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Problem base learning . فرحناز کمالی عضو هیئت علمی دانشکده پرستاری مامایی. What is problem based learning? Is not problem solving but it uses appropriate problem to increase knowledge and understanding. Generic skills and attitudes Teamwork Chairing a group Listening Recording

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Problem base learning

Problem base learning

فرحناز کمالی عضو هیئت علمی دانشکده پرستاری مامایی

Problem base learning

Problem base learning

  • Generic skills and attitudes

  • Teamwork

  • Chairing a group

  • Listening

  • Recording

  • Cooperation

  • Respect for colleagues views

  • Critical evaluation of literature

  • Self directed learning and use of resources

  • Presentation skills

Problem base learning

  • Step 1:identify the problem

  • Step2:explore pre-existing knowledge

  • Step3:generate hypotheses and possible mechanism

  • step4 :Identify learning issues

  • step5: Self study

  • Step6: re-evaluation and application of knowledge to the problem

  • Step7:assessment and reflection on learning

Problem base learning


  • Tutor

  • Scribe

  • Chair

  • Group member

Problem base learning


  • Encourage all group members to participate

  • Assist chair with group dynamic and keeping to time

  • Check scribe keeps an accurate record

  • Prevent side-tracking

  • Ensure group achieves appropriate learning objectives

  • Check understanding

  • Assess performance

Problem base learning

Problem base learning


  • Record points made by group

  • Help group order their thoughts

  • Participate in discussion

  • Record resources used by group

Problem base learning


  • Lead the group through the process

  • Encourage all members to participante

  • Maintain group dynamics

  • Keep to time

  • Ensure group keeps to task in hand

  • Ensure scribe can keep up and is making an accurate record

Problem base learning


  • Follow the steps of the process in sequence

  • Participate in discussion

  • Listen to and respect contributions of others

  • Ask open questions

  • Research all the learning objectives

  • Share information with others

Problem base learning

  • Trigger material for PBL scenarios

  • Paper based clinical scenarios

  • Experimental or clinical laboratory data

  • Photographs

  • Video clip

  • Newspaper articles

  • All or part of an article from a Scientifics journal

  • A real or simulated patient

  • A family tree showing an inherited disorders

Problem base learning

How to create effective PBL scenarios

  • Learning objective

  • Stage of curriculum and level of student

  • Sufficient intrinsic interest or future practice

  • Integration of knowledge

  • Stimulate discussion

  • Open ended problem

  • Promote student to gather information from various resources

Problem base learning

PBL in curriculum design

  • Entire curriculum

  • Individual course

Problem base learning

Advantage of PBL

Student center

Generics competencies



Deep learning

Constructivitist approach

Practical work

Stimulate real-life experiences

Problem base learning

Disadvantage of PBL

  • Tutors who can’t teach

  • Human resources

  • Other resources

  • Role models

  • Information overload

  • Time consuming

  • unguided

Problem base learning

Criteria for PBL problem construction

  • Stimulating thinking ,analysis, reasoning

  • Assuring self –directed learning

  • Using previous basic knowledge

  • Proposing a realistic context

  • Leading to the discovery of learning objectives

  • Arousing curiosity

  • Choosing topic related to public health

  • Assuring a contextual detail

  • Choosing an appropriate vocabulary

Problem base learning


  • A 35 year old part nurse presented to her general practitioner Dr X with a six month history of weight loss (12.5kg).when questioned she said she was eating well but had diarrhea . She also felt exhausted and had developed insomnia .on further questioning she admitted to feeling increasing hot and shaky and to having muscle weakness in her legs particularly when climbing stairs. she was normally well and had not seen the doctor since her last pregnancy eight years ago.

Problem base learning

Problem base learning

Problem base learning

Learning objectives investigation confirmed a diagnosis of Graves disease she was treated with carbimazole and propranolol for the first month followed by carbimazole alone.

  • 1-describe the clinical features thyrotoxicosis and Graves disease

  • 2-Interrpret thyroid function and pituitary thyroid axis

  • 3-List the type of treatment for thyrotoxicosis, indication ,mode of action and potential effects