Implementation and evaluation of problem-based learning in general practice.
1995 (English)Doctoral thesis, comprehensive summary (Other academic)
The Faculty of Health Sciences, Linköping, Sweden, started the reformedmedical curriculum in 1986. Problem-based Learning as an educational method was introduced into the entire curriculum. It was a response to requests for community-orientation by increasing the involvement of general practice. A new extensive communication skills training - the 'Strand', a new form of examination- 'phase examination', and recurrent clerkships in general practice in the clinical phase were also introduced. The medical cuniculum, with its focus on general practice, together with these innovations are presented in a case report of its implementation and development.
The similarities between quality assurance and problem-based learning, as processes and methods, are also identified, described and discussed.
Two of the innovations where general practice is a main contributor, namely, the clerkships in general practice and the phase examination 1 and 2 have been evaluated. Of the 115 students, in semester six to nine in the autumn of 1992, 74% filled in the clerkship evaluation questionnaire. The overall rating was very positive. Regression analysis of the rated variables showed that the quality of the tutoring was the strongest determinator of the overall rating. No decline in the students' ratings in the latter semesters was found.
A qualitative study was made on all free comments made by the same study group in the same questionnaires. This study identified an area not covered in the quantitative evaluation, the important elements of the student-tutor relationship.
The 'phase examinations' have been found to be a valid assessment ofcommunication skills, integrative knowledge and the search for scientificinformation. The use of general practitioners as assessors has strengthened the role of general practice in the curriculum.
Place, publisher, year, edition, pages
Linköping: Linköpings universitet , 1995. , 69 p.
Linköping University Medical Dissertations, ISSN 0345-0082 ; 473
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-27480Local ID: 12134ISBN: 71-7871-326-9OAI: oai:DiVA.org:liu-27480DiVA: diva2:248032
1995-12-08, Berzeliussalen, Universitetssjukhuset, Linköping, 09:00 (Swedish)
Engel, Charles, Professor
Papers, included in the Ph.D. thesis, are not registered and included in the posts from 1999 and backwards.2009-10-082009-10-082012-07-16Bibliographically approved