Life-long education: problem-based learning. Part 1

In the first of two articles, the authors describe how nurses in the urology department at Battle Hospital overcame several obstacles and developed a new learning module which could eventually be used by all nurses whatever their experience. The second article will discuss how the module has developed and will be published shortly.     

Library faculty role in problem-based learning: facilitating small groups

Since 1986, the library faculty of the McGoogan Library of Medicine at the University of Nebraska Medical Center (UNMC) has participated in small group activities during the week-long orientation for first-year medical students. This involvement paved the way for library faculty members to act as facilitators for small groups of medical students within the new problem-based learning (PBL) curriculum introduced in 1992 by the College of Medicine. The UNMC curriculum consists of traditional PBL groups as well as Integrated Clinical Experience (ICE) small groups. The ICE groups provide opportunities for discussion of the social and behavioral issues that arise in medicine, with the majority of the sessions designed to give students interviewing practice with simulated patients. The ICE small groups meet once a week with either one or two facilitators. Several library faculty members act as facilitators for ICE groups. As a result of this involvement, librarian contacts with College of Medicine faculty have grown in number and depth, there has been a corresponding increase in related activities with the first- and second-year medical students. Participation in ICE groups has caused some difficulties with respect to library work schedules, but it has been immensely rewarding and enriching in terms of professional growth. This paper describes the UNMC curriculum, the evolution and extent of the librarians' involvement, and the future involvement, ramifications, and challenges envisioned for McGoogan faculty and their medical library colleagues.     

Students'' perceptions of problem-based learning at the B.P. Koirala Institute of Health Sciences, Nepal

Serological diagnosis of filariasis is generally known to be more reliable than detection of microfilariae. The recently developed Og4C3 enzyme-linked immunosorbent assay (ELISA) for detecting Wuchereria bancrofti circulating antigen has been shown to be very sensitive in diagnosing filiariasis using serum samples. The commercially available form of this ELISA, using whole blood collected on filter paper, has not been validated independently. We evaluated the sensitivity of this new method against standard 20 microL night blood films in 1808 paired samples from 18 communities in different endemic areas of Ghana. The diagnostic performance of the method was consistently low in all but 2 communities (sensitivity = 50.3%). This method of diagnosing filariasis is not suitable for field use in its present form.     

Teaching neonatal nursing: experiences of teachers and students

This study is about the theoretical and theoric-practical courses of ENF02215 and ENF 02216, which focuses the care of the newborn, and his/her family, at Nursing School of Universidade Federal do Rio Grande do Sul. Also reports nursing students activities, enclose teaching plans, laboratory records and a guide-list to write the history and physical examination of newborn.     

Non-cognitive characteristics of medical students: entry to problem-based and lecture-based curricula

Integration of sociological research findings into the study of late life individual development is attempted. The human lifecourse is presenting itself as de-standardized and individualized. Phases of renewed learning and selfmanaged changes become requirements for fulfilment in late life. The labor market and technological change contribute to the fragmentation of the life course. More attention has to be payed to train for a learning of re-learning, and for the capacities of the self to respond creatively to changes in the biography. One important element in increased endeavour in this context is the attempt to face intergenerational differences and to learn to grow with conflict even in old age.     

Teachers' perceptions of their relationships with students: Effects of child age, gender, and ethnicity of teachers and children.

This study assessed the extent to which teachers' perceptions of their relationships with young students varied as a function of child and teacher characteristics in a large, demographically diverse sample of 197 preschool and kindergarten teachers and 840 children (mean age 4 yrs 7 mo old). Children were approximately evenly divided between boys and girls. Regression analyses were conducted to examine the relation between teachers' perceptions of their relationships with students and (a) teacher ethnicity, (b) child age, ethnicity, and gender, and (c) the ethnic match between teacher and child. Child age and ethnicity and teacher–child ethnic match were consistently related to teachers perceptions, explaining up to 27% of the variance in perceptions of negative aspects of the teacher–child relationship, specifically teacher–child conflict. When child and teacher had the same ethnicity, teachers rated their relationships with children more positively. The results are discussed in terms of classroom social processes related to children's adjustment and the measurement of teacher–child relationships. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Implementing problem-based learning in a family medicine clerkship

BACKGROUND AND OBJECTIVES: Problem-based learning (PBL) has been implemented in the curriculum of many medical schools, but limited information is available about the outcome of this learning technique. The educational intervention presented in this paper implemented a PBL learning component in our third-year family medicine clerkship and measured the outcomes of this curricular change. METHODS: One third of the curricular time devoted to didactic teaching in our family medicine clerkship was replaced with PBL activities. Simulated cases were developed and presented to students who, with the aid of faculty facilitators, studied the cases, gathered information about the cases, and developed diagnostic and management plans for the cases. The outcome of the intervention was measured by a) comparing students' scores on the National Board of Medical Examiners (NBME) family medicine clerkship examination to scores achieved by students in the year before PBL was introduced and b) students' evaluations of the relevance and success of PBL in the clerkship curriculum. RESULTS: Students' NBME clerkship examination scores increased from a mean of 66 the year before PBL began to 73 after PBL was implemented. More than 80% of students reported that PBL was a good way to learn family medicine, and 85% reported that the PBL technique provided sufficient information to formulate learning issues. CONCLUSIONS: PBL can be introduced into a third-year family medicine clerkship curriculum with general acceptance by students. Students rated the technique highly, and their examination scores improved.     

Exploring the potential of problem-based learning in nurse education

Despite the increased attention that problem-based learning has received as an appropriate pedagogical technique for educating adults for professional practice, reports that evaluate the process are rare and usually relate to professions other than nursing. A study was undertaken in order to discover the graduates' own perceptions of a problem-based learning programme and its effectiveness in preparing them for the reality of their chosen profession. Twelve practising graduate nurses who had completed the programme were interviewed according to the ethnographic method. Three categories were identified from the data: 'and all of a sudden...', which describes the transition from PBL student to staff nurse; 'not an unthinking assistant', where the characteristics that the PBL graduates believe make them different from traditionally trained nurses are described; and 'the buck stops here', which describes the sense of personal responsibility that the graduates experience in terms of their learning and actions.     

The behaviors, interactions, and perceptions of junior high school students during small-group learning.

The study investigated the behaviors, interactions, and perceptions of junior high school students as they worked in structured or unstructured cooperative learning groups on problem-solving, curriculum-based tasks in mathematics, science, and English. Two hundred twenty students in Grade 8 participated in the study, which was conducted across 3 school terms. The students worked in 4-person, gender-balanced, heterogeneous achievement groups. The results show that the children in the structured groups were more cooperative and provided more relevant verbal help and assistance to each other as they worked together in their groups than their peers in the unstructured groups. Furthermore, they had stronger perceptions of small-group work as being enjoyable and providing them with the opportunity to do quality work together. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Wiki环境下基于问题的大学英语协作学习模式研究

本文介绍了Wiki及基于问题的协作学习的基本概念,分析了Wiki运用于PBL的天然优势,构建了在Wiki环境下基于问题的协作学习的大学英语教学模式及其学习效果的评价标准.Wiki CPBL模式是一个互动的过程,并追求不断的改进.     

Autonomy-supportive teachers: How they teach and motivate students.

The authors examined motivating style in terms of a teacher's disposition to control students or support their autonomy. In Study 1, 4 independent samples of preservice teachers completed the Problems in Schools (PS) questionnaire so the authors could critically evaluate the instrument to assess motivating style as an individual difference characteristic. In Study 2, preservice teachers taught a 10-min instructional episode as raters judged their language and style. In Study 3, elementary and high school teachers self-reported a recent attempt to teach and motivate one of their students. Compared with their controlling counterparts, autonomy-supportive teachers showed a distinctive motivating style as measured by their conversational behaviors, interpersonal style, and attempts to support students' intrinsic motivational and internalization processes. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Enhancing assignment perceptions in students with mathematics learning disabilities by including more work: An extension of interspersal research.

Active student responding is often required to remedy computation skill deficits in students with learning disabilities. However, these students may find computation assignments unrewarding and frustrating, and be less likely to choose to engage in assigned computation tasks. In the current study, middle school students with learning disabilities worked on control assignments containing 15 four-digit minus four-digit target computation problems and interspersal assignments containing 15 similar problems and five additional one-digit minus one-digit problems. Results showed that interspersing the brief problems did not reduce target problem accuracy levels or opportunities to respond to target problems. Students did complete more total problems (i.e., target and single-digit problems) on the interspersal assignment. Even though the interspersal assignment contained more work, significantly more students rated it as requiring less effort to complete and selected it for homework. Discussion focuses on applied implications, causal mechanisms, and future research related to the interspersal procedure and the discrete task completion hypothesis. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The Malm? model: a problem-based learning curriculum in undergraduate dental education

A new undergraduate dental curriculum was introduced in Malm? in 1990 which is based on problem-based learning (PBL). The principles of PBL are strongly influenced by evidence from cognitive psychology and they form the educational strategy throughout the whole curriculum. Two further essential principles underpin the curriculum: a holistic attitude to patient care, and the promotion of oral health. Basic sciences and clinical dentistry are integrated within a structure based on oral conditions prevalent in the community. Students are encouraged to build their new knowledge, understanding and skills into the context of what they have already learned. This approach is facilitated by the presentation of conceptual models, one of which, The Oral Ecosystem is described in detail. The educational programme also gives students opportunities to learn in the clinical context from an early stage, and we endeavour to promote a scientific attitude from the very beginning of the programme. This paper describes the curriculum at three organisational levels (whole curriculum, single course, individual week).     

The Women's Health Curriculum by a problem-based learning method for medical students at the University of California, San Francisco

OBJECTIVES: Our objectives were to (1) expand and strengthen the women's health curriculum at the University of California, San Francisco, and (2) evaluate the responses of both medical students and faculty to this curriculum. STUDY DESIGN: A written evaluation of the curriculum in women's health was completed by both students and faculty. Variables studied included mean scores of cases, the overall course score, and the preferences of medical students for faculty specialty in teaching the small groups. RESULTS: The overall course evaluation score was 7.81 (range 1 to 10). For those students who had both faculty from internal medicine or family medicine and obstetrics and gynecology, there was a strong preference that obstetrician-gynecologists teach the majority of the cases. CONCLUSIONS: The new case-based curriculum in women's health was enthusiastically received by both medical students and faculty.     

Clinical teachers as humanistic caregivers and educators: perceptions of senior clerks and second-year residents

BACKGROUND: The acquisition and nurturing of humanistic skills and attitudes constitute an important aim of medical education. In order to assess how conducive the physician-learning environment is to the acquisition of these skills, the authors determined the extent to which clinical teachers are perceived by their trainees as humanistic with patients and students, and they explored whether undergraduate and graduate students share the same perceptions. METHODS: A mail survey was conducted in 1994/95 of all senior clerks and second-year residents at Laval University, University of Montreal and University of Sherbrooke medical schools. Of 774 trainees, 259 senior clerks and 238 second-year residents returned the questionnaire, for an overall response rate of 64%. Students' perceptions of their teachers were measured on a 6-point Likert scale applied to statements about teachers' attitudes toward the patient (5 items) and toward the student (5 items). RESULTS: On average, only 46% of the senior clerks agreed that their teachers displayed the humanistic characteristics of interest. They were especially critical of their teachers' apparent lack of sensitivity, with as many as 3 out of 4 declaring that their teachers seemed to be unconcerned about how patients adapt psychologically to their illnesses (75% of clerks) and that their teachers did not try to understand students' difficulties (78%) or to support students who have difficulties (77%). Compared with the clerks, the second-year residents were significantly less critical, those with negative perceptions varying from 27% to 58%, 40% on average. Except for this difference, their pattern of responses from one item to another was similar. INTERPRETATION: This study suggests the existence of a substantial gap between what medical trainees are expected to learn and what they actually experience over the course of their training. Because such a gap could represent a significant barrier to the acquisition of important skills, more and urgent research is needed to understand better the factors influencing students' perceptions.