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

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.

[1]  M. Scriven Prose and Cons about Goal-Free Evaluation , 1991 .

[2]  C. Friedman,et al.  Charting the Winds of Change: Evaluating Innovative Medical Curricula , 1990, Academic medicine : journal of the Association of American Medical Colleges.

[3]  H. Schmidt,et al.  The psychological basis of problem‐based learning: a review of the evidence , 1992, Academic medicine : journal of the Association of American Medical Colleges.

[4]  Kathleen Saunders,et al.  The Library in a Problem-Based Curriculum , 1985 .

[5]  Paul D. Williams,et al.  The Relative Importance of Undergraduate and Postgraduate Education to the Practice Decisions and Attitudes of Young Family Physicians Practising in Ontario , 1994 .

[6]  Arthur Kaufman,et al.  Implementing problem-based medical education : lessons from successful innovations , 1985 .

[7]  C. Goldsmith,et al.  A Comparison of the Practice Patterns of General Practitioners and Family Physicians Graduating from McMaster and Other Ontario Medical Schools. , 1990 .

[8]  S Tolnai,et al.  Continuing medical education and career choice among graduates of problem‐based and traditional curricula , 1991, Medical education.

[9]  V. Patel,et al.  Reasoning and Instruction in Medical Curricula , 1993 .

[10]  J. Samet,et al.  The New Mexico experiment: educational innovation and institutional change , 1989, Academic medicine : journal of the Association of American Medical Colleges.

[11]  Michael Scriven Prose and Cons about Goal-Free Evaluation: , 1991 .

[12]  L. Shulman,et al.  Medical Problem Solving: An Analysis of Clinical Reasoning , 1978 .

[13]  D Mårtenson,et al.  Medical chemistry: evaluation of active and problem‐oriented teaching methods , 1985, Medical education.

[14]  V L Patel,et al.  Effects of conventional and problem‐based medical curricula on problem solving , 1991, Academic medicine : journal of the Association of American Medical Colleges.

[15]  L. Berkson Problem‐based learning: have the expectations been met? , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[16]  D. T. Vernon,et al.  Does problem‐based learning work? A meta‐analysis of evaluative research , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[17]  R B Haynes,et al.  Effect of problem-based, self-directed undergraduate education on life-long learning. , 1993, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[18]  Wim H. Gijselaers,et al.  Sturing van het onderwijsleerproces door middel van problemen: een veldexperiment , 1986 .

[19]  D Fitzgerald,et al.  A study of library use in problem-based and traditional medical curricula. , 1993, Bulletin of the Medical Library Association.

[20]  Joel A. Michael,et al.  Development of self‐directed learning behaviors in a partially teacher‐directed problem‐based learning curriculum , 1992 .

[21]  C. Woodward,et al.  Career choices of McMaster University medical graduates and contemporary Canadian medical graduates. , 1987, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[22]  Rote learning in medical school. , 1994, JAMA.

[23]  K. Glanz,et al.  Problem‐based learning: cognitive retention and cohort traits of randomly selected participants and decliners , 1990, Academic medicine : journal of the Association of American Medical Colleges.

[24]  M. Albanese,et al.  Problem‐based Learning: A Review of Literature on Its Outcomes and Implementation Issues , 1993, Academic medicine : journal of the Association of American Medical Colleges.

[25]  W B Panko,et al.  Networking: an overview for leaders of academic medical centers , 1993, Academic medicine : journal of the Association of American Medical Colleges.