This paper considers the multiple discourses that influence medical education with a focus on the discourses of competence and caring. Discourses of competence are largely constituted through, and related to, biomedical and clinical issues whereas discourses of caring generally focus on social concerns. These discourses are not necessarily equal…

Reflects on the merits of the Problem Based curriculum designed at McMaster University in Hamilton, Ontario nearly 30 years ago. This curriculum was a product influenced by the times in which it was used rather than by any educational theory. Concludes that it is necessary to edit the problems as well as any other course materials so as not to…

Background and Objectives: At McMaster University, the birthplace of problem-based learning (PBL), administrators and curriculum planners have begun the process of renewing the undergraduate MD curriculum. One step has been to conduct an environmental scan that includes input from medical residents. Methods: Individual interviews with 17 medical…