An Introduction To Problem-Based Learning: A User Guide
An Introduction To Problem-Based Learning: A User Guide
An Introduction To Problem-Based Learning: A User Guide
Problem-based Learning
A User Guide
Coventry University
Maggi Savin-Baden, Learning Innovation
Introduction
Yet there is a confusion about the difference between problem-based learning and
problem-solving learning. Problem-solving learning is the type of teaching many staff
have been using for years and the focus is upon giving students a lecture or an article
to read and then a set of questions based upon the information given. Students are
expected to find the solutions to these answers and bring them to a seminar as a focus
for discussion. Problem scenarios here are set within and bounded by a discrete
subject or disciplinary area. In some curricula students are given specific training in
problem-solving techniques, but in many cases they are not. The focus in this kind of
learning is largely upon acquiring the answers expected by the lecturer, answers that
are rooted in the information supplied in some way to the students. Thus the solutions
are always linked to a specific curricula content which is seen as vital for students to
cover in order for them to be competent and effective practitioners. The solutions are
therefore bounded by the content and students are expected to explore little extra
material other than that provided, in order to discover the solutions.
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Understanding Problem-based Learning
Problem-based philosophy
Assessment
Problem-
based
scenario and
intentions of
learning
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This Booklet Provides
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Models and Perspectives on PBL
Complex, real world situations that have no one right answer are the
organising focus for learning.
Students work in teams to confront the problem, to identify learning gaps, and
to develop viable solutions.
Students gain new information though self-directed learning.
Staff acts as facilitators.
Problems lead to the development of clinical problem-solving capabilities.
Problem-based learning has expanded world-wide since the 1960s, and as it has
spread the concepts associated with it have changed and become more flexible and
fluid than in former years. In an attempt to move beyond narrow and prescriptive
definitions Boud (1985) and Barrows (1986), two of the stronger proponents of the
approach, have outlined broader characteristics of problem-based learning. Both have
argued that problem-based learning is not to be seen as a particular way or method of
learning; rather it is to be seen as learning that has a number of differing forms.
Soon after McMaster began its problem-based learning curriculum two other new
medical schools, at the University of Limburg at Maastricht in the Netherlands and at
the University of Newcastle in Australia, adapted the McMaster model of problem-
based learning and in so doing developed their own spheres of influence. The then
University of Limburg, now Maastricht, began a new medical school in 1975, which
saw problem-based learning as the primary strategy for the first four study years.
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Maastricht: Seven Steps to Problem-based Learning
Boud (1985) outlined eight characteristics of many PBL courses including student-
centredness:
1. An acknowledgement of the base of experience of learners.
2. An emphasis on students taking responsibility for their own learning.
3. A crossing of boundaries between disciplines.
4. An intertwining of theory and practice.
5. A focus on the processes of knowledge acquisition rather than the products
6. A change in staff role from that of instructor to that of facilitator.
7. A change in focus from staff assessment of outcomes of learning to student
self and peer assessment.
8. A focus on communication and interpersonal skills so students understand that
in order to relate their knowledge, they require skills to communicate with
others, skills which go beyond their area of technical expertise.
Barrows has suggested that the combination of design variables for problem-based
learning, when linked to the educational objectives, is endless. He concluded that the
term PBL must be considered a genus from which there are many species and
subspecies.
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As such, all types of PBL must be evaluated in terms of issues such as the type of
scenarios, assessment methods, learners autonomy and the way in which teaching
and learning occurs.
Margetson (1991) suggested that PBL should be seen as more than just a different
method of learning, but rather as a specific stance towards both knowledge and the
position of the student in the learning process. PBL may be seen as:
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Walton and Matthews (1989) have argued that PBL is to be understood as a general
educational strategy rather than merely a teaching approach. They have argued that
for PBL to be present, three components must be able to be differentiated:
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Models of PBL
(Savin-Baden, 2000)
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action, knowledge, reasoning and reflection, along with opportunities for the students
to challenge, evaluate and interrogate them. Students will therefore examine the
underlying structures and belief systems implicit within a discipline or profession
itself; in order to not only understand the disciplinary area but also its credence. They
will transcend and interrogate disciplinary boundaries through a commitment to
exploring the subtext of those disciplines. Thus students are encouraged to challenge
borders, create new borders, live and work in the border country and, at the same
time, begin to know how to live in that country (Giroux, 1992).
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Curriculum Modes in Problem-based Learning
From Savin-Baden and Major (2004)
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Mode 4 The Foundational Approach
Here the assumption that some knowledge is necessarily foundational to another and
therefore it need to be taught to the students before they can begin to solve problems.
Thus in the first year of the programme the focus is on providing students with
lectures, tutorial and laboratory time that will enable them to understand the required
knowledge and concepts. In the second and third year students then utilise problem-
based learning. One of the underlying principles of this in many curricula is the
assumption is that if basic concepts are taught first then the knowledge will be
decontextualised and will therefore be available in the students memory for use in
solving new problems.
In the two strand approach the curriculum is seen to have clear strands running
alongside one another. The problem-based modules are designed to build on each
other but also to draw from the modules in the mixed approach strand. What tends to
happen is that modules in each strand are designed with interlocking themes so that
the knowledge and capabilities in the mixed approach feed in to support problem-
based learning rather than working against it.
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Year 1
Problem-based learning modules
Year 2
Problem-based learning modules
Year 3
Problem-based learning modules
Year 1
Year 3
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Mode 7 The Integrated Approach
The integrated is based on the principle that problem-based learning is not merely a
strategy but as a curriculum philosophy. The curriculum is designed in an integrated
fashion so that all the problems are sequential, are linked both to one another and
across discipline boundaries. Students are equipped for the programme through
explanations of the approach and team building activities.
Year 1
Problem 1 Problem 2 Problem 3
Year 2
Problem 4 Problem 5 Problem 6
Year 3
Problem 7 Problem 8 Problem 9 Problem 10
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What is a problem?
To date much of the discussion in the field of problem-based learning about the nature
of problems has centred on literature in cognitive psychology.
Or are we asking them to do something very different, such as using their experiential
and propositional knowledge to manage a problem situation.
These are two very different activities and if students do not understand what it is that
is expected of them you get the kind of scenario below:
It is Monday morning, 8.45, and the door of the design studio bursts open. Tim and
Bill rush over to Jack to tell him that they have cracked the problem scenario. The
group have been working on the problem all weekend but struggled, until now, to
figure it out. The two who have found a way of managing the problem scenario share
their views with the others. The group is oblivious to the tutor until he comes over to
tell them that they have got the wrong answer. They are defeated, deflated and
distraught that they have worked so hard for no result. Tim remains unconvinced that
they are wrong and while the tutor gives the class a mini lecture he sits and works it
all out again. At the end of the session, the group argue with the tutor who discovers,
through this group, that there are in fact several ways to solve this particular
problem.
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If there were only one way to solve a problem, it might indeed be
possible to identify the relevant content, devise a test to measure it,
then correlate it with the appropriate measure of problem-solving.
Unfortunately for this purpose, there are many ways to solve a
problem, ranging from a detailed analysis of the aspects of the content
of the problem to a simple recognition that the problem has been
encountered before.
(Eva et al, 1998: S1)
They suggest that it important to recognise that there are three dimensions to a
problem.
1. The context: the physical context of the problem and the implied task
2. The content: the semantic domain such as the disciplinary areas of knowledge
and surface elements such as the clients details
3. The schema or deep structure: the underlying principle of the problem
Eva et al suggest that transfer of knowledge between problems of the same domain
(such as chest pain) is much more likely than when the context has changed. This
means that we should give students the opportunity to practice solving similar
problems in the classroom; in this case an example would be different clients with
various types of chest pain.
Teach problem recognition so that students can see the similarities between
problems of different domains
Provide immediate feedback and guidance
Emphasise the importance of problem-solving as a valuable learning tool
Provide numerous examples so that students are able to understand abstract
principles
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Example of the PBL Process for one problem over 3 seminars
Seminar 3 Synthesis
Formulation of an action plan for resolving or managing the problem which may be in
the form of, for example:
- A proposal - A script
- A pamphlet - A care plan
- A fact sheet - A learning package
- A business plan - An oral and/or written presentation
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Introductory Intermediate Advanced
Educational Goals Goals are clearly Goals are Goals are not
stated relating to identified and identified in the
specific student relate to suggested problem.
actions. approaches for
learning.
Background Draws on one Draws on two or Draws on many
Information source of data. more sources of sources of data
data from current
practice
Setting Complete Most information Information
information provided with provided with key
provided without some details details omitted
any details omitted omitted
Problem Clearly identifies States the problem Does not clearly
and summaries the and places it in a state the problem
problem wider context and emphasizes
the wider context
Content The content is The content is The content covers
sharply focused, structured with a a number of areas
supported with a clear focus and and is supported
variety of supported by with a few general
significant details relevant details examples
Resources Includes self- Includes list of Includes
contained bibliographic vocabulary and
independent references key concepts
materials like
handouts and
worksheets
Presentation Tightly written Clearly written Fluid writing style
with with a range of using extensive
limited specialist vocabulary used specialized
vocabulary vocabulary
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Problem design
If we help students to see that they are to use critical thinking in year one then it will
help them to see engaging with the problem not as narrowly defined problem solving
skill with a right answer but instead as a means of developing understand of the
subject. Barnett has argued for three levels of criticality, as follows:
Critical thinking
Cognitive acts undertaken by the individual. Students engaged in critical thinking may
do so in the company of other students and their critical thinking may be enhanced
through that interchange; but the emphasis in the term critical thinking is on the
character of the individuals cognitive acts.
Critical thought
This a wider focus than just the individuals thought processes. Critical thought is
collaborative and takes place within the discipline of study. For example individuals
might be doing some hard critical thinking but critical thought develops and takes off
through sustained interchange around collective perspectives. Critical thought
necessarily contains a social component and thus can only be developed
collaboratively.
Critique
Critique is a form of criticism about the discipline itself and seeks to set the discipline
in a wider context than internal debates within the discipline. In critique different
views of an issue or situation may be proffered as alternative perspectives are taken
on board. This is real cognitive and personal challenge, and it may open up the way to
a transformation of the individual student.
By using Barnett's levels of critical thought we can design problems for the first year
that help develop critical thinking, in the second year critical thought and thence in the
third year, critique. We would argue these could be transposed into the curriculum as
follows:
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Level of Criticality Features
Type of problem
This will then enable students to develop their critical capabilities as well as their skills
and knowledge.
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Scenario Writing
Discipline knowledge
Process skills...such as problem-solving, group dynamics, clinical reasoning
Attitudinal behaviours, such as values, ethics, professional conduct
Learning how to learn
Try to start students off with a problem scenario which is fun, humorous and non
technical in which they do not feel too threatened and in which you can focus on
something other than just solving the problem- such as the development of group
skills or a consideration of what learning means in this kind of context.
Variety 1
Cases which tell a story about a patient/client/business/performance. The story is
revealed through a set of progressively distributed pages. For example in the first
tutorial the students are only given a brief description which includes the key issues.
The students work out a learning agenda and then the tutor distributes the subsequent
case parts.
Variety 2
Mini cases of between one and three paragraphs with an encounter with a
client/business/teaching environment as part of this.
Variety 3
Video trigger (i.e. clip - topical debate/Flintstones/Educating Rita/Ballet)
Variety 4
Use of a number of different types of trigger related to one particular topic area - for
example a discipline-based scenario. Thus you could include a work book, video,
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computer simulation and a card game which all related to something as specific as a
Road Traffic Accident scene or Court scene.
Variety 5
Use of simulated patients/clients/business/setting
Variety 6
Use of card games in which students are given the simulated people in card format
Variety 7
The House of cards
Variety 8
Picture/story board
Variety 9
Answer phone message
Variety 10
Excerpt from radio e.g. issues/discussion form Woman's Hour/Radio 4
Variety 11
Design brief
Variety 12
Set of lab notes/blood results/audit sheets/music score
Variety 13
Script
Variety 14
Directors notes
Variety 15
Computer aided/assisted triggers
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Other issues to consider
Suggestions
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Tutor Guides
A tutor guide is a summary of the writers perception of the areas in the case and used
by the tutors to guide their teaching, but it is not given to the students.
Part of the tutor guide process and development can also include a presentation of the
case form by the author on the content and objectives of the case.
These guides will also ensure that your scenarios are also well written!
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Assessment Possibilities with Problem-based Learning
I do not believe that there is any real evidence to support the claim for
problem-solving skills independent of knowledge. [The] evidence from the
last two decades of research overwhelmingly argues against this premise
(Norman, 1997). Norman (1997) argues that the design construction of the
MCQ test instrument includes a rich clinical stem, [that]...involve higher
order skills, and hence more discriminating. MCQs offer the advantage of
high consistency and reliability as it allows for sampling of broad content
areas, as well as high validity if appropriately constructed.
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Four Step Assessment Test (4 SAT)
The 4 SAT, recently implemented by the University of Queensland, consists
of:
4) Group presentation
This models the process but is difficult to mark and you have decide whether
you are marking content, process, presentation or all of theses. It has to be
adapted according at each level of the course.
5) Individual presentation
This has some of the problems of the above and if the students just present the
component they have researched there is little synthesis over all with problem
situation. This is also difficult with large cohorts.
7) Tripartite assessment
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This has three components:
a. The group submits a report for which they receive a mark
b. The individual submits the piece of work they researched
c. The individual writes an account of the group process that is linked to
theory of group work
These three components are added together to form the overall individual
mark.
10) Portfolio
Often lacks a requirement to create an overall synthesis. They can be unwieldy
if not managed well and difficult to mark. They are fine if they are well-
designed.
12) Self-assessment
This works well with problem-based learning, but students must be equipped
to undertake it. Self-assessment allows students to think more carefully about
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what they do and do not know, and what they additionally need to know to
accomplish certain tasks. Confusion arises in many courses in understanding
the difference between self, peer and collaborative assessment (but we discuss
this below). It involves students judging their own work. It may include
essays, presentations, reports and reflective diaries. One of the difficulties with
self-assessment is the tendency to make judgments about what the students
meant rather than what they actually achieved. Boud has defined self-
assessment as:
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Inter-peer assessment
This is where students from one problem-based learning team assess the work
of another team.
Intra-peer assessment
Students assess the product of what they themselves have produced as a team.
17) Reports
Written communication is another skill important for students. Requiring
written reports allows students to practice this form of communication,
particular if the word allowance is short and it is used in the third year as it can
promote succinct, critical pieces of work.
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19) Blogs
(Weblogs) can be used for assessment and students can add in links and
reflections. These are obviously going to be complex to mark, but possibly
interesting too, and will necessary require sound assessment criteria.
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References
Blake, J.M., Norman G.R. & Keane, D.R. et al. (1996). Introducing progress testing in
McMasterUniversitys problem-based medical curriculum: Psychometric properties
and effect on learning.Academic Medicine 71: 10021007.
Eva, K.W., Neville, A.J. and Norman, G.R.(1998) Exploring the etiology and content
specificity: Factors influencing analogic transfer and problem solving, Academic
Medicine 73 (10):S1-5.
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Mauffette, Y., Kandlbinder, P. and Soucisse. A. (2004) The problem in problem-
based learning is the problems: But do they motivate students? In Challenging
Research into Problem-based learning. (Savin-Baden, M. and Wilkie, K., Eds.) SRHE
and Open University Press.
Painvin, C., Neufeld, V., Norman, G., Walker, I. and Whelan, G. (1979) The triple
jump exercise: a structured measure of problem-solving and self-directed learning,
in Proceed- ings of the 18th Annual Conference on Research in Medical Education,
Washington DC, November.
Powles, A., Wintrip, N., Neufeld, V., Wakefield, J., Coates, G. and Burrows, J. (1981)
The triple jump exercise: further studies of an evaluative technique, in Proceedings
of the 20th Annual Conference on Research in Medical Education, Washington DC,
November.
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Walton, H.J. and Mathews, M.B. (1989) Essentials of problem-based learning,
Medical
Education, 23(6): 542558.
Zimitat, C and Alexander, H. (1999). The 4 Step Assessment Task (4SAT). Integrity,
Innovation and Integration, 4, 692-697.
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