Dysfunctional problem-based learning curricula: resolving the problem
Background: Problem-based learning (PBL) has become the most significant innovation in medical education of the past 40 years. In contrast to exam-centered, lecture-based conventional curricula, PBL is a comprehensive curricular strategy that fosters student-centred learning and the skills desired...
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| Format: | E-Article |
| Language: | English |
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BioMed Central Ltd.
2012
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| Online Access: | http://ir.unimas.my/id/eprint/16817/1/Dysfunctional_problem-based_learning_cur%28abstract%29.pdf http://ir.unimas.my/id/eprint/16817/ https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-12-89 |
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| Summary: | Background: Problem-based learning (PBL) has become the most significant innovation in medical education of
the past 40 years. In contrast to exam-centered, lecture-based conventional curricula, PBL is a comprehensive
curricular strategy that fosters student-centred learning and the skills desired in physicians. The rapid spread of PBL has produced many variants. One of the most common is 'hybrid PBL' where conventional teaching methods are
implemented alongside PBL. This paper contends that the mixing of these two opposing educational philosophies
can undermine PBL and nullify its positive benefits. Schools using hybrid PBL and lacking medical education
expertise may end up with a dysfunctional curriculum worse off than the traditional approach.
Discussion: For hybrid PBL schools with a dysfunctional curriculum, standard PBL is a cost-feasible option that
confers the benefits of the PBL approach. This paper describes the signs of a dysfunctional PBL curriculum to aid hybrid PBL schools in recognising curricular breakdown. Next it discusses alternative curricular strategies and costs associated with PBL. It then details the four critical factors for successful conversion to standard PBL: dealing with staff resistance, understanding the role of lectures, adequate time for preparation and support from the administrative leadership.
Summary: Hybrid PBL curricula without oversight by staff with medical education expertise can degenerate into
dysfunctional curricula inferior even to the traditional approach from which PBL emerged. Such schools should
inspect their curriculum periodically for signs of dysfunction to enable timely corrective action. A decision to convert fully to standard PBL is cost feasible but will require time, expertise and commitment which is only sustainable with supportive leadership. |
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