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Promoting problem-based learning (PBL) in nursing education: A Malaysian experience

Achike FI, Nain N

Nurse Educ Pract, 2005 Sep;5(5):302-11.
PMID: 19040837 DOI: 10.1016/j.nepr.2005.04.002

Since the introduction of problem-based learning (PBL) into medical education in the late 1960s, several new and old medical schools have adopted this approach the main attraction of which includes the promotion of student-centered and life-long learning, team spirit, communication skills and enquiry. With an ever-increasing information base and changing attitudes in the health sciences, these are highly desirable characteristics of the health worker of the future, who will be required to grapple with these phenomenal changes. From medical education, the PBL approach has inevitably spread to other disciplines, especially the health-related disciplines. In the Asia-pacific region (Malaysia in particular), PBL was introduced into medical education in the early 1970s, but the growth has been slow; the reasons are discussed. Only recently (in the 1990s) have more medical and non-medical schools started to adopt PBL. The management of the Pantai Institute of Health Science and Nursing decided to adopt PBL for the Nursing curriculum. A one-day introductory workshop was, therefore, organized to expedite the process. Post-workshop feedback obtained through a five-point Likert scale questionnaire indicated a successful outcome. The workshop process is, therefore, documented as reference especially for Nursing colleges in places where PBL expertise is in short supply.

Matched MeSH terms: Problem-Based Learning
Fulltext The PBL teaching method in neurology education in the traditional Chinese medicine undergraduate students: An observational study

Kim YJ

Medicine (Baltimore), 2023 Sep 29;102(39):e35143.
PMID: 37773837 DOI: 10.1097/MD.0000000000035143

The objective of this study was to investigate the impact of the problem-based learning (PBL) method on Neurology education for Traditional Chinese Medicine (TCM) undergraduate students. This observational study was conducted during the 2020/02 and 2020/04 intakes of the third year TCM undergraduate students at School of Traditional Chinese Medicine, Xiamen University Malaysia. A total of 86 students were enrolled in the study and randomly assigned to either conventional learning groups or PBL groups. Students who missed more than 1 session of the course or did not complete the questionnaires during the evaluation periods were excluded from the study (n = 0). An independent sample t test was used to compare the results between the 2 groups, with a significance level set as P problems related to neurology diseases and their management knowledge.

Matched MeSH terms: Problem-Based Learning/methods
Twelve tips for effective lecturing in a PBL curriculum

Malik AS, Malik RH

Med Teach, 2012;34(3):198-204.
PMID: 22364451 DOI: 10.3109/0142159X.2011.588741

Retaining lectures in problem-based learning (PBL) curriculum places new demands on lecturers. In addition to subject knowledge, the lecturers must know the overall aims of the lectures, their context in the course, their relation to the subsequent examinations and the underlying educational philosophy.

Matched MeSH terms: Problem-Based Learning/methods*; Problem-Based Learning/trends
Improving PBLs in the International Medical University: defining the 'good' PBL facilitator

Yee HY, Radhakrishnan A, Ponnudurai G

Med Teach, 2006 Sep;28(6):558-60.
PMID: 17074705

Students' perception of the role and characteristics of a good problem-based learning (PBL) facilitator were assessed in the same study in which students were exposed to the 'Flying a Kite Approach' to PBL. A pre-tested anonymous questionnaire addressed the good qualities of a facilitator as well as the negative aspects. Although faculty and students' perceptions of 'good 'and 'bad' attributes generally agreed, it is clear that students still prefer facilitators who talk more, i.e. explain unclear facts or correct them when their facts are wrong. Content experts are also preferred over non-content experts.

Matched MeSH terms: Problem-Based Learning*
Rapid change in Japanese medical education

Onishi H, Yoshida I

Med Teach, 2004 Aug;26(5):403-8.
PMID: 15369878

Change in Japanese medical education has been accelerating over the last 10 years. Historically, clinical departments in each medical school played a crucial role, but reports in the mass media tried to refute the feudal 'ikyoku-koza' system with a number of malpractice cases, inappropriate patient-doctor communication, etc. At that time policies by the Ministries of Education and Health (rationalized in 2001) independently became more influential in medical education. In particular the network of governmental medical schools has been restructured, merged and privatized since 2001. In the 1990s several private medical schools developed distinctive curricula including problem-based learning (PBL), the objective structured clinical examination (OSCE) and introduction to clinical medicine (ICM). The curriculum for clinical medicine is still a critical issue and will be a major challenge for the management of each medical school. The effectiveness of the National Model Curriculum consisting of more than 1200 objectives might be questionable but the National Common Achievement Test (CAT) will make a strong impact on the preclinical curriculum. In the future each medical school should adopt an outcome-based education system to close the loop of curriculum development. An evaluation system based on the entire medical school or curriculum will be the key to successful education.

Matched MeSH terms: Problem-Based Learning
Review of PBL 'problems' and examination questions

Majumder AA

Med Teach, 2005 Aug;27(5):474.
PMID: 16231863
Matched MeSH terms: Problem-Based Learning*
Problem-based learning: an educational strategy for interactive learning: experience from Universiti Sains Malaysia

Salam A

Med Teach, 2004 May;26(3):279.
PMID: 15203509
Matched MeSH terms: Problem-Based Learning*
Twelve tips for conducting team-based learning session online in synchronous setting

Malik AS, Malik RH

Med Teach, 2021 Apr 09.
PMID: 33836640 DOI: 10.1080/0142159X.2021.1910642

INTRODUCTION: COVID-19 pandemic has challenged the educators to creatively develop teaching and assessment methods that can work effectively and efficiently while maintaining the social distancing and avoiding the gatherings of the classrooms and examination halls. Online approach has emerged as an effective alternate for classroom teaching.
AIM: To equip faculty with tools to conduct TBL session online, synchronously, effectively and efficiently.
METHODS: We examined the published literature in the area of online teaching and combined it with our own experience of conducting TBL sessions online.
RESULTS: We created 12 tips to assist faculty to facilitate an effective and engaging TBL session online.
CONCLUSIONS: Applying these 12 tips while facilitating a TBL-online session will ensure the full engagement of students in the process of active learning.

Matched MeSH terms: Problem-Based Learning
Fulltext Comprehensive Healthcare module: medical and pharmacy students' shared learning experiences

Tan CE, Jaffar A, Tong SF, Hamzah MS, Mohamad N

Med Educ Online, 2014 Jan;19(1):25605.
PMID: 28440130 DOI: 10.3402/meo.v19.25605

Introduction The Comprehensive Healthcare (CHC) module was developed to introduce pre-clinical medical and pharmacy students to the concept of comprehensive healthcare. This study aims to explore their shared learning experiences within this module. Methodology During this module, medical and pharmacy students conducted visits to patients' homes and to related community-based organisations in small groups. They were required to write a reflective journal on their experiences regarding working with other professions as part of their module assessment. Highly scored reflective journals written by students from the 2011/2012 academic session were selected for analysis. Their shared learning experiences were identified via thematic analysis. We also analysed students' feedback regarding the module. Results Analysis of 25 selected reflective journals revealed several important themes: 'Understanding of impact of illness and its relation to holistic care', 'Awareness of the role of various healthcare professions' and 'Generic or soft skills for inter-professional collaboration'. Although the primary objective of the module was to expose students to comprehensive healthcare, the students learnt skills required for future collaborative practice from their experiences. Discussion The CHC module provided early clinical exposure to community-based health issues and incorporated some elements of inter-professional education. The students learnt about the roles of other healthcare professions and acquired soft skills required for future collaborative practice during this module.

Matched MeSH terms: Problem-Based Learning
Fulltext Implementing a collaborative medicine and pharmacy educational activity in two countries

Brock T, Vu T, Kadirvelu A, Lee CY, Kent F

Med Educ Online, 2020 Dec;25(1):1780697.
PMID: 32552527 DOI: 10.1080/10872981.2020.1780697

BACKGROUND: To promote better collaboration for patient care, interprofessional education (IPE) is required in many health professions courses. However, successful IPE implementation at scale can be challenging because of complicated logistics and competing priorities. Implementing across multiple geographies adds further complexity.
OBJECTIVE: This paper describes the implementation of a full cohort IPE activity for medical and pharmacy students delivered at both the Australian and Malaysian campuses of Monash University.
DESIGN: We designed a 150-minute, blended learning activity centred around asthma care for second-year medical and pharmacy students. Student perceptions were measured with a pre- and post-activity survey using the validated ten-item, three-factor, SPICE-R2 instrument. Analysis focused on differences between professions and countries.
RESULTS: All second-year medicine (N = 301 in Australia and N = 107 in Malaysia) and pharmacy students (N = 168 in Australia and N = 117 in Malaysia) participated in the learning activity. A total of 326/693 (47%) students participated in the associated research by completing both the pre- and post-activity surveys. The pre-activity survey showed significant differences in four items between medicine and pharmacy students in Australia and two items in Malaysia. Post-activity, we observed significant changes in 8/10 items when the two professions were combined. Specifically, we noted changes across the countries in perceptions of roles and responsibilities for collaborative practice and patient outcomes from collaborative practice.
CONCLUSIONS: IPE across different professions and countries is feasible. Positive outcomes in role understanding and perceived patient outcomes are achievable through a context-sensitive, locally driven approach to implementation. Longitudinal experiences may be required to influence perceptions of teamwork and team-based care.

Matched MeSH terms: Problem-Based Learning
Training students to learn in a problem-based learning programme

Azer SA

Med Educ, 2011 May;45(5):510.
PMID: 21486331 DOI: 10.1111/j.1365-2923.2011.03952.x
Matched MeSH terms: Problem-Based Learning/methods*
Developing a facilitation skills training programme for problem-based learning tutors

Kukkamalla A, Lakshminarayana SK

Med Educ, 2011 Nov;45(11):1152-3.
PMID: 21936865 DOI: 10.1111/j.1365-2923.2011.04107.x
Matched MeSH terms: Problem-Based Learning/methods*; Problem-Based Learning/organization & administration*
Fulltext Self-directed learning and construction of knowledge

Azer, Samy A.

Medical Health Reviews, 2008;2008(1):81-95.
MyJurnal

With the introduction of problem-based learning (PBL) in medical and health professionals’ undergraduate courses, self-directed learning (also known as self-regulated learning) becomes an integral component of the learning process. There may be slight variations in how educators and students perceive self-directed learnin .However, self-directed learning provides an opportunity for collaborative discussion of the new information collected and allows learners to construct new knowledge as they address their learning issues. Therefore, self-directed learning is not just about researching for new knowledge or finding answers for questions; self-directed learning is about developing competencies, skills and attitudes that foster the learning processes. Interestingly, not all learners will be able to adapt this approach of learning once they enroll in a PBL course. The process will develop gradually and require a number of actions from the learner, including: (i) Realising the need to change their learning style to suite the needs of the medical curriculum, (ii) constructing a plan that accommodates the new learning objectives, (iii) Practicing self-directed learning and sharing their experiences with peers, and (iv) Continuing evaluation of their self-directed learning approach and improving their learning style. Therefore, the aims of this manuscript are: (i) discuss the meaning of self-directed learning in the context of PBL, and review the research outcomes in this area, (ii) understand the different factors that may affect student’s self-directed learning strategies, and (iii) briefly explore the meaning of construction of knowledge and how it can enforce students’ self-directed learning, integration of knowledge and deeper understanding of topics learnt.

Matched MeSH terms: Problem-Based Learning
Fulltext Health promotion program in the undergraduate medical curriculum at Universiti Teknologi MARA, Malaysia

Mohammad Daher, Aqil

Medical Health Reviews, 2010;2010(1):23-39.
MyJurnal

Health promotion (HP) is the process of enabling people to increase control over the determinants of health and thereby improve their health. It is the corner stone in prevention of diseases and shifting the responsibilities of health care from health care provider into the community where the patient centered approach is an appropriate setting by offering continuous, coordinated and comprehensive care throughout the patient’s family and community. The Faculty of Medicine, University technology MARA has adopted dynamic approach in designing the curriculum to respond to the needs of this rapidly changing socioeconomic paradigm of the country, so that the graduates will be able to address the needs of their country and communities. Population health and preventive medicine component was included in the newly designed problem based curriculum, in which the student is introduced to the concepts of epidemiology, disease prevention, statistical analysis and community research. Health promotion program is part and parcel of population health and preventive medicine; it is incorporated with community health research in a course of four weeks of Year Four Medical Curriculum. The aim of this paper is to describe the rationales of health promotion program in medical curriculum, and critically review the components and methods of implementation.

Matched MeSH terms: Problem-Based Learning
Fulltext The impact of using historical text document resources on the understanding of historical substantive concepts

M. Kaviza

Malaysian Journal of Social Sciences and Humanities, 2019;4(7):208-217.
MyJurnal

This study aims at investigating the effect of using historical text document resources on the historical substantive concepts understanding among Form Four students. A learning activities module was developed based on using historical text document resources as reference for intervention in this study. Pre-Experimental Design: One Group PreTest-PostTest was used in this study. The impact of using historical teks document resources on the historical substantive concepts understanding were measured in the pre-test, post-test and delayed post-test. A sample of respondents comprising 55 students from existing classes was recruited in this study using cluster sampling techniques. The historical substantive concept understanding test was used in this study. Data were analyzed by descriptive and inference statistics using Repeated-Measures One Way ANOVA test. The findings showed that the use of historical text document resources has an impact on the historical substantive concepts understandingand retaintion. The implication of this study is to provide the content and methods for implementation of history learning by using a set of collections of historical text document resources which relevant to a historical topic.

Matched MeSH terms: Problem-Based Learning
Fulltext Methodological dilemma in qualitative research in education

ROHAIDA MOHD. SAAT, HIDAYAH MOHD FADZIL

Malaysian Journal of Qualitative Research, 2019;5(2):41-46.
MyJurnal

This paper discusses methodological dilemma that arise in qualitative research, specifically in education field. It outlines the broad principles that underpin good qualitative research and the aspects of practice that qualitative researchers should consider when designing, conducting, and disseminating their research. Two primary methodological dilemma are (i) lack of objectivity, and (ii) issue of generalizability in qualitative research. The aim of this paper is to argue the dilemmas and encourage researchers to examine the relevance of qualitative issues to their own research. These dilemmas could be taken as important consideration for others who wish to conduct qualitative research in education.

Matched MeSH terms: Problem-Based Learning
Fulltext An understanding of the psychological challenges faced by student athletes and how they manage

Shamir Das K.N. Kavidas, Alexius, Cheang, Weng, Onn

Malaysian Journal of Qualitative Research, 2019;5(2):22-30.
MyJurnal

Student athletes represent a unique segment of society, having to manage a set of expectations and challenges that are distinct and psychologically demanding. They are expected to achieve the highest level of sporting excellence while also performing well academically. A basic qualitative study was used to gain an understanding of the nature and type of psychological challenges faced, and ways the student athletes successfully managed or was currently managing those challenges. The results entailed two overlapping groups of challenges; internal and external, where internal consisted of emotional strain, expectations from one’s self, balance between sports and studies, and present feelings of regret, while external consisted of issues with their coach, perception of others, and transition to tertiary education. Additionally, there were three ways of managing those challenges namely through problem-focused coping, emotion-focused coping, and experiential learning. Those three domains are further explored and discussed, with consideration to the local context and the role of individual differences.

Matched MeSH terms: Problem-Based Learning
Fulltext The stress inducing factors among preclinical students in a public university in Selangor

Adlina, S., Narimah, A.H.H., Hakimi, Z.A., Suthahar, A., M Nor Hisyam, R., Ruhaida, M.K., et al.

Malaysian Journal of Public Health Medicine, 2007;7(1):56-59.
MyJurnal

Stress has been recognized one of the factors causing disease. About 70-80% of all diseases may be stress related. Thus, stress management can be a part of an early measure of disease prevention. A descriptive cross sectional, randomized study was conducted to determine the stress inducing factors among preclinical students (universal sampling) in a public university in Selangor, Malaysia from 24th April to May 2005. A total of 163 students (52.8% year 1, 36.8% year 2 and 10.4% year 3) were interviewed in the data collection process. The main reasons students entered - medical school was because of their own interest or ambition (65%) and family influence (20.9%). Majority (76.4%) suffered moderate to great stress over hot conditions in lecture hall, tutoriaV small group session rooms and laboratories while 53.4% suffered when using the other facilities like cafeteria, toilet and transportation:. Almost all (95.1%) felt that examination was the most stressful, followed by early clinical exposure sessions (68.1%), problem·based learning sessions (62.5%), hospital visitations (59.7%), tutoriay small group sessions (49.3%), practical class (44.5%) and attending lectures (3 8.5%). Musculoskeletal System was the most stressful module among the first year students, followed by Nervous System and Gastrointestinal System with the percentage of 94.2%, 90.7% and 88.4% respectively while, 95% of the second year students felt that General, Hemopoietic ci? Lymphoid and Nervous System are the most stressful modules. This study revealed that academic sessions and lack of conducive teaching and learning environment as the main stress inducing contributors to preclinical medical students.

Matched MeSH terms: Problem-Based Learning
Introduction to problem-based learning (PBL) curriculum and its implementation in Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak

Malik, A.S., Malik, R.H.

Malaysian Journal of Paediatrics and Child Health, 2001;13(1):54-70.
MyJurnal

The problem-based learning (PBL) curriculum, which originated primarily from the Faculty of Health Sciences at McMaster University in 1969, has had a major impact on the thinking and practice in medical education. It is one of the most important developments in the health profession's education in the latter part of the twentieth century) The PBL process incorpo-rates fundamental educational principles such as those derived from adult learning theory' and this gives the PBL approach a greater effective-ness for the acquisition of basic knowledge and clinical skills.

Matched MeSH terms: Problem-Based Learning
Fulltext Inculcating collaborative practice among healthcare professionals: initiative from Hospital Universiti Malaysia Sabah

Jeanny John, Joanne Justin, Dainah Francis, Helen Benedict Lasimbang, Wendy Diana Shoesmith, Loo Jiann Lin, et al.

Malaysian Journal of Medicine and Health Sciences, 2020;16(105):8-0.
MyJurnal

Introduction: Collaborative working culture is an important milestone to be inculcated in a hospital setting. In the process of preparation for the upcoming teaching hospital of Universiti Malaysia Sabah (HUMS), the organisational value of innovative, collaborative, compassionate, empowering, and sustainable needs to be inculcated to the both management and clinical staffs. The objective of this study was to assess the efficacy of a collaborative practise workshop in staff. Methods: A two days experiential learning workshop was conducted to deliver and inculcate the organisational value of HUMS to 32 existing and newly recruited healthcare professionals, which include doctor, nurses, assistant medical officer, dental assistant, pharmacist, and radiographer. The topics consisted of principles of collaborative practice, skill of validation, feedback-giving method, approach for value identification and goal setting, reflective practice, public communication during crisis, shared decision making, and organisational problem solving. Different delivery methods include round table discussion, role play, and group work were used. Innovative real time practice of giving feedback to the management was performed directly to the hospital chief executive officer and chief clinical officer. Results: Immediate feedback from the participants found that the candidates found the course was enriching and it helped them to develop an alternative perspective on how to get work done. The staffs expressed their idea, concern, and expectation more openly with the method learned using what they had learnt. The limitation included the challenge of transition from previous working culture to new environment without further supervision. Conclusions: Further systematic evaluation using more detailed assessment tool is needed to understand the long term efficiency and translatability of the learning outcomes into clinical practice once the hospital is ready.

Matched MeSH terms: Problem-Based Learning

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