Examines whether problem solving, decision making, and other thinking skills depend more on deep expertise in a specialty or on reflective awareness and general strategies. General and specialized knowledge function in close partnership. The partnership's nature and implications for educational practice are explored. (Author/BJV)

Issues in problem-based learning in medical education, revealed in a literature review, are discussed including basic and clinical science examination performance; thinking processes and study behaviors promoted; learning environment; student progress and satisfaction; graduate perceptions; choice of residency and specialty; faculty satisfaction;…