Problem-based learning vs traditional method in the development of competencies in students in the health area. A systematic review
DOI:
https://doi.org/10.56294/saludcyt2024.601Keywords:
Medical education, Learning, Problem-based learningAbstract
Introduction: Problem-based learning (PBL) is a student-centered pedagogical approach based on self-directed learning. It is increasingly used in medical education and there are contradictions about its superiority with respect to traditional learning methods.
Objective: Compare PBL with the traditional method in the development of competencies in students in the health area
Methodology: Systematic reviews and meta-analyses published in specialized databases such as Pubmed, Cochrane, ERIC and Scielo were used. A search strategy based on Mesh terms and Boolean operators was used. Free access publications were selected, up to 10 years old, with a level of compliance with the PRISMA checklist >95%.
Results: 446 eligible articles were identified, of which only 13 were selected, of which 10 were systematic reviews with meta-analyses. Students from various medical disciplines were included. No statistically significant differences were reported between both study methods in 3 articles (p>0.05); while, in 10 articles, it was concluded that the PBL method is superior to traditional learning methods (p<0.05). Although most authors agree that PBL is superior to traditional methods, they also conclude that it is necessary to provide more evidence in this regard.
Conclusions: PBL appears to be superior to traditional learning methods in medical education; However, there is not enough evidence to support this approach. It is necessary to deepen the comparative study of both learning methods.
References
1. Trullàs J, Blay C, Sarri E, Pujol R. Effectiveness of problem-based learning methodology in undergraduate medical education: a scoping review. BMC Med Educ [Internet]. 2022 Dec 17;22(1):104–19. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-022-03154-8
2. Ways O, Loftus G, Jones J. Focal problem teaching in medical education : Academic Medicine. J Med Educ [Internet]. 1973 [cited 2023 Sep 23];48(6):565–71. Available from: https://journals.lww.com/academicmedicine/abstract/1973/06000/focal_problem_teaching_in_medical_education.5.aspx
3. Manuaba I, No Y, Wu C. The effectiveness of problem based learning in improving critical thinking, problem-solving and self-directed learning in first-year medical students: A meta-analysis. PLoS One [Internet]. 2022 Nov 1 [cited 2023 Sep 23];17(11):e0277339. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0277339
4. Bodagh N, Bloomfield J, Birch P, Ricketts W. Problem-based learning: a review. Br J Hosp Med [Internet]. 2017 Nov 2;78(11):C167–70. Available from: http://www.magonlinelibrary.com/doi/10.12968/hmed.2017.78.11.C167
5. Li Y, Wang X, Zhu X, Zhu Y, Sun J. Effectiveness of problem-based learning on the professional communication competencies of nursing students and nurses: A systematic review. Nurse Educ Pract [Internet]. 2019 May 1 [cited 2023 Sep 23];37(2):45–55. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1471595318304918
6. Zhao G, Fan M, Yuan Y, Zhao F, Huang H. The comparison of teaching efficiency between virtual reality and traditional education in medical education: a systematic review and meta-analysis. Ann Transl Med [Internet]. 2021 Feb [cited 2023 Sep 23];9(3):252–252. Available from: /pmc/articles/PMC7940910/
7. Zheng Q, Li Y, Yin Q, Zhang N, Wang Y, Li G, et al. The effectiveness of problem-based learning compared with lecture-based learning in surgical education: a systematic review and meta-analysis. BMC Med Educ [Internet]. 2023 Aug 1;23(1):546–62. Available from: https://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-023-04531-7
8. Luke A, Mathew S, Kuriadom S, George J, Karobari M, Marya A, et al. Effectiveness of Problem-Based Learning versus Traditional Teaching Methods in Improving Acquisition of Radiographic Interpretation Skills among Dental Students—A Systematic Review and Meta-Analysis. Tsai F-M, editor. Biomed Res Int [Internet]. 2021 Sep 24 [cited 2023 Sep 23];21(2):1–19. Available from: https://www.hindawi.com/journals/bmri/2021/9630285/
9. Vidal Ledo M, Oramas Díaz J, Borroto Cruz R. Revisiones sistemáticas. Educ Med Super. 2015;29(1):198-207.Disponible en: http://scielo.sld.cu/scielo.php?pid=s0864-21412015000100019&script=sci_arttext
10. PRISMA Statement. PRISMA [Internet]. 2020 [cited 2023 Oct 16]. Available from: http://prisma-statement.org/
11. Gao J, Yang L, Zhao J, Wang L, Zou J, Wang C, et al. Comparison of problem-based learning and traditional teaching methods in medical psychology education in China: A systematic review and meta-analysis. Saqr M, editor. PLoS One [Internet]. 2020 Dec 14;15(12):e0243897. Available from: https://dx.plos.org/10.1371/journal.pone.0243897
12. Bi S, Liu R, Li J, Gu J, Tarantino G. The effectiveness of problem-based learning in gynecology and obstetrics education in China: A meta-analysis of randomized controlled trials. Med (United States) [Internet]. 2021 Mar 5 [cited 2023 Sep 24];100(9):E24660. Available from: https://journals.lww.com/md-journal/fulltext/2021/03050/the_effectiveness_of_problem_based_learning_in.27.aspx
13. Jia X, Zeng W, Zhang Q. Combined administration of problem- and lecture-based learning teaching models in medical education in China: A meta-analysis of randomized controlled trials. Med (United States) [Internet]. 2018 Oct 1 [cited 2023 Sep 24];97(43). Available from: https://journals.lww.com/md-journal/fulltext/2018/10260/combined_administration_of_problem__and.1.aspx
14. Ma Y, Lu X. The effectiveness of problem-based learning in pediatric medical education in China: A meta-analysis of randomized controlled trials. Med (United States) [Internet]. 2019 [cited 2023 Sep 25];98(2). Available from: https://journals.lww.com/md-journal/fulltext/2019/01110/the_effectiveness_of_problem_based_learning_in.55.aspx
15. Yu X, Linyuan Qin, Gongchen Huang, Xiao He. Systematically evaluate the effect of problem-based learning method in the teaching of epidemiology and health statistics in China. J Pak Med Assoc [Internet]. 2023 Jun 15;73(7):1462–7. Available from: https://ojs.jpma.org.pk/index.php/public_html/article/view/6676
16. Dong H, Guo C, Zhou L, Zhao J, Wu X, Zhang X, et al. Effectiveness of case-based learning in Chinese dental education: a systematic review and meta-analysis. BMJ Open [Internet]. 2022 Feb 21;12(2):e048497. Available from: https://bmjopen.bmj.com/lookup/doi/10.1136/bmjopen-2020-048497
17. Car L, Myint Kyaw B, Dunleavy G, Smart N, Semwal M, Rotgans J, et al. Digital Problem-Based Learning in Health Professions: Systematic Review and Meta-Analysis by the Digital Health Education Collaboration. J Med Internet Res [Internet]. 2019 Feb 28 [cited 2023 Sep 25];21(2):129–35. Available from: https://www.jmir.org/2019/2/e12945
18. Zhou J, Zhou S, Huang C, Xu R, Zhang Z, Zeng S, et al. Effectiveness of problem-based learning in Chinese pharmacy education: a meta-analysis. BMC Med Educ [Internet]. 2016 Dec 19;16(1):23. Available from: http://bmcmededuc.biomedcentral.com/articles/10.1186/s12909-016-0546-z
19. Naser M, Ebrahim A, Fredericks S. Comparing The Effectiveness Of Problem-Based Learning To Traditional Teaching In Medical Education: Systematic Review. Br J Med Heal Res [Internet]. 2017 [cited 2023 Sep 24];4(6):94–114. Available from: https://www.researchgate.net/publication/321253117_Comparing_The_Effectiveness_Of_Problem-Based_Learning_To_Traditional_Teaching_In_Medical_Education_Systematic_Review
20. Pathmanathan C, Maddumage SP, Rajasinghe U. Problem based learning in Physiotherapy undergraduate curriculum: A systematic review. 2022 Sep 7 [cited 2023 Sep 24]; Available from: https://www.researchsquare.com
21. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 Mar 29 [cited 2022 May 16];372. Available from: https://www.bmj.com/content/372/bmj.n71
22. Maia D, Andrade R, Afonso J, Costa P, Valente C, Espregueira-Mendes J. Academic Performance and Perceptions of Undergraduate Medical Students in Case-Based Learning Compared to Other Teaching Strategies: A Systematic Review with Meta-Analysis. Educ Sci [Internet]. 2023 Feb 23;13(3):238–51. Available from: https://www.mdpi.com/2227-7102/13/3/238
23. Chandran V, Balakrishnan A, Rashid M, Khan S, Devi E, Kulyadi G, et al. Teaching and learning strategies of evidence based medicine: A meta-synthesis of learners and instructors perspective. Clin Epidemiol Glob Heal [Internet]. 2023 May 1 [cited 2023 Sep 26];21(2):101–18. Available from: http://cegh.net/article/S2213398423000672/fulltext
24. Joshi T, Budhathoki P, Adhikari A, Poudel A, Raut S, Shrestha DB. Team-Based Learning Among Health Care Professionals: A Systematic Review. Cureus [Internet]. 2022 Jan 14;14(1):212–23. Available from: https://www.cureus.com/articles/81259-team-based-learning-among-health-care-professionals-a-systematic-review
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Copyright (c) 2024 Vicenta Nazaela Vélez Silva, Génesis Adriana Palma Zambrano, Eugenio Radamés Borroto Cruz (Author)
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