PostprintThis is the accepted version of a paper published in Studies in Higher Education. This paper has been peer-reviewed but does not include the final publisher proof-corrections or journal pagination.
Citation for the original published paper (version of record):Weurlander, M., Scheja, M., Hult, H., Wernerson, A. (2016) The struggle to understand: Exploring medical students' experiences of learning and understanding during a university course.
Studies in Higher Education
AbstractThe aim was to explore students' 'journey' towards conceptual understanding during an undergraduate course. The task that medical students face -to learn a substantial quantity of detailed knowledge and integrate into a coherent whole in a limited time frame -is demanding. Seven students were interviewed in a group, and seventeen students gave their reflections in writing. Data was gathered from both groups on five separate occasions. Our findings suggest that students seek different kinds of understandings as they get to grips with their studies. The forms of understanding were: understanding as 'knowing the language', 'knowing the map', 'knowing the catalogue' and as 'experiencing an integrated whole'. Students first appeared to focus on the first two forms, and later in the course, as they learned more, they focused on the 'catalogue' or the 'integrated whole'. Our findings point to potential pathways students might take towards gaining deeper understanding.
Keywords: deep learning, course experience, forms of understanding, approach to learning, medical educationThe struggle to understand 3 Introduction Learning is a complex and multifaceted phenomenon that has intrigued both researchers and educators for a long time. Since the 1970s, researchers have explored learning from the learner's perspective, which has revealed new insights into students' learning. Marton and colleagues found two main approaches that students adopted: the surface and the deep approaches to learning (Marton and Säljö 1976a, 1976b. The intention students have with their studies seems to have a major influence on their learning (Entwistle and Peterson 2004;Entwistle 2009). A surface approach has been associated with an intention to memorize and reproduce learning material in order to meet the assessment requirements. In contrast, students who approached their learning with an intention to understand, wanted to learn for their own sake, looked for the underlying meaning in the task or text, related new information with prior knowledge, and were also more likely to reach a deep understanding. However, the relationship between memorizing and understanding has been shown to be more complex, and students aiming for a deep understanding have also been found to use memorization as a learning strategy (Kember 1996;Entwistle and Entwistle 2003;Marton, Wen, and Wong 2005). Other researchers described student learning patterns more broadly, including aspects such as study strategies, conceptions and regulation of learning (Vermunt 2005, Vermunt andVermetten 2004;...