. “Threshold Concepts and Troublesome Knowledge (2): Epistemological Considerations and a Conceptual Framework for Teaching and Learning.” Higher Education 49 (3): 373–88. doi: 10.1007/s10734-004-6779-5
  • Newton, D. P. 2000. Teaching for Understanding: What It Is and How To Do It. London: Routledge Falmer.
  • Newton, D. P., L. D. Newton, and I. Oberski. 1998. “Learning and Conceptions of Understanding in History and Science: Lecturers and New Graduates Compared.” Studies in Higher Education 23 (1): 43–58. doi: 10.1080/03075079812331380482
  • Nickerson, R. S. 1985. “Understanding Understanding.” American Journal of Education 93 (2): 201–39. doi: 10.1086/443791
  • Patton, M. Q. 2002. Qualitative Research and Evaluation Methods. 3rd ed. Thousand Oaks, CA: Sage.
  • Perkins, D. 1998. “What Is Understanding?” In Teaching for Understanding: Linking Research with Practice, edited by M. S. Wiske, 39–57. San Fransisco, CA: Jossey-Bass.
  • Preece, D., S. B. Williams, R. Lam, and R. Weller. 2013. “‘Let's Get Physical’: Advantages of a Physical Model over 3D Computer Models and Textbooks in Learning Imaging Anatomy.” Anatomical Sciences Education 6: 216–24. doi: 10.1002/ase.1345
  • Saltarelli, J., C. J. Roseth, and W. A. Saltarelli. 2014. “Human Cadavers vs. Multimedia Simulation: A Study of Student Learning in Anatomy.” Anatomical Sciences Education, Early View. Published online 10 Jan 2014.
  • Scheja, M. 2006. “Delayed Understanding and Staying in Phase: Students’ Perceptions of their Study Situation.” Higher Education 52 (3): 421–45. doi: 10.1007/s10734-004-7765-7
  • Scheja, M., and A. Bonnevier. 2010. “Conceptualising Students’ Experiences of Understanding in Medicine.” Journal of the Hellenic Psychological Society 17 (3): 243–58.
  • Schmidt, H. G., and R. M. J. P. Rikers. 2007. “How Expertise Develops in Medicine: Knowledge Encapsulation and Illness Script Formation.” Medical Education 41 (12): 1133–39.
  • Selander, S. 2008. “Designs for Learning – A Theoretical Perspective.” Designs for Learning 1 (1): 10–22.
  • Selwyn, N., and K. Robson. 1998. “Using E-mail as a Research Tool.” Social Research Update (21). http://sru.soc.surrey.ac.uk/SRU21.html
  • Säljö, R. 1979. “Learning in the Learner's Perspective I. Some Common Sense Conceptions.” Reports from the Department of Education No 76. Gothenburgh University, Sweden.
  • Thurmond, V. A. 2001. “The Point of Triangulation.” Journal of Nursing Scholarship 33 (3): 253–58. doi: 10.1111/j.1547-5069.2001.00253.x
  • Turunen Olsson, P., M. Weurlander, A.-C. Mattiasson, G. Wärn Hede, G. Panagiotidis, E. Broberger, H. Hult, and A. Wernerson. Forthcoming. “‘It's All Connected!’ Nursing Students’ Experiences of an Integrated Case Seminar.” Innovations in Education and Teaching International.
  • Vermunt, J. D. 2005. “Relations Between Student Learning Patterns and Personal and Contextual Factors and Academic Performance.” Higher Education 49 (3): 205–34. doi: 10.1007/s10734-004-6664-2
  • Vermunt, J. D., and Y. J. Vermetten. 2004. “Patterns in Student Learning: Relationships Between Learning Strategies, Conceptions of Learning and Learning Orientations.” Educational Psychology Review 16 (4): 359–84. doi: 10.1007/s10648-004-0005-y
  • Vosniadou, S., X. Vamvakoussi, and I. Skopeliti. 2008. “The Framework Theory Approach to the Problem of Conceptual Change.” In International Handbook of Research on Conceptual Change, edited by S. Vosniadou, 3–34. New York: Routledge.
  • Vygotsky, L. 1978. Mind in Society: The Development of Higher Psychological Processes. Cambridge, MA: Harvard University Press.
  • Weurlander, M., I. Masiello, M. Söderberg, and A. Wernerson. 2009. “Meaningful Learning: Students’ Perceptions of a New Form of Case Seminar in Pathology.” Medical Teacher 31 (6): e248–e253. doi: 10.1080/01421590802637933
  • Weurlander, M., M. Scheja, H. Hult, and A. Wernerson. 2012a. “Emotionally Challenging Learning Situations: Medical Students’ Experiences of Autopsies.” International Journal of Medical Education 3: 63–70. doi: 10.5116/ijme.4f75.fb65
  • Weurlander, M., M. Söderberg, M. Scheja, H. Hult, and A. Wernerson. 2012b. “Exploring Formative Assessment as a Tool for Learning: Students’ Experiences of Different Methods of Formative Assessment.” Assessment and Evaluation in Higher Education 37 (6): 747–60. doi: 10.1080/02602938.2011.572153
  • Wilhelmsson, N., L. O. Dahlgren, H. Hult, and A. Josephson. 2011. “On the Anatomy of Understanding.” Studies in Higher Education 36 (2): 153–65. doi: 10.1080/03075070903514054
  • Wilhelmsson, N., L. O. Dahlgren, H. Hult, M. Scheja, K. Lonka, and A. Josephson. 2010. “The Anatomy of Learning Anatomy.” Advances in Health Sciences Education 15 (2): 153–65. doi: 10.1007/s10459-009-9171-5
  • Wills, T., S. Estow, S. A. Soraci, and J. Garcia. 2006. “The Aha Effect in Groups and Other Dynamic Learning Contexts.” Journal of General Psychology 133 (3): 221–36. doi: 10.3200/GENP.133.3.221-236
  • Woods, N. N., L. R. Brooks, and G. R. Norman. 2005. “The Value of Basic Science in Clinical Diagnosis: Creating Coherence Among Signs and Symptoms.” Medical Education 39: 107–12. doi: 10.1111/j.1365-2929.2004.02036.x
  • Woods, N. N., L. R. Brooks, G. R. Norman. 2007. “The Role of Biomedical Knowledge in Diagnosis of Difficult Clinical Cases.” Advances in Health Sciences Education 12 (4): 417–26. doi: 10.1007/s10459-006-9054-y

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