A lesson from the introduction of a problem-based, graduate entry course: the effects of different views of self-direction

Objectives Difficulties in the early years of a new curriculum are to be ex pected as staff and students come to terms with new structures, and with di fferent approaches to teaching and learning. During the first year of imple mentation of the Graduate Medical Course at the Graduate School of Medicine , The University of Queensland, we experienced our share of 'teething troub les'. One source of difficulty was different interpretations of the concept of 'self-directed learning' as it was to be applied in the new course. Thi s paper presents an analysis of the effects of these differences on the dev elopment of the curriculum. Design An orientation programme was designed to introduce students to staff , facilities and the PBL process. Subjects Problem-based learning (PBL) tutors, medical students. Results The overall effect was to place in jeopardy the achievement of stud ent self-direction and commitment to lifelong learning as a goal of the cou rse. To counter the undesirable effects of different interpretations, we ha ve developed a conceptual framework to promote an agreed understanding of t he meaning of self-direction, and to guide review and further development o f the curriculum. A further paper describes the framework. Conclusions Consistency in interpretation of key concepts is an important f actor in the success of problem-based curricula.