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Problem-based learning in medical education: Developing a research agenda

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Abstract

While the use of problem-based learning (PBL) methods continues to increase in medical education, three literature reviews of PBL have appeared in the past several years which come to different opinions about their merits. This analysis summarizes the research evidence regarding PBL by examining how well it has met its originators' goals, what we know about how PBL works, and how PBL fares in a goal-free comparison with conventional curricula. A research agenda is suggested to refine our understanding of well-documented effects of PBL, to probe for other possible longer term PBL outcomes, and to examine if and how PBL affects knowledge acquisition and retention. Consistency of evidence from a variety of PBL implementations can help decide whether the effects seen can be attributed to PBL or are the results of other curricular features unique to one setting.

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References

  1. Albanese MA, Mitchell S. Problem-based learning: A review of literature on its outcomes and implementation issues. Academic Medicine 1993; 68(1): 52–81.

    Google Scholar 

  2. Berkson L. “Problem-based learning” Have the expectations been met? Academic Medicine 1993; 68(10): S79-S88.

    Google Scholar 

  3. Vernon DTA, Blake RL. Does problem-based learning work? A meta-analysis of evaluative research. Academic Medicine 1993; 68(7): 950–63.

    Google Scholar 

  4. Spaulding WB, Cochran J. Revitalizing medical education: McMaster medical school, the early years 1965–1974. Philadelphia: BC Decker Inc., 1991. Chapter 4, Establishing Goals: 27–34.

    Google Scholar 

  5. Vasconez HC, Donnelly MB, Mayo P, Schwartz RW Student perceptions of the effectiveness of a problem-based surgery curriculum. Academic Medicine 1993; 68(10 Supplement): 528–30.

    Google Scholar 

  6. Regan-Smith MG, Obenshain SS, Woodward CA, Richards B, Zeitz HJ, Small PA. Rote Learning in Medical School. Journal of the American Medical Association 1994; 17: 1380–1381.

    Google Scholar 

  7. Moore GT, Black S, Mitchell R. A randomized trial evaluating the impact of the New Pathway Curriculum at Harvard Medical School. Report to the Fund for the Improvement of PostSecondary Education. Cambridge, MA: Harvard Medical School, 1990.

    Google Scholar 

  8. Kaufman A, editor. Implementing problem-based medical education: Lessons from successful innovations. New York: Springer, 1985.

    Google Scholar 

  9. Woodward CA, Cohen M, Ferrier BM, Williams AP. The relative importance of undergraduate and postgraduate education to the practice decisions and attitudes of young family physicians practising in Ontario. ACMC Medical Resources Conference, Vancouver, April 24, 1994.

  10. McGlynn E. Physicians job satisfaction: Its measurement and use as an indicator of system performance. Unpublished doctoral dissertations. Santa Monica, CA: Rand Graduate School, 1988.

    Google Scholar 

  11. Norman GR, Schmidt HG. The psychological basis of problem-based learning: A review of the evidence. Academic Medicine 1992; 67(9): 557–65.

    Google Scholar 

  12. Elstein AS, Shulman LS, Sprafka SA. Medical problem solving: An analysis of clinical reasoning. Cambridge, MA: Harvard University Press, 1978.

    Google Scholar 

  13. Blumberg P, Michael JA. The development of self directed leaming behaviours in a partially teacher-centred, problem-based learning curriculum. Teaching and Learning in Medicine 1991; 4: 3–8.

    Google Scholar 

  14. Anderson S, Camp MG, Phillip JR. Library utilization by medical students in a traditional or problem-based curriculum. In: Bender W Hioemstra RJ, Scherpbier A, Zwierstra R, editors. Teaching and assessing clinical competence. Groningen, The Netherlands: Boekwerk Publications, 1990: 77–80.

    Google Scholar 

  15. Marshall JG, Fitzgerald D, Busby L, Heaton G. Study of library use in problem-based and traditional medical curricula. Bulletin of the Medical Library Association 1993; 81(3): 299–305.

    Google Scholar 

  16. Saunders K, Northrup D, Mennin S. The library in a problem-based curriculum. In: Kaufman A, editor. Implementing problem-based medical education: Lessons from successful innovations. New York: Springer Publishing Company, 1985: 71–88.

    Google Scholar 

  17. Tolnai S. Continuing medical education and career choice among graduates of problem-based and traditional curricula. Medical Education 1991; 25: 414–20.

    Google Scholar 

  18. Shin JH, Haynes RB, Johnston M. The effect of a problem-based self-directed undergraduate education on life-long learning. Clinical Investigative Medicine 1991; 14: A82.

    Google Scholar 

  19. Ferrier BM, Woodward CA. Career choices of McMaster University medical graduates and contemporary Canadian medical graduates. Canadian Medical Association Journal 1987; 136: 39–44.

    Google Scholar 

  20. Patel VL, Groen GJ, Norman GR. Effects of conventional and problem-based medical curricula on problem-solving. Academic Medicine 1991; 66: 380–9.

    Google Scholar 

  21. Patel VL, Groen GJ, Norman GR. Reasoning and instruction in medical curricula. Cognition and Instruction 1993; 10: 335–78.

    Google Scholar 

  22. Boshuizen HP, Schmidt HG, Wassamer I. Curriculum style and the integration of biomedical and clinical knowledge. Paper presented at the Second International Symposium on Problem Based Learning, Yokyakarta, Indonesia, 1990.

  23. Einusenstadt RS, Barry WE, Glanz K. Problem-based learning: Cognitive retention and cohort traits of randomly selected participants and decliners. In: Research in Medical Education, 1990. Proceedings of the 29th Annual Conference (MB Anderson, compiler). Washington, DC: AAMC, 1990: Sll-S12.

    Google Scholar 

  24. Tans TW, Schmidt HG, Schade-Hoogeveen BEJ, Gijselaers WH. Sturing van her Onderswijsleerproces Door Model van Problemen: Een Veldexperiment. (Directing the learning process by means of problems: a field experiment.) Tijdschrift voor Onderwijs Research, 1986; 11: 35–46.

    Google Scholar 

  25. Coulsen RL. Problem-based student-centred learning of the cardiovascular system using the problem-based learning module (PBLM). Physiologist 1983; 26: 220–4.

    Google Scholar 

  26. Martensen D, Eriksson H, Ingelman-Sundberg M. Medical chemistry: evaluation of active and problem-oriented teaching methods. Medical Education 1985; 19: 34–42.

    Google Scholar 

  27. Scriven M: Pros and cons about goal-free evaluations. In: Popham WJ, editor. Evaluation in education: Current applications. Berkeley, CA: McCutchan, 1974.

    Google Scholar 

  28. Kaufman A, Mennin S, Waterman R, Duban S, et al. The New Mexico experiment: Educational innovation and institutional change. Academic Medicine 1989; 64: 285–94.

    Google Scholar 

  29. Woodward CA, Ferrier BM, Cohen M, Goldsmith A. A comparison of the practice patterns of general practitioners and family physicians graduating from McMaster and other Ontario medical schools. Teaching and Learning in Medicine 1990; 2: 79–88.

    Google Scholar 

  30. Friedman CP, de Bliek R, Greer DS, Mennin SP, et al. Charting the winds of change: Evaluating innovative medical curricula. Academic Medicine 1990; 65: 8–14.

    Google Scholar 

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Woodward, C.A. Problem-based learning in medical education: Developing a research agenda. Adv Health Sci Educ 1, 83–94 (1996). https://doi.org/10.1007/BF00596231

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