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To what degree do problem-based learning issues change with clinical experience?

William J Hueston1, Robert Mallin, Donna Kern

  • 1Department of Family Medicine, Medical University of South Carolina, 295 Calhoun Street, PO Box 260192, Charleston, SC 29425, USA. huestowj@musc.edu

Teaching and Learning in Medicine
|October 25, 2002
PubMed
Summary

Problem-based learning (PBL) helps medical students adapt learning issues. This study found a very small shift from basic science to medical decision-making topics as clinical experience grows.

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Area of Science:

  • Medical Education
  • Curriculum Development
  • Problem-Based Learning

Background:

  • Problem-based learning (PBL) is widely used in medical education.
  • PBL is adaptable to students with diverse knowledge and experience levels.

Purpose of the Study:

  • To assess if learning issue types in standardized PBL cases change with clinical experience.
  • Focus on the 3rd year of medical school.

Main Methods:

  • Learning issues from 3rd-year family medicine clerkships were collected.
  • Three reviewers categorized issues into broad areas by consensus.
  • Categorized issues were compared over the academic year.

Main Results:

  • The distribution of learning issues remained largely consistent throughout the year.

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  • A slight decrease in basic science topics and a corresponding increase in medical decision-making topics were observed.
  • These shifts were minimal over the academic year.
  • Conclusions:

    • Medical students generate varied learning issues as their clinical experience increases.
    • A very slight shift from basic science to higher-order medical decision-making issues occurs.
    • The overall change in learning issue focus is minimal.