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Sandra Viggers delves into the art of learning medicine. Sandra asks the question: can students choreograph their own education? On one hand, people believe students cannot choreograph their own education for various reasons. She calls such people behaviourists who push others back in line if they do not agree with their views. Behaviourism is a top to bottom approach. The teacher is not a facilitator but an instructor. It produces MDs with knowledge that is not applicable to real life. On the other hand, can students choreograph their own education? In educational psychology, these people are called humanists. In the humanistic approach students are active learners. The problem with this approach is that it is dependent on intrinsic motivation. Hence, it is important to realise when the student is intrinsically or extrinsically motivated. Sandra points out that both behaviouristic and humanist approaches fail to include the skill of reflection. While the humanist will expect the learner to self-realise refle