Four problem-based tutorial groups (n=23 students, n=4 faculty) in Harvard University Medical School's New Pathway track were studied to determine what interactions characterized student-directed discussion. It was found that students selected most topics discussed, that tutors questioned infrequently, provided limited information, and tolerated…

Evaluation of problem-based learning tutorials with 70 medical students found that, when tutors had expertise in the clinical cases studied, student groups generated twice as many learning issues, and issues were three times more congruent with the case objectives. Additionally, groups with expert tutors spent more time overcoming identified…