Problem based learning in medical education, where we are?
Abstract
Problem-based learning is an innovative and ch allenging approach to medical e ducation--innovative because it is a new way of using clinical material to help students learn, and ch allenging because it requires the medical teacher to use f acilitating and su pporting skills rather than didactic, directive ones1 Problem-based learning (PBL) in medical education began with the Faculty of Medicine at Mc Master Un iversity in Canada in the mid 19 60's. Soon after, three other me dical sc hools - the University of Limburg at M aastricht in the Netherlands, the University of Newcastle in Australia, and the University of New Mexico in the United States – gradually adopted this system. Through the 1970's and e arly 1980's, Gezira f aculty of Medicine enrolled the concept and proved it self as well as many of Middle east and Af rican schools of medicine followed . Now, however, we are seeing an explosion in the use of PBL in its various adaptations 2. Today, most of the newly established medical schools in Sudan and m any in almost ev ery country of the world are implementing (or are planning to implement) PBL in their curricula to a g reater or lesser ex tent. In addition, PBL h as spread into sc hools of health sciences, nursing, dentistry, pharmacy, and public health have adapted the model of problem-based learning and developed their own spheres of influence.
References
lbanese MA and Mitchell S. Pr oblem-based le arning: a re view of literature on its outcomes and im plementation issues. Acad Med 1993; 68: 52–81.
Barrows HS. A taxonomy of problem-based le arning me thods. Me d Educ , 1986; 20: 481–486.
Barrows HS. Pr actice-Based Learning.Problem-Based Le arning Applied to Medical Education. Springfield, IL: Southern Illinois Univ. Pr ess, 1994, p. 145.
Anderson J. R., Reder L. M., & Simon, H. A. Situated learning and education.Educational Researcher, 1996;25(4): 5-11
Barrows HS and Tamblyn RM.Problem-Based Learning: an Approach to Medical Sducation. New York: Springer, 1980, p. 206.
Chi, M. T. H., & Glaser, R. (1985). Problem-soving ability. In R. J. Sternberg (Ed.) Human abilities: An information-processing ap proach (pp. 227-250). New York: W. H. Freeman &Co
Anderson, Reder, & Si mon, 1996;Brown, Collins, & Duguid, 1 989; La ve,1988).
Berliner (1992) notes
Bereiter, C., & Sc ardamalia, M. (1989). Intentional le arning as a g oal of instruction. In L.B. Resnick(Ed.), Knowing, le arning, and instruction:Essays in honor of Robert Glaser (pp. 361-392). Hillsdale, NJ: Lawrence
Berliner, D. C. Redesigning classroom activities for the fu ture. Educational Technology1992;32(5): 7-13
Cognition an d Technology Group at Vanderbilt (CTGV). Anchored instruction and it s relationship to situated cognition.Educational Researcher, 1990;1 9(6): 2-10
Collins, A., Brown, J. S., & Newman, S. (1989). Cognitive apprenticeship: Teaching the craft of reading, writing, and mathematics. In L. Resnick(Ed.),Knowing, learning an d instruction:Essays in honor of Robert Glaser (pp.453-494). Hillsdale, NJ: Erlbaum
Hattie, J. , & Purdie, N. (1998). The SOLO model: Addressing fundamental measurement issues. In B. Dart & G.Boulton-Lewis (Eds.), Teaching and learning in higher education.Camberwell, Australia: ACER Press
Howard, J.Technology-enhanced project-based learning in teacher education: Addressing the goals of transfer. Journal of Technology and Teacher Education2002; 10(3): 343-364
Lave, J. (1988). Cognition in practice: Mind, mathematics, and culture in everyday life. New York: Cambridge University Press
Niedelman, M. Problem solving and transfer. Journal of Learning Disabilities1991; 24(6): 322-329
Rye, J. A., & Rubba, P. A. Scoring concept maps: An expert ma p-based scheme we ighted fo r relationships.School Science & Ma thematics, 2002;102(1): 33-44.
Skemp, R. R. Relational understanding and in strumental understanding. Arithmetic Teacher1978;26(3): 9-15
Stepien, W.J., & Py ke, S.L. ().Designing problem-based learning units. Journal for the Education of the Gifted1997; 29(4): 380-400.
Brophy, J., & Alleman, J. Activities as instructional tools: A framework for analysis and evaluation. Educational Researcher1991; 20(4): 9-23
Bereiter, C. (1997). Situated cognition and how to overcome it. In D.Kirshner & J. A. Whitson (Eds.), Situated cognition: Social, semiotic, and psychological perspectives (pp. 281-300).Hillsdale, NJ: Erlbaum. .
Duch, B. J., Groh, S. E., & Allen, D.E. (2001). The power of problem-basedlearning. Sterling, VA: Stylus Publishing.