In problem-based learning, the development of self-directed learning s
kills is encouraged through confronting students with (professional) p
roblems. However, several other elements of a problem-based curriculum
, such as general teaching objectives, lectures and tutors, may have a
n impact on students' actual learning activities. The present study fo
cuses on the extent to which various elements of a problem-based curri
culum influence students' decisions on what to study. First, interview
s were conducted to obtain qualitative data about what actually takes
place when students initiate learning activities during self-study. Ba
sed on the findings of these interviews, a questionnaire was developed
, consisting of statements describing elements of the learning process
and their influence on student learning. Elements included in the que
stionnaire were: the discussion in the tutorial group, content tested,
course objectives, lectures, the tutor and reference literature. The
students reported that all these elements may have an impact on decisi
ons on what to study. Moreover, first-year students tend to rely more
on the literature cited in the references list and content covered in
lectures and tests than students in the other three curriculum years.
In general, the influence of these elements showed a decrease over the
four curriculum years. The influence of the discussion in the tutoria
l group, on the contrary, tended to increase over the four curriculum
years. These findings suggest that students in a problem-based curricu
lum become more accomplished self-directed learners over the four curr
iculum years, even although they are provided with many clues which ma
y play a role in their decisions on what to study.