What is Problem Based Learning?
For a consideration of Problem Based Learning it is interesting to start
with a definition offered by the McMaster Medical School, Canada, which is
the acknowledged origin of contemporary work in the area [1]:
"PBL is any learning environment in which the problem
drives the learning. That is, before students learn some knowledge they are
given a problem. The problem is posed so that the students discover that they
need to learn some new knowledge before they can solve the problem. In the
1960s McMaster Medical School introduced a learning environment that was a
combination of small group, cooperative, self-directed, interdependent, self-assessed
PBL. Since then this approach has been called 'PBL'."
Another definition offered by James Rhem at the National Teaching and Learning
Forum is that PBL is [2]:
"...learning that results from working with problems.
Official descriptions generally describe it as an instructional strategy
in which students confront contextualized, ill-structured problems and strive
to find meaningful solutions."
Diana Jones of San Diego State University DCDPBL Institute offers a useful
explanation describing PBL as [3]:
"Student centred; faculty-facilitated."
And that [3]:
"Problem-based learning is a pedagogical strategy for
posing significant, contextualized, real world situations, and providing resources,
guidance, and instruction to learners as they develop content knowledge and
problem-solving skills."
"In problem based learning, students collaborate to study the issues
of a problem as they strive to create viable solutions. Unlike traditional
instruction, which is often conducted in lecture format, teaching in problem
based learning normally occurs within small discussion groups of students
facilitated by a faculty tutor."
General consensus seems to converge around the idea that PBL is a problem
oriented, self directed form of discovery learning used in small group scenarios
with facilitation rather than instruction as the key input from tutoring staff.
There is also an implication that the learning of how to solve problems is
as much a desired outcome as the solution itself. This, it is suggested, better
equips students to deal with real problems that arise in later life or work
[4].
Key Features of PBL
PBL has been predominantly used in Higher Education, particularly in Medicine.
Samford University Center for PBL propose that PBL can be used [5]:
"as a framework for modules, courses, programs, or curricula..."
They cite the following characteristics [6]:
- Learning is student centered.
- Learning occurs in small student groups.
- Teachers are facilitators or guides.
- Problems form the organizing focus and stimulus for learning.
- Problems are a vehicle for the development of clinical problem-solving skills.
- New information is acquired through self-directed learning.
The modus operand for PBL is described succinctly by Rhem as the following
[2]:
"Usually, a class is divided into groups of approximately
five students each. The group membership generally remains constant throughout
the term. At the purest level, the groups define the "learning issues"
they believe each new problem presents and decide how to divide their labors
to resolve them. Thus, aggressive PBL implementation requires ample library
resources. Likewise, large class situations require an adequate number of tutors
to act as support and facilitators to the groups."
Samford defines the process as [7]:
- Students confront a problem.
- In groups, students organize prior knowledge and attempt to identify the nature
of the problem.
- Students pose questions about what they do not understand.
- Students design a plan to solve the problem and identify the resources they
need.
- Students begin to gather information as they work to solve the problem.
The key emphasis here is on the change of role for the student. Instead of
passively receiving instruction (as in objectivist learning) they are actively
constructing their knowledge and understanding of the situation and it's components,
in a group, rather than individual, environment.
The role of the tutor is similarly changed, instead of instructing students
or distributing knowledge and information, the tutor is instead facilitating
the learners progress by posing [2]:
"appropriate, authentic, open-ended
problems."
Interestingly, Samford does not, in the above process, describe any role
being played by a tutor or facilitator. McMasters actually suggest that tutorial
facilitation may not always be necessary and in fact suggests the use of tutorless
groups where [1]:
"We provide the students with the training we give to
tutors; we empower the student groups to be autonomous and accountable, with
the tutor's role being to monitor and hold the individuals and groups accountable
for their learning."
History and Key Players
Problem based learning can be traced back to Socrates (c.469-399 BC) who
believed that self-education or self-discovery was the only true way to learn[8].
In 1910 John Dewey said [9]:
"If, nevertheless, the situation as a whole presents something novel
and hence uncertain, the entire response is not mechanical, because this mechanical
operation is put to use in solving a problem. There is no end to this spiral
process: foreign subject matter transformed through thinking into a familiar
possession becomes a resource for judging and assimilating additional foreign
subject-matter."
In the 1950s Case Western Reserve University pioneered pedagogy whereby they
incorporated instructional methods and strategies into a multidisciplinary
laboratory [10].
1965: the Faculty of Health Sciences at the McMaster University Medical School,
Canada are considered to be the founders of PBL (introduced as a tutorial
method) [11].
In the 1980s the Maastricht Faculty of Medicine became the second in the
world to implement Problem Based Learning as the dominant educational strategy
in medical education. The school has since enriched its approach with other
additions including a progress test and a clinical skills training programme
for undergraduates.
Teaching method soon adopted by medical schools of other universities including
Newcastle (Australia), University of New Mexico, Harvard, etc.. 80% of medical
schools now use the method.
PBL first evolved as a descriptive rather than analytical process [12].
The structure of PBL was further developed by San Diego State University during
the 1990s, and this work now serves as the basis for the curriculum in many
university faculties [13].
Howard Burrowsconsidered one of the 'fathers' of PBLworking
at the Medical School at Southern Illinois University develops PBL workshops
and demonstrations for teachers within schools, universities, and professional
schools wanting to adopt PBL methodology [14].
In 1998 Pew Charitable Trusts donate $600,000 each to Samford University,
Alabama and the University of Delaware to investigate "restructuring
traditional instruction along problem-based lines". Thomas Corts of Samford
University states that PBL is [15]:
"...a newly recovered style of learning."
The Internet, email, dedicated PBL journals, conferences, and books have
facilitated the widespread use of PBL in schools and undergraduate programs.
There is perceived to be a need to manage the 'information explosion' which
can no longer be covered by traditional teaching methods. At the same time,
employers and students call for greater accountability [14].
Benefits of PBL
To look at the benefits of Problem Based Learning it is necessary to review
where it differs from traditional (or objectivist) learning [16]:
- In traditional learning the student depended upon the teacher as expert.
By this we mean that the teacher directed the thinking, held relevant knowledge
and evaluated the students using a number of methods.
- In a PBL environment the learning is centred on the need to find solutions
to problems. This allows the students to investigate, discuss and explore
with the teacher as a facilitator and coach.
The benefits of PBL for the learner are a way of perceiving that which engages
them in curiosity and stimulation. This can bring about motivation by questioning,
searching and finding solutions within the real world. This kind of learning
allows student to seek solutions in a safe environment, it allows for critical
thinking in a group activity and it can provide opportunity for growth with
learners seeing and observing others.
With all benefits there is a desirable outcome the approach taken by
Robbs and Meridith list these as:
- An increased retention of information;
- The development of an integrated (rather than discipline bound) knowledge
base;
- An encouragement towards lifelong learning;
- A greater exposure to clinical experience and at an earlier stage in the
curriculum;
- An increased student-staff liaison;
- An increase in overall motivation.
It can also be noted that the benefits can be attained at any given time,
ie a learner who undertakes a single study course of PBL experience may enhance
the emotional well-being of the participant and the quality of the learning
environment, as expressed by the learners [17].
Students learn to resolve problems in a group; identifying the problem, asking
questions on areas that they do not understand and designing a way of resolving
the problem by gathering information to the possible solution/outcome. Students
also develop problem-solving skills, the ability to self direct their learning,
their use of resources, presentation leadership skills, teamwork and team
building and proactive thinking. These skills play an active role when they
enter the work place.
In order that the benefits of PBL be realised it is necessary to be aware
of the issues that can cripple the process [18]:
- Poor content of the problem base learning;
- Amount of time required in planning and structuring real life problems;
- The role of the student: the student typically assumes that the teacher
is the oracle, the fount of all knowledge. This view becomes redundant and
now they have to adapt to a new paradigm;
- The role of the teacher: instead of the lecturer instigating discussion
and asking students to memorise informationthe transmission modelthe
teacher now acts more as facilitator;
- Generating appropriate problems that embodies both a general rule and
more specific objectives;
- Student assessment: more varied ways of assessing such as practical exams,
self-assessment, facilitator/tutor assessment.
This particular area was one which groups often identify as being a key issue
for practitioners of problem based learning and one which still needs to be
researched and worked on to find satisfactory solutions to the challenges it
creates. Accordingly the next section of this summary looks at the current thinking
in assessment in more detail.
Assessment within PBL
The way in which assessment schemes are designed and implemented within any
learning environment is absolutely crucial to its success: it is widely recognised
that assessment drives student behaviour [19,20,21].
An effective design scheme should include at least the following considerations:
1. Clearly define your goals and objectives: What are we trying to
assess? Make sure that the skills or attributes you wish to measure are actually
those tested. This is called the validity of the assessment. Is the
result accurate and will we get the same spread of results if tested on an
equivalent group of learners? This is called the reliability of the
assessment [22].
2. Strategy: Throughout the course different types of assessment will
be needed and an early decision will need to be made about overall strategy
[23]:
- Summative assessments are those used to determine a students overall
grade; they should be a measure of skills or knowledge acquired, behaviour
modified.
- Normative assessments are those used to provide feedback to both
learner and tutor about progress through the course; they are primarily
a feedback device.
- Continuous assessment integrates both normative and summative assessment
into the ongoing process of the course.
3. Techniques: It is generally considered that traditional assessment
techniques are too limited to accurately measure the learning that takes place
within PBL, so the range of techniques used is very wide, with many hybrid
schemes incorporating both written and practical elements (21,22):
- Written: essays; reports; logs or journals; word completion or
short-answer tests; MCQs.
- Practical: simulations; demonstrations; and presentations.
- Hybrid: concept maps; storyboards; or interrupted processes (structured
and timed assessments that may include research, written, and practical
elements). In an online context, 'drag-and-drop' assessments are widely
used.
The range, type, and particular design of appropriate assessments will be
largely dependent upon the subject domain. Within PBL there is also a wide
use of self-assessment, peer assessment, and tutor assessment techniques within
the context of group-based work. In these cases, the collection of relevant
and timely evidence is considered crucial [22].
4. Determine Criteria and Marking Systems: There are two basic methods
for determining marking criteria:
- Norm Referenced marking grades learners only within the context
of their own group.
- Criteria Referenced marking grades students against clearly delineated
and predetermined behaviours and learning goals.
It is generally considered that PBL is best suited to criteria referenced
marking [24]. The high incidence of group work does not
favour competitive marking schemes. Particularly when peer- and self-assessment
may be part of the course these matters may have important repercussions on
behaviour within groups and on final grades [25].
No matter what decisions are taken here, it is vital that criteria and marking
schemes are made public.
5. Online Learning: There are particular issues that relate to online
assessments, whether a PBL pedagogy is adopted or not:
- Summative assessment is very difficult to validate online. This is simply
because it becomes physically impossible to determine that the learner is
actually the person doing the assessment; that they do not have someone
helping them; that they do not have other technological or textual aids
at hand; and that timed tests are enforced. In order to overcome this, some
establishments require online students to attend locally appointed centres
where standard invigilated assessments are carried out [26,27,28].
- Designing practical assessments is very difficult. Within a medical context
there are reports of learners being sent packs which contain all the materials
necessary to carry out some practical procedure; these are then carried
out under local supervision [29].This may not be appropriate
or even possible within some subject areas, and it is also costly to produce
and implement.
Implications for Planning & Implementing PBL in
Higher Education
Literature and experiential evidence suggests that difficulties in PBL implementation
are mainly due to the changes in students & tutors roles.
Due to the seemingly apparent benefits of this constructivist approach the
Health and Nursing Faculty (of which one of the group preparing this report
is a member) is trying to implement PBL head-on. Progress so far suggests
that students do not want to take on self-directed study, nor are the tutors
fully aware of how their roles are changing. Changes in the role of tutors
& increased time demands placed in planning PBL curriculum is one of the
major issues impeding PBL development.
Engel defines integrated, cumulative, and progressive learning as the important
components of PBL [30]. These components can only be
included through collaborative planning & teaching and in an environment
where the different subject tutors are able to look beyond their subject expertise.
This is a challenge for tutors in an environment where collaborative working
is not a norm. There is a need for a faculty wide organisational, cultural,
and strategic change to ensure subject expertise is equally valued and shared
during curriculum planning, time-tabling, implementation & evaluation
of learning.
In the experience of the group member, many tutors have found it difficult
to adapt to the facilitative role during PBL sessions and have instead delivered
mini-lectures. Vernon & Blake state that tutors in favour of traditional
lecturing methods raise concerns over the breadth of content covered during
PBL sessions [31].
On the other hand some students feel they are still getting lectures from
teachers when they are supposed to be in discussion groups, and others feel
that PBL is a way of tutors "cutting down on the work they have to do
because all they do is facilitate". Schmidt et al have found this
common amongst most first year undergraduates, who do not want to take initiatives
for self-directed study [32].
Another factor that questions the viability of PBL in the faculty is the approach
to assessment. (see above). During curriculum development it appears that
validation bodies continue to accept and recognise summative assessments as
the key format. Creative measures need to be developed to ensure students'
contributions and the learning process form a part of the assessment. Although
critical thinking is assessed, the format of feedback on developing the critical
thinking skills remains rather objective.
Further issues that impede PBL development are the limited numbers of classrooms,
tutors, and resources (particularly those relating to ICTs).
Conclusion
Many of the above issues are a reality not just for the nursing faculty in
this example but for most higher educational faculties. Therefore to proceed
with PBL in any educational setting lessons need to be learned from current
and previous experiences.
Whilst the benefits of Problem Based Learning are widely accepted there are
still further challenges which need to be resolved by the administrators,
educators and students of the future. As long as these areas are dealt with
all the above benefits can be attained.
References
1
) From McMaster Medical School Canada at:
http://chemeng.mcmaster.ca/pbl/pbl.htm
2
) James Rhem,
National Teaching & Learning Forum
Oryx Press:
http://www.ntlf.com/html/pi/9812/pbl_1.htm
3
) SDSU DCDPBL Institute at:
http://edweb.sdsu.edu/clrit/learningtree/PBL
4
) Otis
Online Tutoring e-Book P.3 at:
http://otis.scotcit.ac.uk/onlinebook/otisT103.htm
5
) Samford University Center for PBL at:
http://www.samford.edu/pbl/pbl_main.html
6
) , Howard Barrows 'Problem-based learning in medicine
and beyond: a brief overview' in Wilkerson, L. and W. H. Gijselaers. (Eds),
Bringing Problem- Based Higher Education: Theory and Practice: New Directions
for Teaching and Learning No. 8 (San Francisco: Jossey-Bass 1996) p.5
7
) Barbara Duch 'PBL: Preparing Students to Succeed in
the 21st Century'
PBL Insight, 1 (2),3 (1998)
8
) Greek Civilization for Middle Schools at:
http://www.historyforkids.org/
9
) John Dewey,
How We Think (1910) Ch.16 at:
http://paradigm.soci.brocku.ca/~lward/dewey/Dewey_1910a/Dewey_1910_p.html
10
) The Samford Problem Based Learning Initiative,
When
Did Problem Learning Begin? (2000) at:
http://www.samford.edu/pbl/when.html
11
)
http://www.dentistry.man.ac.uk/support/pbl.htm
12
) Maastricht PBL-site,
Problem Based Learning
(2000) at:
http://www.unimaas.nl/pbl/
13
) San Diego State University,
Evolution of Problem
Based Learning (1996) at:
http://edweb.sdsu.edu/clrit/learningtree/PBL/WhatisPBL.html
14
)
http://pbli.org/pbl/pbl.htm
15
) James Rhem 'Problem Based Learning: An Introduction'
(1998)
http://www.ntlf.com/html/pi/9812/pbl_1.htmBenefits
of Problem Based Learning
16
) Robbs and Meridith 'Desirable Outcomes of PBL' at:
http://www.med.ed-online.org/f0000012.htm
17
) Sobral 'Scaffolding for Success in PBL' at:
http://www.med-ed-online.org
18
) For example:
http://edweb.sdsu.edu/clrit/learningtree/pbl/displb.hmtl
19
) Jenny Moon,
Reflection in Learning and Professional
Development (Kogan Page 2000)p.130
20
) Morgan and OReilly,
Assessing Open and Distance
Learners (Kogan Page 1999)p.13
21
) The LEAP Project 'The Stages of PBL 4: Assessment'
at:
http://www.adelaide.edu.au/ltdu/leap/leapinto/pbl/4_assessment.html
22
) Woods D.R. 'Problem Based Learning: Helping Your Students
Gain the Most From PBL' at:
http://www.chemeng.mcmaster.ca/pbl/chap5-2.pdf
23
) Morgan and OReilly, op cit, p.15
24
) The LEAP Project 'Problem Based Learning FAQ: Assessment'
at:
http://www.adelaide.edu.au/ltdu/leap/leapinto/pbl/faq.html#Anchor-Assessment-23240
25
) Greening T. 'Scaffolding for Success in Problem-Based
Learning' at:
http://www.med-ed-online.org/f0000012.htm
26
) Morgan and OReilly, op cit, p.39
27
) Brown , Race , and Bull (Eds),
Computer-Assisted
Assessment in Higher Education (Kogan Page 1999) Chapters 2 and 16 for
example.
28
) See my
Online Assessment
essay.
29
) Morgan and OReilly, op cit, p.140
30
) Engel, C. E. 'Problem Based Learning in Medical Education'
in Leach & Moon (Eds),
Learners And Pedagogy (Paul Chapman Publishing
& The Open University 1999) Chapter 14
31
) Vernon, & Blake 'Does Problem Based Learning Work?'
in
Academic Medicine Vol. 68. No. 7 (1993) pp. 550-563
32
) Schmidt, Henny, & de Varies 'Comparing Problem-Based
with Conventional Education' in
Annals of Community Orientated Education
Vol.5 (1992) pp. 193-198
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