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The Effects of Problem-Based-Learning on the Academic Achievements of Medical Students in One Japanese Medical School, Over a Twenty-Year Period

Abstract

Purpose: This investigation considered the cognitive outcomes, expressed by the academic achievement scores in basic and clinical sciences and the National Licensing Examination results of medical undergraduates. Method: Cognitive outcomes were compared using the academic achievement scores in basic and clinical science and the National Medical Licensing Examination pass rates, during the two periods pre- and post-PBL. Results: The scores, were significantly higher post-PBL. Scores in clinical science were significantly higher in both male and female students post-PBL. Before PBL, the scores for female students were higher, whereas no difference between males and females was observed post-PBL. Discussion: The results suggest that PBL is equal or superior to the traditional methods of developing cognitive ability. A superior pace of knowledge acquisition by male students after PBL was observed. This supports the hypothesis that PBL is a suitable education model for Confucian countries in place of predominantly classical teacher-centred education.

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