Student feedback on problem-based learning processes.

BACKGROUND Problem-based learning (PBL) sessions consist of a brainstorming phase, search phase, individual study, and reporting phase. At the Xavier University School of Medicine, Aruba, PBL is a new learning modality first introduced in May 2013. AIMS PBL processes have not been studied previously at the Xavier University School of Medicine, hence the present study was carried out to obtain information about the PBL processes and note differences, if any, among different groups of students. METHOD The study was conducted among first- to fourth-semester undergraduate medical students during July 2014 using a previously validated PBL processes instrument developed by van den Hurk et al. Information about gender, semester, weekly hours of study, and learning resources used was obtained. Respondents' agreement with a set of 23 statements was noted using a Likert-type scale, which was scored as 1=totally disagree with the statement, 2=disagree, 3=neutral, 4=agree, and 5=totally agree with the statement. Mean scores were compared among different groups of respondents. RESULTS Fifty-one of the 58 students (87.9 per cent) participated. The weekly average study time was 29.9 hours. Lecture handouts and textbooks were commonly used information sources. The mean scores (scale 1 to 5) for learning-issue-driven searching, and extensiveness of searching were 3.49 and 3.45, respectively. The score for explanation-oriented preparation was 3.94, while those for breadth and depth of discussion were 3.75 and 3.62, respectively. Most scores were higher among second-semester students, but the difference was not significant. CONCLUSION The self-reported scores were comparable to those reported in previous studies done using the same PBL processes instrument in other medical schools. At Xavier University School of Medicine interactive lectures are the major teaching method and topics covered during PBL are also likely to be covered during lectures, which could influence the scores. The findings of our study providing information about how students function during PBL brainstorming and presentation sessions and how they use different learning resources would be of interest to other medical schools worldwide following a hybrid curriculum. Further studies are required.

[1]  N. Webb,et al.  Constructive Activity and Learning in Collaborative Small Groups. , 1995 .

[2]  I. Khan,et al.  Problem-based learning variant: transition phase for a large institution. , 2001, JPMA. The Journal of the Pakistan Medical Association.

[3]  P. Ravi Shankar,et al.  Students’ perception of the learning environment at Xavier University School of Medicine, Aruba , 2013, Journal of educational evaluation for health professions.

[4]  Matti Aarnio,et al.  A survey of the use of electronic scientific information resources among medical and dental students , 2006, BMC medical education.

[5]  Fitzhugh Mullan,et al.  Medical education in sub‐Saharan Africa: a literature review , 2011, Medical education.

[6]  Henk G. Schmidt,et al.  Effects of tutor-related behaviours on the process of problem-based learning , 2011, Advances in health sciences education : theory and practice.

[7]  LuAnn Wilkerson,et al.  Improving Medical Literature Sourcing by First-Year Medical Students in Problem-Based Learning: Outcomes of Early Interventions , 2014, Academic medicine : journal of the Association of American Medical Colleges.

[8]  K. Engle.  Problem-Based Learning: An Approach to Medical Education , 1981 .

[9]  Michelene T. H. Chi,et al.  Eliciting Self-Explanations Improves Understanding , 1994, Cogn. Sci..

[10]  Atanu Nandy,et al.  Small group effectiveness during PBL sessions in a Caribbean medical school , 2013 .

[11]  Robbert Duvivier,et al.  Problem-based learning (PBL): Getting the most out of your students – Their roles and responsibilities: AMEE Guide No. 84 , 2014, Medical teacher.

[12]  Cees P M van der Vleuten,et al.  Student perceptions about the characteristics of an effective discussion during the reporting phase in problem‐based learning , 2006, Medical education.

[13]  C. Reznich,et al.  Facilitators' influence on student PBL small group session online information resource use: a survey , 2004, BMC medical education.

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

[15]  F. Mansuri,et al.  Opinion of medical students regarding problem based learning. , 2006, JPMA. The Journal of the Pakistan Medical Association.

[16]  Arno M. M. Muijtjens,et al.  Impact of Individual Study on Tutorial Group Discussion , 1999 .

[17]  Premila Webster,et al.  Education for health professionals in the emerging market economies: a literature review , 2010, Medical education.

[18]  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.

[19]  Berna Musal,et al.  Perceptions of first and third year medical students on self-study and reporting processes of problem-based learning , 2004, BMC medical education.

[20]  A. I. Alhaqwi,et al.  Learning outcomes and tutoring in problem based-learning: how do undergraduate medical students perceive them? , 2014, International journal of health sciences.

[21]  H. Schmidt,et al.  What drives the student in problem‐based learning? , 1994, Medical education.

[22]  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.

[23]  D. Altman,et al.  Statistics notes: Cronbach's alpha , 1997 .