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Does a PBL-based medical curriculum predispose training in specific career paths? A systematic review of the literature.

Title: Does a PBL-based medical curriculum predispose training in specific career paths? A systematic review of the literature.
Authors: Tsigarides J; James Paget University Hospital, Lowestoft Road, Gorleston-on-Sea, Great Yarmouth, Norfolk, NR31 6LA, UK. jtsigarides@doctors.org.uk.; Wingfield LR; University Hospital Southampton, Southampton, UK.; Kulendran M; Department of Surgery, St. George's Hospital, London, UK.
Source: BMC research notes [BMC Res Notes] 2017 Jan 07; Vol. 10 (1), pp. 24. Date of Electronic Publication: 2017 Jan 07.
Publication Type: Journal Article; Systematic Review
Language: English
Journal Info: Publisher: Biomed Central Country of Publication: England NLM ID: 101462768 Publication Model: Electronic Cited Medium: Internet ISSN: 1756-0500 (Electronic) Linking ISSN: 17560500 NLM ISO Abbreviation: BMC Res Notes Subsets: MEDLINE
Imprint Name(s): Original Publication: London : Biomed Central, 2008.
MeSH Terms: Career Choice* ; Curriculum* ; Education, Medical* ; Problem-Based Learning* ; Students, Medical*; Humans ; Internship and Residency ; Primary Health Care ; Research Design ; Schools, Medical ; Surveys and Questionnaires
Abstract: Background: North American medical schools have used problem-based learning (PBL) structured medical education for more than 60 years. However, it has only recently been introduced in other medical schools outside of North America. Since its inception, there has been the debate on whether the PBL learning process predisposes students to select certain career paths.; Objectives: To review available evidence to determine the predisposition of specific career paths when undertaking a PBL-based medical curriculum. The career path trajectory was determined as measured by official Matching Programs, self-reported questionnaires and surveys, and formally defined career development milestones.; Methods: A systematic literature review was performed. PubMed, Medline, Cochrane and ERIC databases were analysed in addition to reference lists for appropriate inclusion.; Results: Eleven studies fitting the inclusion criteria were identified. The majority of studies showed that PBL did not predispose a student to a career in a specific speciality (n = 7 out of 11 studies, 64%). However, three studies reported a significantly increased number of PBL graduates working in primary care compared to those from a non-PBL curriculum.; Conclusions: PBL has been shown not to predispose medical students to a career in General Practice or any other speciality. Furthermore, a greater number of similar studies are required before a definitive conclusion can be made in the future.
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Contributed Indexing: Keywords: Career choice; Medical education; PBL; Primary care; Problem-based learning; Residency
Entry Date(s): Date Created: 20170108 Date Completed: 20170206 Latest Revision: 20250623
Update Code: 20260130
PubMed Central ID: PMC5219658
DOI: 10.1186/s13104-016-2348-0
PMID: 28061800
Database: MEDLINE

Journal Article; Systematic Review