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PROBLEM-BASED LEARNING  In  Medical Education Presented by: Dr. Soha Rashed Aref Mostafa Prof. of Community Medicine  Member of Medical Education Department Faculty of Medicine Alexandria University Egypt
Teacher-centered Student-centered New-Innovative Curricula   Traditional Medical Curricula  Information gathering Problem-based Discipline-based Integrated Hospital based Community-based Standard Elective Apprenticeship-based Systematic    Continuum   S P I C E S SPICES
what is it?
Definition of PBL ,[object Object]
The case serves as a stimulus for learning
[object Object]
Problem-solving  vs.  problem-based learning - different but inter-related - ,[object Object],[object Object]
(Problem Solving)
Integrated systems-based Traditional discipline-based Educational strategy - The problem comes first without advance readings, lectures, or preparation. - The problem serves as a stimulus for the need to know. - Based on their own prior knowledge and the identified gaps in that knowledge, students determine the learning issues within their own group. They then identify and use a variety of learning resources to study these issues and return to the group to discuss and share what they have learned. - The focus is on preparatory learning prior to exposure to the problem.  - The  staff set the problems ( case history problems in a primarily lecture- based format ),  and students attempt to resolve them using previously taught curricular content.  Main characteristics PROBLEM-BASED LEARNING PROBLEM SOLVING
The student decides what he/she needs to learn Teacher Who is responsible for directing the learning activities Learning becomes dependent upon the self-directed efforts of the small group. This method creates a  more active, student-centered  learning environment  Passive, teacher-centered  Learning environment Tutor/Facilitator Content expert Role of the teacher PROBLEM-BASED LEARNING PROBLEM SOLVING
Rationale for introducing PBL into the undergraduate curricula ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
It differs fundamentally from our traditional curricula, in which students:   apply this knowledge to the diagnosis and management of clinical problems Clinical phase (years 4-6) acquire "background" knowledge of the basic sciences Preclinical phase (years 1-3)
This traditional approach has been criticised for a number of reasons: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]
Integrated Systems-based Curriculum Map
Example   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
 
PBL: the claims and the evidence
 
Too much debates !!
[object Object]
The place of PBL in the curriculum
Teacher-centered Student-centered New-Innovative Curricula   Traditional Medical Curricula  Information gathering Problem-based Discipline-based Integrated Hospital based Community-based Standard Elective Apprenticeship-based Systematic    Continuum   S P I C E S SPICES Emphasis on PBL ranges Dominance of the curriculum  Minor supporting role
Problem-based learning Clinical Apprenticeship Model Time in the curriculum Preclinical phase Clinical phase
A PBL-based curriculum is typically organized into a number of units based on body systems. Each unit is based on a number of PBL Cases (case=hypothetical patient whose problem requires analysis and resolution).
 
Hybrid curricula ,[object Object],[object Object],[object Object],[object Object]
Example ,[object Object]
THE PBL TUTORIAL PROCESS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
How does problem-based learning work? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
e.g., 6-week Cardiovascular Unit ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case presentation
How does a case serve as a stimulus for learning ?
Example:  PBL tutorial process ,[object Object],Mary  Smith, a  28 -year-old  office worker  and part-time  swimming instructor , comes to see her GP because of  pain in her chest and shortness of breath .  This has been a  recurring  problem in recent months and seems to be gradually  worse . On the previous evening,  while participating in a swimming gala,  she became so short of breath that she found it  difficult to walk.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],discuss, extract, identify, summarize brainstorm decide
Additional information ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5. Defining learning objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
5. Defining   learning objectives (cont.) ,[object Object],[object Object],[object Object]
5. Defining   learning objectives (cont.) ,[object Object],[object Object]
6. Reporting back ,[object Object],[object Object]
 
7. Integrating new knowledge ,[object Object],[object Object]
How do I get started with PBL? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How to create effective PBL scenarios ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHECKLIST FOR PROBLEM CONSTRUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Handouts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Handouts  (cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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PBL IN MEDICAL EDUCATION

  • 1. PROBLEM-BASED LEARNING In Medical Education Presented by: Dr. Soha Rashed Aref Mostafa Prof. of Community Medicine Member of Medical Education Department Faculty of Medicine Alexandria University Egypt
  • 2. Teacher-centered Student-centered New-Innovative Curricula Traditional Medical Curricula Information gathering Problem-based Discipline-based Integrated Hospital based Community-based Standard Elective Apprenticeship-based Systematic  Continuum  S P I C E S SPICES
  • 4.
  • 5. The case serves as a stimulus for learning
  • 6.
  • 7.
  • 9. Integrated systems-based Traditional discipline-based Educational strategy - The problem comes first without advance readings, lectures, or preparation. - The problem serves as a stimulus for the need to know. - Based on their own prior knowledge and the identified gaps in that knowledge, students determine the learning issues within their own group. They then identify and use a variety of learning resources to study these issues and return to the group to discuss and share what they have learned. - The focus is on preparatory learning prior to exposure to the problem. - The staff set the problems ( case history problems in a primarily lecture- based format ), and students attempt to resolve them using previously taught curricular content. Main characteristics PROBLEM-BASED LEARNING PROBLEM SOLVING
  • 10. The student decides what he/she needs to learn Teacher Who is responsible for directing the learning activities Learning becomes dependent upon the self-directed efforts of the small group. This method creates a more active, student-centered learning environment Passive, teacher-centered Learning environment Tutor/Facilitator Content expert Role of the teacher PROBLEM-BASED LEARNING PROBLEM SOLVING
  • 11.
  • 12. It differs fundamentally from our traditional curricula, in which students: apply this knowledge to the diagnosis and management of clinical problems Clinical phase (years 4-6) acquire "background" knowledge of the basic sciences Preclinical phase (years 1-3)
  • 13.
  • 14.
  • 15.
  • 17.
  • 18.
  • 19.
  • 20.  
  • 21. PBL: the claims and the evidence
  • 22.  
  • 24.
  • 25. The place of PBL in the curriculum
  • 26. Teacher-centered Student-centered New-Innovative Curricula Traditional Medical Curricula Information gathering Problem-based Discipline-based Integrated Hospital based Community-based Standard Elective Apprenticeship-based Systematic  Continuum  S P I C E S SPICES Emphasis on PBL ranges Dominance of the curriculum Minor supporting role
  • 27. Problem-based learning Clinical Apprenticeship Model Time in the curriculum Preclinical phase Clinical phase
  • 28. A PBL-based curriculum is typically organized into a number of units based on body systems. Each unit is based on a number of PBL Cases (case=hypothetical patient whose problem requires analysis and resolution).
  • 29.  
  • 30.
  • 31.
  • 32.
  • 33.  
  • 34.  
  • 35.
  • 36.
  • 38. How does a case serve as a stimulus for learning ?
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.  
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.