Computer-based problem-solving examinations in immunology generate graphic representations of students' search paths, allowing evaluation of how organized and focused their knowledge is, how well their organization relates to critical concepts in immunology, where major misconceptions exist, and whether proper knowledge links exist between content…

The computer-based PlanAlyzer program was designed to teach clinical diagnosis to medical students, taking into account several characteristics common to the clinical problem solver: limited capacity for short-term memory; use of heuristic strategies; sequential information seeking; and problem conceptualization. Six years of development and…

A study compared results of 2 teaching methods, traditional Socratic method (22 students) and a problem-based curriculum (35 students) in a University of Kentucky medical school surgery clerkship. Results showed the problem-based method resulted in similar knowledge level but improved clinical problem-solving skills. (Author/MSE)

In the University of South Dakota's medical school clerkship program, students may choose one of three ambulatory-care settings. In one, the curriculum is problem based and student centered to enhance student interest in primary care. The new program has been successful and well received and is being further developed. (MSE)

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)

The Computer-Assisted Medical Problem-Solving system, designed to teach problem solving and pattern recognition, has also been found useful for identifying medical students' problems with clinical reasoning. Analysis of individual test results allows development of a student problem-solving profile score that augments the initial test score. (MSE)

A study used computer analysis to examine distribution of basic science content in the 53 cases in the problem-based medical curriculum of Rush Medical College (Illinois) and compared it to application of that content by students and faculty. The method of analysis is recommended for reviewing curricula for omissions and redundancy. (Author/MSE)

University of Hawaii medical school workshops retrain faculty for their roles as tutors in the newly adopted problem-based curriculum. Assessment of trainees' knowledge and skills before and after the sessions indicate the training was successful and also identified common problems faced by traditional teachers in the new role of facilitator.…

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…

The diagnostic discourse of medical students and physicians in thinking-aloud protocols on paper cases was analyzed for evidence of semantic structure. Results show that structural semantics can be used to distinguish various levels of mental processing among novices as well as between novices and professionals. (MSE)