Educational reform: problem-based learning at Chang Gung University, an overview

Area of Science:

• Medical Education
• Curriculum Development
• Educational Reform

Background:

• Problem-based learning (PBL) is a key educational strategy for developing problem-solving skills and scientific knowledge.
• Educational reform is crucial for advancing medical training.
• Chang Gung University and Chang Gung Memorial Hospital initiated a significant educational reform in 1998.

Purpose of the Study:

• To review the history and experiences of implementing problem-based learning in medical education.
• To detail the preparation, implementation, and reform process.
• To highlight the unique approach of starting reform from clinical aspects.

Main Methods:

• A comprehensive review of the educational reform process at Chang Gung University and Hospital.
• Analysis of challenges encountered during the initial implementation phase.
• Description of strategies employed, including communication, education, practice, and system reforms.
• Examination of curriculum structure, committee establishment, tutor training, and assessment methods.

Main Results:

• Initial implementation faced difficulties related to student capabilities, resources, and the transition period.
• Through sustained efforts in communication, education, practice, and system reforms, the problem-based learning curriculum is now functioning smoothly.
• A hybrid curriculum model was developed, integrating traditional and new curricula, with a unique progression from clinical to basic sciences.

Conclusions:

• Well-designed educational reforms, particularly problem-based learning, can significantly enhance student learning and problem-solving abilities.
• The experiences at Chang Gung University demonstrate the feasibility and effectiveness of implementing PBL despite initial challenges.
• The hybrid curriculum model offers a valuable framework for other institutions undertaking similar educational reforms.