Students most strongly agreed with items that attributed the difficulty of HAP to the nature of the discipline, as opposed to the way physiology is taught or the way students approach learning it. We found that students in our study identified similar factors as the students surveyed in the original study. We, therefore, replicated both of these studies by collecting survey responses from 466 students at 4 different institutions and 17 instructors at 15 different institutions. There is a need in physiology education research to replicate studies like these across different institutions to support generalizations. However, without replication, these claims are limited in their generalizability. Internet J Allied Health Sci Pract 11: 1–10, 2013). Later research built on these findings by investigating why students find physiology difficult (Sturges D, Maurer T.
Adv Physiol Educ 31: 34–40, 2007) sought to better understand this difficulty by asking faculty for their perceptions of why students struggle to learn in HAP. Human Anatomy and Physiology (HAP) has long been recognized as a difficult course.
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