In September 1994 the Turner Dental School, University of Manchester,
introduced a new curriculum in which the first 2 years were problem-or
iented. The 82 dental students share the first year and part of the se
cond with 252 medical students, making this the largest cohort of stud
ents in a problem-based learning course in the world. It is one of two
or three dental courses of its kind. In addition to the problem-orien
ted work the course includes a substantial informatics component invol
ving computer skills. The number of lectures has been reduced to a max
imum of four per week in the first year and seven per week in the seco
nd Most of the students' learning is achieved by group work in which t
hey study clinical cases and search out the basic biological backgroun
d to them At the same time the students consider the social and psycho
logical implications of the cases and develop their own communication
skills. Thus far the course has resulted in students having a much bro
ader but less detailed subject knowledge. Students are able to integra
te their knowledge more effectively, In the new kinds of examination d
eveloped for the course the dental students achieve marks around 5% lo
wer than their medical colleagues, as in more traditional combined cou
rses. The first year of the course was designed for medical students a
nd may not therefore be optimal for dental students but the second yea
r has more specifically dental components.