Problem-based learning versus lecture-based learning for Gestational Diabetes Mellitus diagnosis in health care centers

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Medical Toxicology Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

3 Medical Genetics Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

4 Kidney Transplantation Complications Research Center, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran

5 Department of Community Medicine and Public Health, Mashhad University of Medical Sciences, Mashhad, Iran

6 Nursing and Midwifery Care Research Center, Medical Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

7 Department of Medical Education, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: Gestational diabetes mellitus (GDM) is the most common medical complication of pregnancy, resulting both maternal and fetal/neonatal negative consequences. Since health care staff in health care centers, including general practitioners and midwives encounter the condition at the first line, they should be well trained about it. This study aimed to investigate whether the problem-based learning (PBL) or the lecture-based learning (LBL) method is preferred regarding medical pedagogy.
 
Method: A descriptive test about GDM screening and diagnosis was given to the health care staff of 10 health care centers in Mashhad. 66 individuals with the lowest points were involved in the study in two groups of 33. The first group joined a lecture-based educational program about GDM, while the other group were trained using the PBL method. After a week, a test was given to them, and the results were compared between the two groups.
Results: The scores of the gestational diabetes diagnosis test in both groups increased significantly after the training (change from 3.50±1.40 to 6.20±1.51 in the PBL group, P<0.001; and 3.32±1.64 to 5.58±1.66, P<0.001). There was no significant difference in the results between the two groups (P=0.13).
Conclusion:  The results of PBL educational programs about GDM are not superior to the results of the LBL method.

Keywords

Main Subjects


  1. Zeng F, Deng G, Wang Z, Liu L. WeChat: a new clinical teaching tool for problem-based learning. Int J Med Educ.2016;7:119.
  2. Dolmans DH, Wolfhagen IH, Ginns P. Measuring approaches to learning in a problem based learning context. Int J Med Educ. 2010;1.
  3. Leatemia LD, Susilo AP, van Berkel H. Self-directed learning readiness of Asian students: students perspective on a hybrid problem based learning curriculum. Int J Med Educ.4. Chung E-K, Hitchcock MA, Oh S-A, Han E-R, Woo Y-J. The relationship between student perceptions of tutor performance and tutors' background in problem-based learning in South Korea. Int J Med Educ. 2011;2:7.
  4. Michaelsen LK, Parmelee DX, Levine RE, McMahon KK. Team-based learning for health professions education: A guide to using small groups for improving learning: Taylor & Francis; 2023.
  5. Ssemugenyi F. Teaching and learning methods compared: A pedagogical evaluation of problem-based learning (PBL) and lecture methods in developing learners’ cognitive abilities. Cogent Education. 2023;10(1):2187943.
  6. Plows JF, Stanley JL, Baker PN, Reynolds CM, Vickers MH. The pathophysiology of gestational diabetes mellitus. International journal of molecular sciences. 2018;19(11):3342.
  7. Shohani M, Bastami M, Gheshlaghi LA, Nasrollahi A. Nursing student’s satisfaction with two methods of CBL and lecture-based learning. BMC Med Educ. 2023;23(1):48.
  8. Khoshnevisasl P, Sadeghzadeh M, Mazloomzadeh S, Feshareki RH, Ahmadiafshar A. Comparison of problem-based learning with lecture-based learning. Iranian Red Crescent Medical Journal. 2014;16(5).
  9. Yao S-Q, Zhou L. Application of PBL in Clinical Practice of Chinese Medicine in Western Medicine Colleges. Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi= Chinese journal of integrated traditional and Western medicine. 2017;37(2):243-4.
  10. Zahid MA, Varghese R, Mohammed AM, Ayed AK. Comparison of the problem based learning-driven with the traditional didactic-lecture-based curricula. Int J Med Educ. 2016;7:181.
  11. Changfan W, Anran C, Yan Y, Haifeng Z, Lingfei H, Huixiang J. Comparison of problem/case-based learning with lecture-based learning in the clinical teaching of ophthalmology. 2019.
  12. Holen A, Manandhar K, Pant DS, Karmacharya BM, Olson LM, Koju R. Medical students' preferences for problem-based learning in relation to culture and personality: a multicultural study. Int J Med Educ. 2015;6:84.
  13. Ma Y, Lu X. The effectiveness of problem-based learning in pediatric medical education in China: A meta-analysis of randomized controlled trials. Medicine. 2019;98(2).
  14. Hwang L-L. Educational intervention on undergraduate cancer awareness and self-directed learning. Journal of Cancer Education. 2018;33(3):592-601.
  15. Dong L, Yang L, Li Z, Wang X. Application of PBL Mode in a Resident-Focused Perioperative Transesophageal Echocardiography Training Program: A Perspective of MOOC Environment. Advances in medical education and practice. 2020;11:1023.
  16. Solomon Y. Comparison between Problem-Based Learning and Lecture-Based Learning: Effect on Nursing Students’ Immediate Knowledge Retention. Advances in Medical Education and Practice. 2020;11:947.
  17. Goss B, Reid K, Dodds A, McColl G. Comparison of medical students' diagnostic reasoning skills in a traditional and a problem based learning curriculum. Int J Med Educ. 2011;2:87-93.
  18. Liu C-X, Ouyang W-W, Wang X-W, Chen D, Jiang Z-L. Comparing hybrid problem-based and lecture learning (PBL+ LBL) with LBL pedagogy on clinical curriculum learning for medical students in China: a meta-analysis of randomized controlled trials. Medicine. 2020;99(16).
  19. Jiang Z, Zhu D, Li J, Ren L, Pu R, Yang G. Online dental teaching practices during the COVID-19 pandemic: a cross-sectional online survey from China. BMC Oral Health. 2021;21(1):1-9.