Sungkyunkwan University School of Medicine, Korea.
Med Teach. 2013;35(3):e978-83. doi: 10.3109/0142159X.2012.717185. Epub 2012 Sep 3.
Medical educators should promote the development of student clinical reasoning toward independence in clinical settings. The objective of this study was to evaluate an online problem-based learning (e-PBL) model designed to promote student individual reasoning in supplement to traditional PBL.
Twelve e-PBL modules were added to the fully problem-based curriculum for Year 2 at Sungkyunkwan University School of Medicine (SKKUSOM). In this e-PBL, students worked on the problems individually in an online setting, followed by face-to-face discussions in a colloquium. The cases were presented using interactive multimedia to enhance the authenticity of the case and stimulate student interest in learning. A formative evaluation study was conducted to determine student satisfaction with e-PBL and its effectiveness as perceived by the students using both quantitative and qualitative methods. A cohort of Year 2 students at SKKUSOM (n = 38) took part in this study.
Students perceived e-PBL significantly more positively after they had taken a module in terms of its ability to foster problem-solving skills and its ability to allow them to learn in ways suited to individual learning styles. Additionally, student survey and interview revealed that a vast majority of students were satisfied with the overall learning process in e-PBL and perceived it positively in fostering knowledge acquisition and clinical reasoning. Moreover, students found the cases realistic and engaging.
The results show the potential of e-PBL to enhance traditional PBL by promoting the development of individual reasoning in a flexible online-learning environment and offering cases in an interactive multimedia format, which warrants further investigation into its impact on student learning outcomes.
医学教育者应在临床环境中促进学生临床推理向独立发展。本研究的目的是评估一种在线基于问题的学习(e-PBL)模式,旨在促进学生的个体推理,作为传统 PBL 的补充。
在成均馆大学医学院(SKKUSOM)的二年级完全基于问题的课程中增加了 12 个 e-PBL 模块。在这种 e-PBL 中,学生在线独立解决问题,然后在研讨会上进行面对面讨论。案例使用互动多媒体呈现,以增强案例的真实性并激发学生的学习兴趣。采用形成性评估研究来确定学生对 e-PBL 的满意度及其对学生的有效性,使用定量和定性方法。SKKUSOM 的二年级学生(n=38)参加了这项研究。
学生在参加了一个模块后,对 e-PBL 的看法明显更为积极,认为它能够培养解决问题的能力,并且能够让他们以适合个人学习风格的方式学习。此外,学生的调查和访谈显示,绝大多数学生对 e-PBL 的整体学习过程感到满意,并认为它在促进知识获取和临床推理方面具有积极作用。此外,学生认为案例真实且引人入胜。
结果表明,e-PBL 具有通过在灵活的在线学习环境中促进个体推理的发展并以互动多媒体格式提供案例来增强传统 PBL 的潜力,这值得进一步研究其对学生学习成果的影响。