COMPARISON OF PROBLEM BASED WITH CASE BASED LEARNING: A CROSS-SECTIONAL STUDY
DOI:
https://doi.org/10.69656/pjp.v13i4.295Keywords:
Problem based learning, case based learning, medical studentsAbstract
Background: Problem-based learning (PBL) and case-based learning (CBL) are teaching methodologies, which regulate self-directed learning skills. In medical schools of Pakistan either or both are being consistently used in the undergraduate and postgraduate curriculum. The objective of our study was to compare CBL with PBL on the basis of perception of those students who have observed this transition of learning methodologies in the undergraduate medical curriculum. Methods: It was a cross sectional comparative study, conducted from February to May 2016 whereby all 3rd year medical students who were exposed to PBL in the third year of education after two years experience of CBL were included. Response of students on the usefulness of PBL was acquired on 5-point Likert scale. Results were compared by chi square test. Result: The complete response was obtained from 212 students. Eighty four percent students preferred PBL over CBL (p<0.01). PBL significantly assisted students to; identify gaps in knowledge, improve their areas of weakness, manage time, make decisions, solve problems, use critical reasoning skills and communicate with each other (p<0.01) in comparison to CBL. It enhanced the ability to find information from internet and libraries. Students recommended that PBLs were time consuming and proper training of facilitators was required as compared to CBL. They were convinced with system of education of CBL followed by PBL. Conclusion: The PBL was effective in terms of retention of concepts, critical reasoning and problem-solving approaches yet satisfaction with the current system of education elucidated role of CBL in the first two years of undergraduate medical curriculum to prepare students through guided enquiry and presentation of clinical scenarios. Proper training of facilitators will be a key point to improve learning of students through PBLs.
Pak J Physiol 2017;13(4):52–6
Downloads
References
2. Gijselaers WH, Schmidt HG. Development and evaluation of a causal model of problem-based learning. In: Nooman ZH, Schmidt HG, Ezzat ES (Eds.), Innovation in medical education: An evaluation of its present status. New York: Springer; 1990. p.95–102.
3. Loyens SM, Magda J, Rikers RM. Self-directed learning in problem-based learning and its relationships with self-regulated learning. Educ Psychol Rev 2008;20(4):411–27.
4. Demirören M, Turan S, Öztuna D. Medical students’ self-efficacy in problem-based learning and its relationship with self-regulated learning. Med Educ online. 2016;21:30049.
5. Salam A, Besar MNA, Kamaruddin MA, Mohamad N. Classroom audit: student self-performance, group performance, and tutor performance in a problem-based learning tutorial. AJTLHE: Asean J Teach Learn High Educ 2011;3(1):28–35.
6. Fosi-Mbantenkhu J. How to design problems for problem-based curriculum: Problem-based Learning Consultancy; St. Augustine. 1996.
7. Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C, Matthews P, et al. The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Med Teach 2012;34(6):e421–44.
8. Schmidt H. Assumptions underlying self-directed learning may be false. Med Educ 2000;34(4):243–5.
9. Barrows HS. A taxonomy of problem-based learning methods. Med Educ 1986;20(6):481–6.
10. Asad M, Iqbal K, Sabir M. Effectiveness of problem based learning as a strategy to foster problem solving and critical reasoning skills among medical students. J Ayub Med Coll Abbottabad 2015;27(3):604–7.
11. Rehman R. Clinically oriented teaching of physiology through case based lecturing. Pak J Physiol 2014;10(1-2):15–7.
12. Banchi H, Bell R. The many levels of inquiry. Sci Child 2008;46(2):26–9.
13. Ricci FL, Consorti F, Gentile M, Messineo L, La Guardia D, Arrigo M, et al. Case-Based Learning: A Formal Approach to Generate Health Case Studies from Electronic Healthcare Records. In: Hofdijk J, Seroussi B, Lovis C. (Eds). Transforming Healthcare with the Internet of Things: Proceedings of the EFMI Special Topic Conference. Washington DC: IOS Press; 2016. p. 107.
14. Nadershahi NA, Bender DJ, Beck L, Lyon C, Blaseio A. An overview of case-based and problem-based learning methodologies for dental education. J Dent Educ 2013;77(10):1300–5.
15. Schmidt HG, Rotgans JI, Yew EH. The process of problem-based learning: what works and why. Med Educ 2011;45(8):792–806.
16. Khoo HE. Implementation of problem-based learning in Asian medical schools and students' perceptions of their experience. Med Educ 2003;37(5):401–9.
17. Batman C, Tsuchiya L, Treseder M. Problem-solving Skills for Librarians. LOEX Conf Proc 2011 [Internet]. 2013 Dec 1; Available from: http://commons.emich.edu/loexconf2011/35.
18. Oda Y, Koizumi S. Status of medical education reform at Saga Medical School 5 years after introducing PBL. Kaohsiung J Med Sci 2008;24(3 Suppl):S46–53.
19. Das M, Mpofu D, Hasan MY, Stewart T. Student perceptions of tutor skills in problem-based learning tutorials. Med Educ 2002;36(3):272–8.
20. Scaffa ME, Wooster DM. Effects of problem-based learning on clinical reasoning in occupational therapy. Am J Occup Ther 2004;58(3):333–6.
21. Tiwari A, Lai P, So M, Yuen K. A comparison of the effects of problem-based learning and lecturing on the development of students’ critical thinking. Med Educ 2006;40(6):547–54.
22. Cónsul-Giribet M, Medina-Moya JL. Strengths and weaknesses of problem based learning from the professional perspective of registered nurses. Rev Lat Am Enfermagem 2014;22(5):724–30.
23. Ceconi A. Influence of Problem-Based Learning Instruction on Decision-Making Skills in Respiratory Therapy Students. Seton Hall Univ Diss Theses ETDs [Internet]. 2006; Available from: http://scholarship.shu.edu/dissertations/473
24. Dolmans DH, De Grave W, Wolfhagen IH, van der Vleuten CP. Problem-based learning: Future challenges for educational practice and research. Med Educ 2005;39(7):732–41.
25. Caffarella RS. Self-directed learning. New Dir Adult Contin Educ 1993;(57):25–35.
26. Gwee MC. Globalization of problem-based learning (PBL): cross-cultural implications. Kaohsiung J Med Sci 2008;24(3 Suppl):S14–22.
27. Srinivasan M, Wilkes M, Stevenson F, Nguyen T, Slavin S. Comparing problem-based learning with case-based learning: effects of a major curricular shift at two institutions. Acad Med 2007;82(1):74–82.
Downloads
Published
How to Cite
Issue
Section
License
Pakistan Journal of Physiology, Pak J Physiol, PJP is FREE for research and academic purposes. It can be freely downloaded and stored, printed, presented, projected, cited and quoted with full reference of, and acknowledgement to the author(s) and the PJP. The contents are published with an international CC-BY-ND-4.0 License.