Problem-based learning has been used as a curricular modality in the a
cademic year of the Occupational Medicine Residency Program. The metho
d was applied to the resolution of problems presented by patients refe
rred to a university clinic specifically for the determination of poss
ible work-relatedness of the syndrome or symptoms presented. Following
the usual development of the occupational and medical histories, phys
ical examination, and determination of certain clinical laboratory val
ues, the resident would then have to seek assistance through consultat
ion with related specialists, a perusal of the pertinent toxicology, e
pidemiology, or other discipline literature, and ultimately prepare a
university-level report, following case conferences with fellow reside
nts and faculty members. No formal direction was given the student, th
e problems of diagnosis, occupational etiology and medicolegal accepta
nce of the resulting report having to be resolved through self-perusal
of informational sources. The knowledge gained from the exercise woul
d be longer-tasting than that attained strictly from lecture attendanc
e.