Using Clinical Experience in Discussion within Problem-Based Learning Groups
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A key principle in problem-based learning (PBL) is the student linking learning from different sources to enrich understanding. We have explored how medical students based in a clinical environment use clinical experience within PBL groups. We recorded the discussion of 12 third-year groups, which were meeting for the second time on a PBL case, where students report back on the learning objectives. Discussions covering five separate PBL paper cases were recorded. Analysis of the transcripts was based on constant comparative method using a coding framework. The range of discussion segments of clinical experience was 2–15, with 9 of 12 groups having at least five separate segments. Our initial coding framework covered 10 categories, of which the most common were: a specific patient encounter (19%); an experience in the community (15%); and a personal health experience (15%). Students often used emotive phrases with 37 examples in the clinical experience segments compared with 9 from the longer non-clinical discussion. Most clinical descriptions triggered further discussion with almost half leading to some related medical topic. The discussion segments were subsequently coded into; ‘confirming’ (40); ‘extending’ (40); and ‘disconfirming’ (16) the understanding of the group for that topic. Discussion of clinical experience encouraged students to connect to the affective aspects of learning. It helped students to bridge between the tutorial and real clinical contexts. A clinical experience was often a powerful pivotal point, which confirmed, extended or refuted what was being discussed.
Keywordsclinical experience group discussions problem-based learning
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- Barrows H.S. (1986). A taxonomy of Problem-based learning methods Medical Education 20: 481–486Google Scholar
- Bickman L., Rog D.J. (Eds). (1998). Handbook of Applied Social Research Methods California. Sage Publications. Google Scholar
- Boshhuizen H.P.A., Bromme R., Gruber H. (Eds.) (2004) Professional Learning: Gaps and Transitions on the Way from Novice to Expert Netherlands, Kluwer Academic PublishersGoogle Scholar
- Denzin N.K., Lincoln Y.S. (Eds). (2000) Handbook of Qualitative Research California, Sage PublicationsGoogle Scholar
- Greenhalgh T., Taylor R (1997). How to read a paper: papers that go beyond numbers (qualitative research) British Medical Journal 315: 740–743Google Scholar
- O’Neill P.A., Jones A., Willis S.C., McArdle P.J. (2003). Does a New Undergraduate Curriculum Based on ‘Tomorrow’s Doctors’ Prepare House Officers Better for their First Post? A Qualitative study of the Views of Pre-Registration House Officers Using Critical Incidents Medical Education 37: 1100–1108CrossRefGoogle Scholar
- Silverstone Z., Whitehouse C.R., Willis S., McArdle P.J., Jones A., O’Neill P.A. (2001) Students’ Conceptual Model of a Good Community Attachment (‘A Good G.P’) in a Problem-Based Learning Curriculum Medical Education 35: 946–956Google Scholar
- Van Boxtel, C. (2000). Collaborative concept learning: collaborative learning tasks, student interaction, and the learning of physics concepts. Enshede, Printpartners IpskampGoogle Scholar