Discusses clinical problem analysis (CPA) in medical education, an approach to solving complex clinical problems. Outlines the five step CPA model and examines the value of CPA's content-independent (methodical) approach. Argues that teaching students to use CPA will enable them to avoid common diagnostic reasoning errors and pitfalls. Compares…

A study investigated student use of a collection of self-directed anatomy learning modules designed to help students prepare for tutorial discussions of health care problems. The surveyed students (n=80) reported that module use depended on program level and premedical background in biology, not on tutor or preceptor requirements. Students who…

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…

Field testing of a series of group-learning units in pharmacology based on a patient-oriented problem-solving approach found that the units were well crafted and that students had higher scores on tests of their knowledge of pharmacology after they had used the units. (Author/DB)

Students in a problem-oriented alternative medical curriculum at Michigan State University used the same problem-based methods for curriculum improvement that are used to solve clinical problems. Students worked with faculty toward constructive curricular revision. (MSE)

In this study of students (N=112) invited to participate in a hematology-transfusion medicine tutorial, it was found that students (N=59) receiving problem-based instruction did more poorly than controls on short-term examination but maintained their knowledge after two years better than control groups. (MLW)

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)

A University of Limburg (Netherlands) medical school study investigated the relationship between student-generated learning issues and faculty instructional objectives (i.e., the effectiveness of the problems posed) in a problem-centered obstetrics and child development curriculum. Subjects were 120 students and 12 faculty. Results indicated…

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 investigated whether medical school faculty can arrive at consistent, non-idiosyncratic grades in a problem-based learning course. Analysis of grades given by three teachers, based on seven performance categories, to 16 groups of nine students in a seven-week University of Pittsburgh (Pennsylvania) course revealed that given specific…

The University of Calgary medical school revised its curriculum based on the way patients present to physicians. The curriculum defines 120 clinical presentations; describes appropriate clinical behavior of a graduating physician for each presentation; and specifies the knowledge, skills, and attitudes needed by the graduate for clinical…

A study investigated the curriculum's influence on 341 medical students' perceptions of learning environment, as measured by the Medical School Learning Environment Survey, in two public medical schools with similar problem-based learning (PBL) and conventional lecture-based learning (LBL) tracks, over three years. Results indicate PBL students'…

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)