题名

Problem-based Learning Curriculum: Problems and Possible Solutions

DOI

10.6145/jme.201112_15(4).0002

作者

Robert M. K. W. Lee

关键词

group learning ; group dynamics ; moral issues ; evaluation ; self-directed learning ; professional behavior

期刊名称

Journal of Medical Education

卷期/出版年月

15卷4期(2011 / 12 / 01)

页次

332 - 342

内容语文

英文

英文摘要

The use of problem-based learning (PBL) approach in education by medical schools around the world is still evolving based on local environmental factors, such as the willingness and ability of the teachers to adjust to this style of learning, and government regulations. In this article, I will present my personal views on the problems and challenges teachers/tutors may face in different components of a PBL medical education, and suggest some solutions or approaches PBL teachers may wish to consider in confronting or solving these problems. I will focus on lectures, tutorial process, teaching of clinical skills, and evaluation. In the implementation of a PBL curriculum we need to emphasize the following: (1) Self-directed learning aspect of PBL, because through this we can promote life-long learning behavior in our students. This is essential in the face of the current knowledge explosion in all areas of sciences, so that it is not possible to expect our student to learn all the essential knowledge/skills in a limited amount of time during their medical school training. (2) We should choose the evaluation tools appropriately and wisely, emphasizing more on formative than summative evaluation tools. Finally, we should remind and demand our tutors and clinical teachers to serve as good role models to our students, both in learning style and in professional behavior.

主题分类 醫藥衛生 > 醫藥總論
社會科學 > 教育學
参考文献
  1. Sherman, J.J.,Cramer, A.(2005).Measurement of changes in empathy during dental school.J Dent Educ,69,338-45.
    連結:
  2. Benbassat, J.,Baumal, R.(2004).What is empathy, and how can it be promoted during clinical clerkships?.Acad Med,79,832-9.
  3. Chen, D.,Lew, R.,Hershman, W.(2007).A cross-sectional measurement of medical student empathy.J Gen Intern Med,22,1434-8.
  4. Colliver, J.A.,Conlee, M.J.,Verhulst, S.J.(2010).Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research.Acad Med,85,588-93.
  5. Colliver, J.A.,Conlee, M.J.,Verhulst, S.J.(2010).Rebuttals to critics of studies of the decline of empathy reply.Acad Med,85,1813-4.
  6. Crandall, S.J.,Marion, G.S.(2009).Commentary: identifying attitudes towards empathy: an essential feature of professionalism.Acad Med,84,1174-6.
  7. Hojat, M.,Gonnella, J.S.,Veloski, J.(2010).Rebuttals to Critics of Studies of the Decline of Empathy.Acad Med,85,1812.
  8. Hojat, M.,Vergare, M.J.,Maxwell, K.(2009).The devil is in the third year: a longitudinal study of erosion of empathy in medical school.Acad Med,84,1182-91.
  9. Kataoka, H.U.,Koide, N.,Ochi, K.(2009).Measurement of empathy among Japanese medical students: psychometrics and score differences by gender and level of medical education.Acad Med,84,1192-7.
  10. Lee, R.M.K.W.(2003).Evaluation methods in a problem-based learning curriculum.Journal of Medical Education,7,323-31.
  11. Newton, B.W.(2010).Rebuttals to critics of studies of the decline of empathy.Acad Med,85,1812-3.
  12. Newton, B.W.,Barber, L.,Clardy, J.(2008).Is there hardening of the heart during medical school?.Acad Med,83,244-9.
  13. Norman, G.(2009).Teaching basic science to optimize transfer.Med Teach,31,807-11.
  14. Sherman, J.J.,Cramer, A.P.(2010).Rebuttals to critics of studies of the decline of empathy.Acad Med,85,1813.
  15. Stepien, K.A.,Baernstein, A.(2006).Educating for empathy.A review.J Gen Intern Med,21,524-30.
被引用次数
  1. Wu, Lii-Tzu,Wu, Hsi-Chin,Tu, Ming-Gene,Sun, Shung-Shung,Kwan, Chiu-Yin,Hsu, Li-Chuan(2012).The Change of Student Perception toward PBL in a Medical School with a hybrid-PBL Preclinical Curriculum in Taiwan.醫學教育,16(3),97-113.