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A thorny path: the developmental course of problem-based learning for health sciences education in Asia

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Abstract

Problem-based learning (PBL), has been in existence for half a century as of 2019 and still remains the most innovative medical education innovation due to its revolutionary pedagogical approach characterized by student-centered learning (SCL) and self-directed learning (SDL) using simulated real-life scenarios as the learning platform. Here, learning becomes more self-driven, meaningful and relevant, pertaining to the social accountability principle of higher education. Being popular worldwide and driven by a strong demand for medical education reform during the past two decades, PBL has rapidly swept across the medical education communities in Asian countries. Many medical schools in Asia were drawn in by the innovative pedagogical methodology that PBL embraces, but tended to neglect with time, often unintentionally, the philosophy that PBL embodies. As a result, PBL in Asia, for various local academic, cultural, economic and administrative reasons started drifting away from its intended educational purposes. Consequently, the acceptance and practice of PBL in Asia has taken compromised forms as PBL-hybrids embedded within long existing and incorrigibly traditional curricula, or other less effective forms for easier implementation and management, at the expense of SCL and SDL. PBL in health sciences education, which has had a 50-year flourishment in the West, remains a continuous struggle in Asia. PBL for health science education in Asia is certainly no panacea, and is probably heading for a thorny path, despite the ultimate hope for a promising future.

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References

  • Achike, F. I., Lee, M. C., Lin, H. W., Chou, F. C., Hsin, H. C., & Kwan, C. Y. (2015). Promoting interprofessional education (IPE) with PBL through the Biennial Asia-Pacific joint conference on PBL (APJC-PBL). Journal of Medical Education,19, 153–162.

    Google Scholar 

  • Barrows, H., & Tamblyn, R. (1980). Problem-based learning: An approach to medical education (p. 1980). New York: Springer.

    Google Scholar 

  • Bian, J. H. (2016). Seeking to lead timely innovations in medical education in China: An evolving story of Shantou University Medical College. Journal of Medical Education,20, 271–275.

    Google Scholar 

  • Chan, L. C. (2009). Factors affecting the quality of problem-based learning in a hybrid medical education. Kaohsiung Journal of Medical Education,25, 254–257.

    Article  Google Scholar 

  • Chang, B. H., Yeo, S. H., & Lee, J. T. (2016). PBL in Korean Medical Schools: Point of view. Journal of Medical Education,20(Supplement), 216–220.

    Google Scholar 

  • Chou, C. C., Kwan, C. Y., & Hsin, H. C. (2016). Examining the effects of interprofessional problem-based clinical ethics: Findings from a mixed methods study. Journal of Interprofessional Care,30, 362–369.

    Article  Google Scholar 

  • Glew, R. H. (2003). The problem-with problem-based medical education: Promises not kept. Biochemistry and Molecular Biology Education,31, 52–56.

    Article  Google Scholar 

  • Gwee, M. C., & Tan, C. H. (2001). Problem-based learning in a medical education: The Singapore hybrid. Annual of Academic Medicine in Singapore,30, 356–362.

    Google Scholar 

  • Houlden, R. L., Collier, C. P., Frid, P. J., John, S. L., & Pross, H. (2001). Problems identified by tutors in a hybrid problem-based learning curriculum. Academic Medicine,2001(76), 81.

    Article  Google Scholar 

  • Hsin, H. C., Tai, C. J., & Wu, H. J. (2011). Design of PBL cases in bioethical education spanning across general and professional education. Journal of Medical Education,15, 307314.

    Google Scholar 

  • Huang, G., & Kwan, C. Y. (Eds.). (2014). Medical education in China: Theory and application. Beijing: People’s Health Publisher (Chinese).

    Google Scholar 

  • Khoo, H. E. (2003). Implementation of problem-based learning in Asian medical schools and student’s perception of their experience. Medical Education,37, 401–409.

    Article  Google Scholar 

  • Kozu, T. (2016). Reviewing the role of Asia-Pacific joint conference on PBL. Journal of Medical Education,20(3), 204–215.

    Google Scholar 

  • Kwan, C. Y. (2002). Teaching of human physiology as it relates to changes in medical education an asian perspective based on the Yin-Yang principle. Journal of Medical Education, 6, 449–460.

    Google Scholar 

  • Kwan, C. Y. (2016). Commentary: 5 decades of Skepticism about PBL in medical education: Reflection and outlook in the Asia Pacific Context. Journal of Medical Education,20, 1–10.

    Google Scholar 

  • Kwan, C. Y., Barnett, A., Ceaser, J., Cunje, A., Gamble, P., Ball, A., et al. (2000). Learning dynamics in problem-based leaning. Journal of Medical Education,2, 131–139.

    Google Scholar 

  • Kwan, C. Y., Griffin, T., Hosein, A., Howell, K., Huber-Okrainec, J., & Hussain, Y. (2003). Students’ perspectives on early clinical exposure during the first 12 weeks of medical education at McMaster University. Journal of Medical Education,7, 3–14.

    Google Scholar 

  • Kwan, C. Y., & Hsin, H. C. (Eds.). (2018). PBL: Construction of learning platform—Case design, writing and assessment. Beijing: Beijing University Medical Publisher (Chinese).

    Google Scholar 

  • Kwan, C. Y., Kraftcheck, E., Knowles, L., Ip, T., Johnson, M., Kanji, J., et al. (2005). PBL-associated stress in the 5-year unit-medical students at McMaster University. Journal of Medical Education,9, 1–17.

    Google Scholar 

  • Kwan, C. Y., & Lee, M. C. (Eds.). (2009). PBL: Concepts, methods, practice and experiences. Taiwan: Elsevier (Chinese).

    Google Scholar 

  • Kwan, C. Y., & Lee, M. C. (Eds.). (2015). PBL: Concepts, methods, practice and experiences (2nd ed.). Beijing: Beijing University Medical Publisher (Chinese).

    Google Scholar 

  • Kwan, C. Y., & Tam, L. (2009). Commentary: Hybrid PBL—What is in a name? Journal of Medical Education,13, 76–83.

    Google Scholar 

  • Kwan, C. Y., & Tam, L. (2016). A personal point of view on the drift towards teacher-centered learning in Asian PBL programs. Journal of Medical Education,19, 153–162.

    Google Scholar 

  • Lim, W. K. (2012). Dysfunctional problem-based learning curricula: Resolving the problem. BMS Medical Education,12, 89–96.

    Article  Google Scholar 

  • Liu, Y., Huang, Y. I., Lai, Y. N., Wang, Q., Wang, L. Y., & Qian, R. Z. (2016). Implementation of problem-based learning in undergraduate medical education in mainland China: A tough mission with promising future. Journal of Medical Education,20(Supplement), 237–247.

    Google Scholar 

  • Lloyd-Jones, G., Mrgeston, D., & Blight, J. D. (1998). Problem-based learning a coat of many colours. Medical Education,32, 492–494.

    Article  Google Scholar 

  • Malik, A. S., & Malik, R. H. (2002). Implementation of problem-based learning in the Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak. Journal of Medical Education,6, 79–86.

    Google Scholar 

  • Matsuo, O. (2016). Management of problem-based learning (PBL) curriculum in medical curriculum: Experiences and perspective. Journal of Medical Education,20, 127–134.

    Google Scholar 

  • Maudsley, G. (1999). Do we all mean the same thing by ‘problem-based Learning’? A review of the concepts and a formulation of the ground rules. Academic Medicine,74, 178–185.

    Article  Google Scholar 

  • Parmelee, D., Michaelsen, L. K., Cook, S., & Hudes, P. D. (2012). Team-based learning: A practical guide: AMEE guide No. 65. Medical Teacher,34, e275–e287.

    Article  Google Scholar 

  • Servant, V. F. C. (2013). PBL in Japan, Hong Kong and Taiwan, Malaysia, Singapore and Indonesia. Promethea education consultant report.

  • Servant, V. F. C., Kwan, C. Y., & Prihatiningsih, T. S. (2013). A case-study of “comprehensive” undergraduate PBL programs in two Asian Medical Schools. Journal of Medical Education,17, 64–79.

    Google Scholar 

  • Sim, S. M., & Tan, C. P. L. (2016). Historical development of the Asia-Pacific Association on problem-based learning in health sciences (APA-PHS) and the subsequent formation of Asia-Pacific joint conference on problem-based learning (APJC-PBL). Journal of Medical Education,20(Supplement), 191–203.

    Google Scholar 

  • Tam, L. Q., & Kwan, C. Y. (2011). Commentary: From “Senpai” PBL tutors to TBL student preceptors in Asian Medical Schools. In search of solutions to Asian attitudes to learning and large student classes. Journal of Medical Education,15, 315–322.

    Google Scholar 

  • Tsai, M. F., Sheu, C. C., Tsai, J. C., Tien, Y. C., & Liu, K. M. (2016). Constructing a conceptual model for team-based learning program in medical school through a qualitative lens. Journal of Medical Education,20, 22–32.

    Google Scholar 

  • Tu, M. J., Yu, C. H., Wu, L. T., Li, T. C., & Kwan, C. Y. (2012). Dental and medical students’ perspectives on early exposure to PBL in Taiwan. Journal of Dental Education,76, 746–751.

    Google Scholar 

  • Wu, L. T., Hsu, L. C., Sun, S. S., Wu, H. C., Tu, M. G., & Kwan, C. Y. (2012). The change of student perception toward PBL in a medical school with a hybrid-PBL preclinical curriculum in Taiwan. Journal of Medical Education,16, 97–113.

    Google Scholar 

  • Xin, G., Long, T., & Zhang, Z. F. (2016). Designing and evaluating of a systematically structured PBL tutor training program. Journal of Medical Education,20(Supplement), 250–257.

    Google Scholar 

  • Xu, P. (Ed.). (2015). PBL: Our thoughts and practice. Beijing: People’s Health Publisher (Chinese).

    Google Scholar 

Download references

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Authors and Affiliations

  1. Professor Emeritus, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada

    Chiu-Yin Kwan

  2. Faculty of Basic Medical Sciences, Fudan University Shanghai Medical School, Shanghai, China

    Chiu-Yin Kwan

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  1. Chiu-Yin Kwan
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Correspondence to Chiu-Yin Kwan.

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Kwan, CY. A thorny path: the developmental course of problem-based learning for health sciences education in Asia. Adv in Health Sci Educ 24, 893–901 (2019). https://doi.org/10.1007/s10459-019-09920-6

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  • DOI: https://doi.org/10.1007/s10459-019-09920-6

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