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Updated: Sep 30, 2025

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Implementation of a Surgical Problem-Based Learning Curriculum: A One-Year Single-Center Experience.

Joshua P Kronenfeld1, Rebecca A Saberi1, Alessia C Cioci1

  • 1DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

The American Surgeon
|March 14, 2022
PubMed
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Resident-led Problem-Based Learning (PBL) enhanced surgical clerkship preparedness for medical students. PBL sessions, even virtual ones, were preferred over traditional lectures for exams and clinical cases.

Area of Science:

  • Medical Education
  • Surgical Training
  • Problem-Based Learning

Background:

  • Problem-Based Learning (PBL) is established in preclinical medical education.
  • Its efficacy in clinical settings, particularly surgery clerkships, requires further evaluation.
  • This study examines a resident-led PBL program's impact on third-year medical students.

Purpose of the Study:

  • To assess the outcomes of a 1-year resident-led Problem-Based Learning (PBL) program in a third-year surgery clerkship.
  • To compare student self-reported preparedness after PBL sessions versus traditional faculty-led lectures.
  • To evaluate the effectiveness of PBL in both in-person and virtual formats.

Main Methods:

  • A Problem-Based Learning (PBL) curriculum was developed by surgical faculty and residents.

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  • Surveys assessed student preparedness and preferences for PBL versus lectures.
  • Data were analyzed using standard statistical methods, including Likert scale ratings.

    • Main Results:

    • 129 of 165 (78%) MS3 students completed the survey.
    • In-person PBLs were significantly preferred over lectures for NBME exams, oral exams, and surgical cases (P < .001).
    • Virtual PBLs also showed preference over lectures for NBME exams (P < .001) and surgical cases (P = .05).

    Conclusions:

    • Resident-led Problem-Based Learning (PBL) is a valuable educational tool for medical students.
    • PBL demonstrates superiority over traditional lectures in preparing students for examinations and clinical scenarios.
    • PBL can serve as an effective adjunct to clinical surgical education.