Thank you for the response.
I assume you're in DPC? How is the grading done in the DPC curriculum?
One thing that has bugged me about DPC/PBL is how you know exactly what to study. Do you specifically pick out chapters and other readings during your sessions? Or are you expected to figure that out yourself?
Well, to be honest with you I'm not exactly sure how the grading goes in DPC. I know that the majority of our grade comes from content exams and group facilitator assesments. Content exams are basically 4 cases worth of "learning issue" material that each group decides. The common learning issues are the most prevalent concepts on the exam
In addition to that, we are responsible for the OMM and Anatomy faculty curriculum. Every time the lecture based students have an exam, we also have an exam that is scaled down to include only the material from those department's lectures.
As far as how the curriculum goes, Eudjinn had the basic idea. We have three group sessions a week, for two hours at a time. Each session the group discusses what they learned during their studying over the past two days in the context of our learning issues for that day. We begin with a case presentation, formulate a differential diagnosis, evaluate the patient's physical exam and then devise learning issues from our discussion about the patient's presentation.
As the case progresses and we learn more about the anatomy, biochemistry, physiology and so forth about the patient's presentation we can begin to order our differential and request laboratory tests to confirm our suspicions. When we feel we are done with a case, i.e. that we have learned as much as we could from the patient, we move on to the next one.
With DPC, it's really up to you to figure out what learning issues are appropriate. I was a little concerned, as I would understand that most are, about learning everything that I need to learn to be a great physician and succeed on my boards. Now I am confident that if I trust in the curriculum and in the experts that wrote that curriculum, I will be more than prepared.
It's just a matter of preference. Do you prefer to rely on what the experts present you in lecture? If so, then maybe that's the road for you. I really wanted to be in an interactive environment where I could choose relevant topics that intersted me. In the process, I'm learning medicine.