Some insights from cognitive science that can be applied to professional education, particularly those relating to sources of dissonance in the traditional, linear educational model, are examined. They concern primarily the availability of information for clinical thinking and problem solving. Curricular structures facilitating implementation of…

A written clinical simulation exercise known as patient management problems (PMP) developed by the National Board of Examiners in Optometry is discussed. The new PMP format is considered standardized in the sense that the "visible" portion of the problem will be identical. (MLW)

Advances have been made in testing optometrists' clinical skills, particularly with the use of simulation techniques. Further research into these techniques will probably receive the most attention, although a shift in research emphasis from correlational studies of test validity and reliability to test development studies is needed. (MSE)

Research on the cognitive processes used by physicians during patient care (template matching, deductive logic starting with multiple hypotheses, and algorithmic logic) is examined for its applicability to optometrists and the problem-solving strategies used by optometric students in the classroom or clinic. (Author/MSE)

Questions are raised about the effectiveness of the traditional lecture method in meeting the objectives of optometric education, and the use of problem-based learning as an alternative approach is examined. (MSE)

A specially designed patient assessment diagram is proposed as a means of helping optometric student clinicians develop integrative skills in the assessment and management of the patient's problem. A pilot study found students supportive of its use. (MSE)

A technique used to teach removal of foreign bodies from eyes uses freshly slaughtered calves' eyes in which metal particles are embedded at different depths. The approach develops both mechanical skills and problem-oriented evaluation and management of patients. Preparation and presentation of workshops using the technique are also discussed.…

The format and production of the portable patient problem pack, a patient simulation method designed for problem-based learning, are described. Clinical and didactic applications and development of materials specifically for optometric education are discussed and additional information for designing optometry-related materials is appended.…

A growing number of health care educators are concerned with the effectiveness of the traditional approach for educating health care practitioners. The problem-based learning approach has been advocated as an effective alternative method for addressing many current concerns and for producing a more effective doctor. (Author/MSE)

At the Pennsylvania College of Optometry, a core course in pediatric optometry was revised to use a problem-centered approach and implemented with a class of 147 students. Students were assigned specific roles to distribute work evenly. A survey found students responded positively to this approach. (MSE)

The Pennsylvania College of Optometry's experience in implementing problem-based learning, usually used in small classes, in a large group instructional situation in a traditional, subject-based optometric curriculum is described. Development of a modified approach, simulated patient problems, weekly quizzes, patient notes, large- and small-group…

A problem-based learning approach emphasizing problem solving and self-directed learning was designed for third-year students entering vision therapy clinic rotations. The approach's use in a clinical setting, student and faculty response, and preliminary conclusions about the approach's advantages and disadvantages are discussed. (Author/MSE)