Interprofessional evidence-based health care courses have been held through
out the UK over the last few years, modelled on the approach used in McMast
er University of using problem-based facilitated small-group formats to ach
ieve the stated goals. Both delegates and tutors have been aware of the ten
sions which are inherent within these courses between: (a) the variation in
learning cultures which is exhibited by the delegates and the effect this
has on processes (i.e. the tension between the reductionist approach of bio
science and the more qualitative leanings of the applied and 'caring' disci
plines); and (b) the conflict which arises between the goal of 'learning' a
pplied healthcare biostatistics and the ability to leave the course with th
e skills to teach others. This qualitative study uses tutor-kept diaries to
understand some of the tensions apparent to the teaching faculty during a
week-long course in Wales, UK.