%0 Journal Article %T Medical students¡¯ approaches to learning over a full degree programme %A William A. Reid %A Phillip Evans %A Edward Duvall %J Medical Education Online %D 2012 %I Co-Action Publishing %R 10.3402/meo.v17i0.17205 %X Students take three approaches to learning and studying: deep, surface and strategic, influenced by the learning environment. Following the General Medical Council's report "Tomorrow's Doctors," a deep approach was cultivated in Years 1 and 2 of a university undergraduate medical programme by introducing explicit written learning objectives constructed according to Biggs' SOLO taxonomy, problem-based learning and constructively aligned in-course assignments and examinations. The effect of these changes was measured with the Approaches to Study Skills Inventory for Students (ASSIST). Scores were highest for a deep approach and lowest for a surface approach and showed relatively little change during the degree programme, apart from a slight fall in the scores for a surface approach, particularly for students undertaking an intercalated science degree. Possible explanations include: students' approaches may be established prior to university entry; deep scores were already high at the beginning of the programme and may be difficult to increase further; the changes in learning environment may not be strong enough to alter approaches which students perceive as having been successful. %K Approaches to learning %K medical education %K medical students %K study skills %U http://med-ed-online.net/index.php/meo/article/view/17205/pdf_1