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Note1 This article is inspired by an earlier, more limited version (in Finnish) in Mikkila-Erdmann (2016) in which only the conceptual change perspective in adult learning is dealt with. ReferencesAbd-El-Khalick, F., & Akerson, V. L. (2009). The influence of metacognitive training on preservice elementary teachers’ conceptions of nature of science. International Journal of Science Education, 31(16), 2161-2184. Ahopelto, I., Mikkila-Erdmann, M., Anto, E., & Penttinen, M. (2011). Future elementary school teachers’ conceptual change concerning photosynthesis. Scandinavian Journal of Educational Research, 55(5), 503—515. Ahopclto, I., Mikkila-Erdmann, M., Olkinuora, E., & Kaapa, P. (2011). A follow-up study of medical and dental students biomedical understanding and clinical reasoning concerning the cardiovascular system. Advances in Health Sciences, 16(5), 655-668. Boshuizen, H. P. A., Schmidt, H. G., Custers, E. J. F. M., & Van de Wicl, M. W. (1995). 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