At my medical school, we have both lecture and small group components. I like having both to be completely honest. I benefit a lot from each. Definately pros and cons for each. Lecture gives you the facts you need to know. PBL allows you start applying those facts. Personally when I can apply it, I have a much better understanding of the concepts at hand. I agree that research minded individual tend to benefit from PBL in the sense that you approach medicine from a problem and use evidence to explore it. Of course you are always going to have some who is more of a gunner than you are. There are good facilitators and bad facilitators. On the whole, if you school does it right, PBL can be great. But I also think you need lecture to provide the foundation.
My school has a mixed PBL/seminar curriculum, and I basically agree with ClarinetGeek. We have required attendance at CCLCM (seminars as well as PBL). But we only have about 15 total hours of classes per week during first and second years (not counting clinic time), so it's not that onerous. We also don't have tests or grades, and there are only 32 of us. So we don't have to worry about gunners because there are no grades for PBL, and we don't have a lot of problems with people not prepping for PBL because there is significant peer pressure to prepare properly. Also, after hearing about how PBL is done at other schools, I have come to realize that our PBL is really more more of a PBL/CBL (
case-based learning) hybrid as opposed to pure
PBL. We still had learning objectives (at least in the beginning) like PBL does, but we also had tutors who would guide us through the cases and keep us on track to make sure we got the objectives for that week (more of a CBL approach).
Anyway, for whatever it's worth, I really liked our version of PBL. It was even better second year than first year since we knew more and we reached a point where we could all read about everything and come in and have a group discussion (including the tutor). A lot of my tutors were surgeons or internists, and they were great resources who could throw in clinical pearls for us here and there. (There were a few tutors who weren't so great, but most of them were good if not awesome.) PBL has been integrated into the curriculum all along at CCLCM, so it's really tied in well with the seminars. Most of our seminars are also case-based, though with faculty-assigned readings.
Just thought I'd throw out a different point of view, especially since I am apparently the only person on this thread who actually has gone through a curriculum that incorporates PBL.
🙂