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Problem Based Learning

This article is a collaborative effort derived from some online group work done at City University. Those involved were Anne Smithies, Ruth Simons, Barbara Daniel, Shalni Gulati, and myself (obviously): each contributed one of the individual sections. Ruth Simons did the original compilation which I have further reformatted and edited slightly for inclusion here.

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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]:

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]:

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 Burrows—considered one of the 'fathers' of PBL—working 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]:

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:

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]:

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]:

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):

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:

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:

 

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 O’Reilly, 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 O’Reilly, 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 O’Reilly, 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 O’Reilly, 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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