Review of experimental evidence concerning the effectiveness of problem-based learning suggests that the approach may not improve content-free problem solving; may initially reduce learning levels but fosters long-term retention; may enhance transfer of concepts and integration of concepts into clinical problems; enhances intrinsic interest of…

A study investigated differences in National Board of Medical Examiners Part I scores for students at the College of Human Medicine (Michigan) in two preclinical medicine curricula, one problem based and one traditional, during four distinct periods. Results illustrate the difficulty of comparing the curricula, given revisions over time. (MSE)

A study investigated whether medical school faculty can arrive at consistent, non-idiosyncratic grades in a problem-based learning course. Analysis of grades given by three teachers, based on seven performance categories, to 16 groups of nine students in a seven-week University of Pittsburgh (Pennsylvania) course revealed that given specific…

The University of Calgary medical school revised its curriculum based on the way patients present to physicians. The curriculum defines 120 clinical presentations; describes appropriate clinical behavior of a graduating physician for each presentation; and specifies the knowledge, skills, and attitudes needed by the graduate for clinical…

A study investigated reasoning processes of medical students in schools with different curricular formats, a conventional curriculum with basic science taught before clinical training and a problem-based curriculum with basic science taught in the context of clinical problems. Strengths and weaknesses of each curriculum type emerged. (Author/MSE)

A survey of 882 medical school faculty serving as problem-based learning (PBL) tutors found that most felt that PBL and traditional curricula were approximately equally efficient for learning; PBL rated higher in student interest, faculty interest, personal satisfaction, student reasoning, and preparation for clinical rotations; and traditional…

A study of a new University of Toronto medical school problem-based learning (PBL) curriculum found that students (n=207) and faculty (n=15) had more favorable attitudes toward PBL after direct experience with it than before. Recommendations are made for other schools and programs wishing to implement PBL curricula. (Author/MSE)

A survey of 2 medical school classes at Dalhousie University (Canada) compared student attitudes toward the conventional (n=57 students) and problem-based (n=73) curricula. Students in the problem-based group had more positive attitudes toward the learning environment and curriculum, but were less positive on a student-interaction scale. No…

A Dutch study compared the clinical diagnostic skills of 612 medical students educated at schools with problem-based, integrated, or conventional curricula. Students responded to 30 case histories epidemiologically representative of Dutch society and all organ systems. Students trained within problem-based and integrated curricula made more…

A study of 71 Michigan State University medical school students in their first semester of a problem-based curriculum found that students' initial dependence on tutors progressed to an emphasis on learning resources. This result was congruent with the theoretical model of the dynamics of problem-based learning. (Author/MSE)

A study investigated medical students' expectations of the medical school environment and opinions of their academic experience in three areas (teaching/administration, psychological aspects of student life, intellectual climate) near the end of their first year in two parallel curricula: a problem-based learning program and a traditional…

The Personal Progress Index, designed to assess students' knowledge at regular intervals, is administered at the McMaster University (Ontario) Faculty of Health Sciences three times annually. Feedback is provided to students, and accumulated student performance is determined for summative evaluation. Results over 4 classes (n=400) show it to be…

A survey of graduates (n=87) of the University of New Mexico's conventional medical program and its parallel problem-based curriculum (n=33) found graduates of the latter much more likely to work in medically underserved areas and publicly funded health care settings, care for nonpaying patients, and identify patient problems and curiosity as…

A study investigated medical school faculty and student knowledge and perceptions of group dynamics in the context of problem-based learning (PBL). Observation of 27 first-year medical students and 3 faculty in University of Toronto medical school PBL groups revealed a generally low awareness of effective group dynamics. Comprehensive medical…

A study compared the performances of Wake Forest University (North Carolina) medical students rotating through an internal medicine program, 88 in a problem-based curriculum and 364 in a lecture-based curriculum. Students in the problem-based curriculum received significantly higher ratings from house staff and faculty on four clinical rating…