Conclusions from the confusions

confusion in learning

The ONL-course leaves a mixed bag of emotions, both rewarding and frustrating. It has been really nice to discuss all the possibilities and perils of online learning with colleagues from different faculties, with different views and angles. My main issue with the course has been limited time due to other commitments, mainly research and running the medical program course. I will definitely go back and look through the recordings of the different webinars and read some of the recommended literature – most probably in a nicer setting, perhaps in a sailing boat in the archipelago of western Sweden. There have been a number of really interesting take home messages that I need to follow up in my own teaching. I have been using flipped classroom and interactive tasks for several years, but have now realised the potential for several improvements. Some aspects I will also take into account when designing new learning environments and writing pedagogic grant applications. To keep the network of knowledgeable ONL-colleagues will be a great asset for future discussions and exchange of experiences. Looking forward to continuing the ONL experience!


Flexible and mobile learning

The buzzword flexible learning has so many definitions that it can be used in almost any e-learning scenario. Nevertheless, to present the learner with additional tools and arenas to complement traditional on-campus teaching has obvious benefits. A modern approach to facilitating learning in our students requires us to re-think the way we approach the classroom. With the technologies at our fingertips it is no longer necessary to come together in large lecture theatres for the sole purpose of knowledge transmission and then send the students home to reason through it and make sense of it all.

A flexible learning approach opens the door to using the time together in class to a much higher yield: the application of knowledge and the discussion of concepts for a deep understanding of the subject. As born into a digital world, our students are no longer restrained by the formal physical and temporal requirements of a traditional course, their education has become more interactive and more flexible as students and faculty collaborate on educational outcomes. This allows for the students to take an active role in the formation of their studies and to become co-producers of their own education (Kotzé & du Plessis, 2003; Pearce & Evans, 2012).

Flexible learning enables pedagogical and logistical flexibility so that students have more choice in their learning opportunities, including when, where, and what they want to learn. As defined by University of British Colombia, Canada, flexible or blended learning as it is sometimes referred to “is the organic integration of thoughtfully selected and complementary face-to-face and online approaches and techniques” (Garrison & Vaughan, 2008). Blended learning involves “rethinking and redesigning the teaching and learning relationship” (Garrison & Kanuka, 2004), to both reposition how learners engage with materials and content in the course, but also how they interact with their peers and their instructors.

Mobile technology opens up even more freedom in the learning process – as a teacher you can reach the students everywhere and as a student you have immediate and near enough unlimited access to course material and learning tools. From a student perspective accessibility is one of the most important parameters for facilitating learning, according to surveys we have performed on the preclinical parts of the medical program. As mentioned in my previous blog post, we have developed an in-house mobile application where we are collecting multimedia resources to create a comprehensive digital repository available 24-7 at the tip of your fingers. I believe this will greatly facilitate our students learning as well as increase visibility for the faculty.

I foresee an interesting development for the future. Outdated pedagogical approaches disengage students. Instead the in-class experience must be transformed: it is imperative that we move away from didactic sessions and towards meaningful exchanges of ideas and importantly, application of knowledge to real life situations. This will result in new demands for the faculty. Meeting this challenge as a teacher is encouraging.



Garrison, D. R., & Kanuka, H. (2004). Blended learning: Uncovering its transformative potential in higher education. The Internet and Higher Education, 7(2), 95-105.

Garrison, D. R., & Vaughan, N. D. (2008). Blended learning in higher education : framework, principles, and guidelines (1st ed.). San Francisco: Jossey-Bass.

Kotzé, T. G., & du Plessis, P. J. (2003). Students as “co‐producers” of education: a proposed model of student socialisation and participation at tertiary institutions. Quality Assurance in Education, 11(4), 186-201. doi: doi:10.1108/09684880310501377

Pearce, M., & Evans, D. (2012). Students developing resources for students. Clin Teach, 9(3), 178-182. doi: 10.1111/j.1743-498X.2012.00529.x


Collaborative learning

funny-comic-desert-island-boat-land No man is an island, as John Donne so famously stated. Humans are social creatures and collaboration is at the very core of our existence. Naturally, collaboration in the learning process is something that will give added values not only to the subject studied but also give indirect benefits -things like improved communication, reflexion and other social skills. Thus, the importance and impact of collaboration in learning is crystal clear. However, humans are also individuals and it is important to visualise and relate to your own personal development. Hence, factors like feedback and transparency to emphasise the impact of your individual contribution are crucial elements for a successful group collaboration. Simply stated, we need to be seen both as individuals and as a group. As coordinator of the second semester of the medical program at Lund University, I am faced with different tasks of collaborative learning every day – both from the 130 students perspective as well as from around 70 teachers and colleagues.

In my own teaching I have over fifteen years experience of working with problem based learning, mainly on the preclinical parts of the medical program. PBL can be a great facilitator of learning and motivation, but relies on the classic ‘issues’ with collaborative learning – mainly group/role dynamics, commitment, contribution, and the importance of clear outcomes and having fun in the process. If these factors all come together, which they most often do, the collaboration becomes fruitful and the students learn better and reaches deeper understanding together.

As for technology, the digital arena opens up endless possibilities for collaborative learning and as our students are “digital natives” we could use this to allure them into studying and collaborating digitally in parallel to traditional teaching channels. In this way we reach out and meet the students in their own arena, thus further assisting them to reach the course objectives as well as push them towards a higher level of understanding of the curriculum.

As course director, I have tried different ways to activate and involve the students, and in particular increase the accessibility of the course material. To reach increased learning, we must make the students live and breath with the curriculum. For example, I have used digital tools to flip the classroom and make students more active and take responsibility for their own learning. PeerWise is an online tool that turns students into teachers – writing multiple-choice questions with explanations, thus generating their own assessments (Granmo, 2011). This great example of collaborative learning and crowdsourcing is a powerful tool for facilitating the students’ learning (Jones, 2010). Activating students and making them creators or co-producers of parts of their own education is an intriguing trend for the future (”NMC Horizon Report 2014 – Higher education edition,” 2014; ”Three trends that will influence learning and teaching in 2015,” 2014). PeerWise is being used at over 1000 institutions world wide and has been proven to facilitate deep learning (Bates, Galloway, Riise, & Homer, 2014; Bottomley & Denny, 2011).

In a series of projects we have developed and implemented different digital tools to help the students in their learning. Using digital material as complement to traditional teaching methods broadens the range of learning tools and provides a constant source for repetition and rehearsal during the course as well as between semesters during the whole medical program. Our first target for this digitization has been the descriptive parts of the anatomy curriculum. To learn and understand approximately 1500 structures in correct Latin is a hard task for any fresh student and to fire-hose the students at teacher-led demonstrations risks creating a cognitive overload. By producing an online kit of multimedia material we can make the students prepare in advance for the teacher-led demonstrations. These demonstrations can then focus on problem solving, explanation and discussions, thus optimizing the use of the teacher-student interaction. In a cross-faculty project (Granmo, 2014; Granmo & Bengtsson, 2015) we involved journalism students to film the anatomy briefings ran by amanuensis from higher semesters on the medical program. The material give medical students free access to rehearse and repeat over time. The journalism students on their part practiced camera technique, directing and editing: Students helping students.

We have also developed a simple in-house mobile application to further increase the accessibility of the course material and communication with the students. This project was also made in collaboration with the medical students, some of which work part time developing mobile applications. One of the key aspects when designing the app was to create a flexible module that easily could be expanded with additional digital course material. Hence, as soon as the anatomy movie clips were up and running we started the work to embed them also in the mobile app. Since 2014 the movie clips are fully accessible in the app and the students can now study anatomy whenever and wherever they choose – perhaps on the bus between Malmö and Lund?

To summarize, I believe that pushing the students to actively collaborate and taking a producer role in the course development is a great way for the future of teaching. One must however overcome a number of small obstacles along the way, maybe most notably the scepticism of some of the colleagues and teaching staff. Even from a teacher, course director or educational director perspective, increased collaboration is needed more than ever. Regardless if it is within the faculty, University, or on a national or international scale – we are all part of the same learning environment.

So, what are your thoughts and ideas about collaborative learning?


Bates, S. P., Galloway, R. K., Riise, J., & Homer, D. (2014). Assessing the quality of a student-generated question repository. Physical Review Special Topics – Physics Education Research, 10(020105).

Bottomley, S., & Denny, P. (2011). A participatory learning approach to biochemistry using student authored and evaluated multiple-choice questions. Biochem Mol Biol Educ, 39(5), 352-361. doi: 10.1002/bmb.20526

Granmo, M. (2011). Införande och utvärdering av studentgenererad frågebank på termin 2, Läkarprogrammet. Lunds Universitets Utvecklingskonferens 2011 – motivation, kreativitet och lärande.

Granmo, M. (2014). Filmade anatomigenomgångar på läkarprogrammet – ett interaktivt verktyg för instudering och examination. Next Generation Learning 2014, Falun, Sweden.

Granmo, M., & Bengtsson, F. (2015). Teaching anatomy in the multimedia world – using digital tools for progressive learning over time. Creative Education 2015, Vol.6, No.11. In press

Jones, J. B. (2010). Exam Questions: Outsourcing vs. Crowdsourcing. The Chronicle of Higher Education(November 29).

NMC Horizon Report 2014 – Higher education edition. (2014) NMC Horizon Report

Three trends that will influence learning and teaching in 2015. (2014). Retrieved from Online Learning Insights website:

Digital literacy

A common statement when discussing e-learning is that we must adapt our pedagogical culture to where the students are and how they approach and seek knowledge. The digital world is all around us, even more so for our students that have grown up with both Internet and social media. Digital tools are now mature; they are no longer only technology add-ons, but rather a natural part of everyday life. I believe that using flexible digital learning tools is a necessity and used as a compliment are beneficial for all students, as each student can use their own learning method of choice, whenever and wherever they choose.

In my professional life as a University teacher, my primary mission is to communicate the curriculum to the students and to ensure goal achievement through examination. This requires an effective dialogue and sensitivity to the students’ perspectives and individual learning patterns and the adaptation of teaching methods in this direction. Pedagogic development is therefore a fundamental parameter to improve and assure the quality of future University education of the highest class. Outdated pedagogical approaches and methods disengage students. The use of complementary learning resources in the form of digital technology, especially through the integration with mobile applications removes these barriers to student engagement, it makes the educational experiences fit seamlessly into the digital and online reality the students live in. These technologies are an integrated part of the social culture of young adults and are available to all social groups, thus in a sense facilitates democratization of knowledge.

However, I believe one needs to distinguish between the learning environment of our students and the personal digital environment of yourself. In my personal life I am only an irregular guest on social media and use mainly phone, e-mail, Skype, and different messenger services such as What’s app/Viber to keep my personal contacts. Although I have become increasingly social in a digital sense, I still feel a bit reluctant to go all in and fully embrace the open-network-thinking in my personal life. This far, the ONL151 have not only enlightened me to novel opportunities for using e-learning tools in my teaching but I might also take further steps toward the digitized me also on a personal level. I am looking forward to follow where this takes me in the future.