Research reveals that successful problem solvers must possess comprehensive knowledge, and more importantly, have appropriate knowledge organization and understanding. A new taxonomy of medical problems is recommended, and it is suggested that the traditional hypothetico-deductive strategy for problem-based learning be replaced by scheme-driven…

Concept maps are used at the Cornell University (New York) college of veterinary medicine for curriculum planning, particularly development of problem-based cases for classroom use. The maps help prioritize concepts, refine objectives and details, articulate links between aspects of a case, and support overall course design. (MSE)

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)

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 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)

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)

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…

A survey of faculty (n=223) and students (n=157) in two different curriculum tracks (problem-based/student-centered primary care vs. regular) at one medical school gathered opinions on the methods and criteria of student evaluation. Differences occurred primarily in the perceptions of first- and second-year students in the problem-based…